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AD.22. Anila Sarath - M George Palostive


Ms Lenny Karoles

Tissue Viability Nurse

Community Medical Centre

17 Judges Road


22 July 2019

Dear Ms Karoles

RE: Mr George Palostive, aged 90

I am referring Mr Palostive, who underwent a wound debridement, four bedsore wound dressing changes until heals.

One month ago, Mr Palostive had a small blister over the right buttocks. Even though it was managed with proper care, it became a small superficial woun. On the following days, diarrhoea and incontinence of bladder have been started. Therefore, catheterisation was done; however, the wound has not healed. Pus, slough have been observed. Treatment was provided with dry dressing and alternative pressure resistant mattress has been provided. Subsequently wound debridement was done.

Mr Palostive is a retired policeman, who lives with his son. He is a bedridden, requires assistance for activities of daily living including medication administration, feeding, mouthcare and position change every two hourly. He has had diabetes and hypertension on medication since 1985 and 1990 respectively. He underwent angioplasty in 2010 and right leg below knee amputation in 2015. Diet restriction such as low salt diet, diabetic diet along with fluid restriction has to be maintained.

Based in the aforementioned circumstances, providing appropriate wound dressing changes along with bedsore care would be greatly appreciated. If you require any additional information, please do not hesitate to contact me.

Yours sincerely,

Ms Mary Mathew

Community Nurse


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