The community Nurse
Community Health Centre
8 February 2018
Dear Sir / Madam,
Re: Mr Phillip Satchell, aged 73
Mr Phillip Satchell, Who was diagnosed with multiple sclerosis, Type two diabetes mellitus and chronic leg ulcers in both legs, requires ongoing care and management from your facility.
Mr. Phillip Satchell has been taking our services since March 2015. Non compliances with diabetic agent and diabetic diet were noticed. Multiple sclerosis is currently stable; but, frequently relapses have been observed, due to which she will be moving to equivalent housing located in the Maroubra to increase access for the treatment.
In our care, Mr Phillip Satchell was treated with IV antibiotics twice daily and metformin for diabetes three times in a day. Ulcer dressing were provided twice daily. Blood sugar levels, medication compliance and sign of multiple sclerosis relapse were monitored. Also, education regarding diabetes was provided.
Mr. Satchell lives alone and has good relationship with sons; but, they rarely See to him.
Based on the above information, IV antibiotics should be substituted by oral antibiotics. Along with this, diabetic medications and dressing needs to be provided. Mr. Satchell should be referred to the Prince of Wales Diabetic clinic for the education and medications review. Consultation with the. Neurologist for the follow up of multiple sclerosis would be highly appreciated. Kindly support him to increase coping and social networking.
Should you require further information, please feel free to contact us.