AC.29. Sithara Jayathunga - Ms Margaret Helen Martin

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Nurse-in-charge

District Nursing Service

Greenville Community Health Care Centre

88 Highton Road

Greenville

15 July 2018

Dear Nurse- in-Charge,

Re: Ms Margaret Helen Martin aged 81

Ms Margaret Helen Martin, who has been undergone a successful angioplasty today for coronary artery disease and angina, requires the assistance of a community nurse following the discharge tomorrow.

Her present medications include: aspirin and Plavix for coronary artery disease; Betaloc and Tritace for hypertension and Lipitor for hypercholesterolemia. Regular monitoring of medication compliance is highly recommended. She also has had coeliac disease.

Ms Martin, lives alone, does not step out from the home which could potentially lead social isolation as well as separation from the family. She is overweight with a body mass index of 29.5. Nonetheless, reluctance to home adjustment was noticed. Hence, encouraging frequent family visits is profitable to prevent any feelings of loneliness.

Ms Martin depends on meals on wheels, and therefore, providing not only the less calorie and cholesterol but also protein-rich and gluten-free diet was advised. Excessive intake of fluid and frequent small amount of meals would be helpful. Furthermore, refraining from lifting heavy for objects for twelve days along with routing simple exercises such as walking for fifteen minutes has been advised with the recommendation of the physiotherapist.

Based on the aforementioned circumstances, ongoing supervision and continuing care would be extremely beneficial to improve Ms Martin’s health condition. Liaise with the General Practitioner, dietitian and physiotherapist will be needed. It is noted that periodic observation for bruising and possible infection on catheter insertion site should be required.

If any additional information is required, please do not hesitate to contact me.

Yours sincerely,

Ward Nurse

Cardiac Unit

Greenville public Hospital

Greenville

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