MS Samantha Bruin
Greywalls Nursing Home
27 Station Road
7 September 2010
Dear Ms Bruin,
Re: Mr Gerald Baker, aged 79
Mr Gerald Baker, who underwent a left total hip replacement, is being discharged back into your facility today for continuing care and management.
Postoperatively, Mr Baker appeared some disorientation, possibly caused by the aaesthesia, which will be required ongoing observation. In addition to that, three units of red blood cells were transfused due to dropped haemoglobin level, which is presently stable. Therefore, sings ad symptoms of anaemia should be monitored.In spite of his regular medications, aspirin 400mg was recommenced along with Panadeine Forte, maximum eight tables a day for the pain relief.
Mr Baker has been initiated with occupational therapy including, a series of motion, stretching and strengthening exercises that would be continued for speedy recovery. Mobilization is possible with a wheelie-walker. Not only a walker and pillow from the hospital, but a toilet raiser also has been organized by the social worker for a fortnight.
Base on the aforementioned circumstances, providing routine care and appropriate management would be extremely beneficial to improve Mr Baker’s health condition. Also, monitoring medication regimen and daily dressing changes to protect skin integrity are suggested. A follow-up with full blood count and urea –electrolytes as well as staples removal has been scheduled on 27 September at City Hospital Clinic.
If additional information is needed, please do not hesitate to contact me.