AD.25. Sithara Jayathunga - Ms Sheila Cartwright

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Mrs Edith Penny

Community Nurse

Freemount Community Health Centre

Freemount

30 April 2018

Dear Mrs Penny,

Re: Ms Sheila Cartwright, aged 69

I am referring Ms Sheila Cartwright, who was diagnosed with uncontrolled diabetes mellitus and minor infected left leg foot ulcer, for regular monitoring and appropriate management from your facility following the discharge today.

MsCartwright has been treated for type one diabetes mellitus for the last nine years, for which she takes Diabex 850 mg trice and Glimel 5 mg once daily. Augmentin Duo Forte tablets 125 mg twice has been commenced for promoting wound healing and should be reviewed upon completion. Nonetheless, daily dressing with saline and observation of wound margins and signs of complications would be suggested.

Since retirement, Ms Cartwright, lives alone, does not step out home and survives on a merged pension. However, her alcohol consumption has been drastically increased, whereas the dietaries have been deteriorated tremendously. Additionally, continuous problems with self-administration of hypoglycemic agents have been reported. Consequently, ongoing supervision of medication compliance, gradual reduction of alcohol intake, dietary quality, exercise regimen and blood sugar levels is highly recommended.

Based on the aforementioned circumstances, complete transformation of personal lifestyle would be profoundly beneficial for improving Ms Cartwright’s overall health condition. In relation to social isolation, participating in social activities, involving in community social worker services and establishing income-generated measures will be profitable.

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

Yours sincerely,

Registered Nurse

Freemount Community Hospital

Freemount

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