The Head Nurse
Geriatric Nursing Home
Jones Street
Ekibin
20 May 2019
Dear Sir / Madam,
Re: Mr Robert Jai, aged 70
Mr Robert Jai, who has undergone an appendectomy, requires physiotherapy services, continues wound dressing as well as assistance with personal care, after being discharged today.
On 10 May 2019, Mr Jai was diagnosed with appendicitis. Hr is having diabetes and hypertension for the past ten years, for which he is taking tab metformin 500mg and alphadopa 250mg. Also, right side paralysis along with slurred speech were reported due to an history of cerebrovascular accident in 2018.
During hospitalization, Inj. Diclofenac and Taxim 1gm IV BD were prescribed, and wound dressing changes were provided. Mr Jai’s blood sugar level was monitored on daily basis. On 13 May 2019, redness, itching and wound oozing were noticed, for which tablet Augmentin was commenced. On 15 May 2019, wound leakages was noticed and dressing changes were provided. On 19 May 2019, excellent recovery was noticed and he started mobilization; however showering and personal care were assisted.
Mr Robert Jai lives alone in a rental flat, and he smokes heavily. Graving for sweet foods were reported.
Based on the above information, it would be greatly appreciated if you could monitor his blood glucose level regularly. Wound dressing should be provided. Along with this, medication compliance needs to be monitored. Assistance for showering and daily activities would be highly appreciated. It is very important to be noted that, Mr Jai is allergic to Pandine forte.
Should you require further information, please feel free to contact us.
Yours faithfully,
Registered Nurse
New Life Hospital
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