Dr. Henry Rabinson
56 Rose Garden
22 May 2019
Dear Dr Robinson,
Re: Mr Edwin Bruker, aged 56
I am referring, mr Edwin Bruker who has suspected to have Post stroke depression requires detailed assessment and management.
Mr Bruker who has been diagnosed with anute ischemia stroke in to aver facility since 3 months . He presented with the complaints of facial drooping , moderate dysphagia and independent mobility with minimal assistant. Along with depressive feature therefore he was initiated with physiotherapy and speech therapy.
On the subsequent days, he loose 6 kgs of weight refuse to take medication and lack of interest in physiotherapy . Additionally he had worsened symptoms following deliberate suicidal attempt.
Based on the above circumstances it would be highly appreciated if you could would measures to reduce depression. Please remaind the mental health nurse to continue cognitive behavioral therapy and claily counseling.
If you require any further clarifications please do not hesitate to contact me.