379 Swanston Street
01 November 2016
Dear Mr Amit Kumar
Re: Mr Tom Clarke, DOB: 21 September 1954
Mr Tom Clarke, who was diagnosed with nondisplaced fracture of the coronoid process of the ulna, requires home visits for ongoing care and appropriate management and is being discharged today.
Today, Mr Clarke presented with the complaints of stiffness and slightly reduction in range of motion activities of the elbow. Tab D gain and Tab CM plus once a day for bone and muscle strengthening have been prescribed. For improving the health condition of Mr Clarke your home visits would be appreciated.
On 26 August, Mr Clarke was admitted with the complaints of severe pain, poor range of motion, injury to left elbow due to following motorbike accident while cycling. X-ray was performed which revealed fracture, marrow oedema of the neck and head and joint effusion. Sling was provided for immobilisation for the six weeks. Hot compressions were recommended for pain relief and inflammation. On 6 October, a follow-up visit was conducted which showed excellent healing process. However, the sling was removed. Therefore, encouragement regarding exercise program was suggested.
Mr Clarke has had hypertension since 1985 for which he is taking Ramipril. Right ankle dislocation surgery was performed in 1982. He lives with his wife, aged 58.
Based on the aforementioned circumstances, regular home visits and supervision would be profoundly beneficial to improve Mr. Clarke's condition. In case any additional information is required do not hesitate to contact me.