Mrs Edith Penny
The Community Nurse
Freemont Community Health Centre
30 April 2017
Dear Mrs Penny,
Re: Ms Sheila Cartwright, aged 69
Ms Cartwright, who has been recuperating from unstable diabetes mellitus and infected foot ulcer, requires assistance and frequent monitoring following the discharge today.
On 14 April, Ms Cartwright was admitted with aforementioned diagnosis. Consequently, glibenclamide 5mg daily, metformin 800 mg thrice a day and amoxicillin 125 mg twice a day were commenced. Although daily dressing has been performed for the left foot ulcer, continuity should be needed.
Ms Cartwright, lives alone with small post- retirement income. Despite no relatives and friends, lack of interest in outdoor activities has been noted. In addition, increased intake of alcohol consumption along with decreased dietary quality has been reported post-retirement. Therefore, keen observation would be required.
In view of the above, continuous monitoring for ensuring medication compliance and blood glucose levels would be greatly appreciated, as difficulty with self administration of hypoglycemic agents has been found. Additionally, suggestions related to establishment of income generating activities would be beneficial. Also, encouragement should be done to indulge Ms Cartwright in certain social activities and moderate exercise programmes. It is required to continue glibenclamide and to review Augmentin after antibiotic course completion.
Should you require further information, please feel free to contact me.