AB.30. Manikanta Thota - Bestie Andeson

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Ms Stella Howard Head Nurse

Woodside Nursing Home Norwich 142 Woodside road Norwich

19 February 2020

Dear Ms Howard,

Re: Ms Bestie Anderson, aged 89

I am referring Ms Bestie Anderson, who was diagnosed with urinary tract infection into your care for further assistance and expert management following discharge today.

On 16 Feburary 2020, Ms Anderson was presented with complaints of urinary incontinence along with, low grade fever. Therefore, He commenced on acetaminophen 650 mg orally and injection ciprofloxacin intravenously. Drowsiness and sleepiness was evident on admission. On further investigation, elevation of the white blood cells as well as presence of bacteria in urine was noted.

Ms Bestie Anderson has had history of hypothyroid, dementia, constipation, gastric reflux diseases and undergone a right hip surgery in 2017. Tablet Levothyroxine 200mcg, protonix 75 mg daily colace 100 mg morning, ciprofloxacin 250 mg orally after every 12 hours for fourteen days and Acript 10 mg in evening time was prescribed for managing condition at home.

Subsequently, Ms Anderson’s condition has improved with reduction in solomence and disorientation. Assistance provided in accomplishing activities of daily livings and physiotheraphy. Appropriate hygiene with frequent toileting is ensured. Regular assessment of vital signs and loss of control is suggested.

On the basis of afored mentioned circumstances, it would be highly appreciated if you could schedule follow up visit with Dr Alex Rose in 2 weeks with repeating urine culture. Beside commode, cane and walker are recommended for aiding in ambulation. Regular surveillance for the signs of dehydration and orthostatic blood pressure is imperative to improve for Mr Anderson’s condition.

If you require any further information, please do not hesitate to contact me.

Yours sincerely,

Registered Nurse Nursing Home

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