AD.42. Sithara Jayathunga - Mr Phillip Satchell

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The Community Nurse

Community Health Centre

Maroubra

07 February 2018

Dear Community Nurse

Re: Mr Phillip Satchell, aged 73

Mr Phillip Satchell, who was diagnosed with multiple sclerosis, type one diabetes mellitus and chronic bilateral leg ulcers and is being transferred into your locality, requires continuing care and appropriate management.

Mr Satchell has been observed continuously for recurrences of multiple sclerosis which is presently stable. He also is a diabetic, for which he has been taking metformin thrice daily. Not only that, he is experiencing regular infected pus filled legs ulcers with staphylococcus aureus infections. For that, initially, he was commenced on intravenous antibiotics followed by being substituted by tablets. It is imperative that ongoing supervision of medication compliance as well as serum glucose level is highly recommended.

Mr Satchell has been moving to Maroubra to accelerate more access to treat his multiple sclerosis. He lives alone and socially isolated; nonetheless, maintains an adequate relationship with his two sons who meet seldom. Even though has had long term ailments, he remains psychologically stable.

Based on the aforementioned circumstances, routine care and constant assistance would be extremely beneficial to improve Mr Satchell’s health condition. Additionally, a referral to the Prince Wales Diabetic Clinic for reviewing medication regimen and reiterating diabetes education is suggested. In relation to multiple sclerosis, facilitating a neurologist appointment through a General Practitioner would be necessary.

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

Yours faithfully

Registered Nurse

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