AE.42. Sumaira Zaman - Mr Lionel Ramamurthy

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Ms Georgine Ponsford

Community Nurse

Community Retirement Home

103 Loght Street, Newton

11 February 2019

Dear Ms Ponsford,

Re: Mr Lionel Ramamurthy, aged 63-year-old

Me Ramamurthy, who recovered from pneumonia, requiring an appropriate care and management following his discharge back to your facility tomorrow.

Mr Ramamurthy was brought to hospital on 04 February 2019 with the complaints of shortness of breath associated with dry cough, fever along with rigors. He also complained chest and abdominal pain, insomnia, generalised aches and a wight loss approximately 4 kg in oast 6 months due to poor appetite. Upon assessment he was febrile and had wheezing sounds in the chest.

During hospitalisation he showed good signs of recovery, his inflammatory markers are back to normal besides that he is afebrile. He regained 1.5 kg weight after subsequent visits by dietician also, he was seen by physical therapist for strengthening excerises and chest physiotherapy currently he can walk short distance without any shortness of breath.

Upon discharge he had complaints of mild chest and abdominal pain for which he has been prescribed paracetamol as needed. It is Imperative to continue chest physiotherapy for breathing and coughing excerises as well as he needs to sit more frequent than lying down to achieve good postural drainage. He also requires assistance for daily living activities. Kindly note that he need supervision to maintain good nutrion and a increase in his oral fluids.

Based on aforementioned information you expert management is profoundly beneficial to improve Mr Ramamurthy's condition. In case an additional information is required, please do not hesitate to contact me.

Yours sincerely

Change Nurse

Medical Ward

Newtown Public Hospital

41 Main Street, Newtown

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