Ms Georgine Ponsford
Resident Community Nurse
Community Retirement Home
103 Light Street
11 February 2019
Dear Ms Ponsford,
Re: Mr Lionel Ramamurthy, aged 63
I am writing to update the current health status of Mr Ramamurthy who was diagnosed with
Pneumonia, requires follow up care and appropriate management followed by discharge today.
On 04 February 2019, Mr Ramamurthy was admitted with the complaints of acute shortness of breath
(SOB), persistent cough, fever and sleeplessness. Assistance required for activities of daily living during
the time of admission. He was very weak and noted SOB on exertion.
Mr Ramamurthy was encouraged with oral fluids and proper nutrition. Ambulation was initiated as per
physiotherapy review. Slow and independent walk has been started. Dry cough, chest pain and
abdominal pain are still persisting. Therefore, chest physiotherapy for breathing and coughing exercise
were commenced. Weight gain of 1.5 Kg was noted after the dietitian consultation. Sitting position was
preferred to ensure the postural drainage. He has good progress in his condition.
Mr Ramamurthy was advised to take Paracetamol if required for chest or abdominal pain. Monitoring
his diet, which include egg, fruits, vegetables along with adequate hydration are necessary. Keep him
Based on the aforementioned circumstances, continuous support and proper management of Mr
Ramamurthy’s condition would be extremely beneficial.
If any additional information is required. Please do not hesitate to contact me.
Newton Public Hospital
41 Main Street