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AB.12. Sithara Jayathunga - Lionel Ramamurthy


Ms Georgine Ponsford

Resident Community Nurse

Community Retirement Home

103 light Street


11 February 2014

Dear Ms Ponsford,

Re: Mr Lionel Ramamurthy, aged 63

Mr Lionel Ramamurthy, who was diagnosed with pneumonia and is being discharged back into your facility tomorrow, requires continuing care and appropriate management.

Upon admission, Mr Ramamurthy was experiencing acute shortness of breathing, wheezing and continuous coughing. Apart from that, fever with rigors as well as generalized body ache, sleeplessness and weakness were noticed.

Following a week in the hospital, overall progression is excellent and activities of daily living have been performed independently. Despite dry cough and chest and abdominal pain, fever has subsided. However, weight gain was observed with the advised of the dietitian. Chest physiotherapy has been initiated including deep breathing and coughing exercices.Subsequently, sitting position is recommended rather than lying-in to reinforce postural drainage.

Based on the aforementioned circumstances, providing ongoing care and assistance would be extremely beneficial to improve Mr Ramamurthy’s health condition. Regular supervision is required to ensure dietary regimen and exercise sessions. Not only encouraging oral fluid intake, but keeping warm also highly advised. If the pain is persists, paracetamol can be administered as needed.

If any additional information is required, please do not hesitate to contact me.

Yours sincerely,

Charge Nurse

Medical ward

Newtown Public hospital

41Main Street



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