Ms. Mary Wright
The Community Nurse
Lakeside Community Health Centre
50 Hope street
16 August 2008
Dear Mr. Wright
Re: Ms. Jane Simms, aged 46
Ms. Jane Simms who was diagnosed with progressive multiple sclerosis, requires rehabilitative care and management is ready for discharge back into your care tomorrow.
On 26 July 2008, Ms. Simms was admitted with the complaintd of recent exacerbation of obesity, increased depression and pressure ulcer on right gluteal rehion were observed. However, the condition was managed with ACTH, adrenocorticotropic hormone, corticosteroids and prothiaden 150 mg daily along with desulepin hydrochloride for depression was commenced.
On subsequent day, bedsore was healed through high quality nursing care. Education was provided regarding low calorie diet. Range of kotion, stretching and stregnthening exercises and occupational therapy were indicated.
Currently, excellent progress in all our health status was reported regular monitoring of steroid medication is necesaary. Maintainng of good skin integrity if highly recommended. In order to got optional body weight and continuing of previous exercises regimen is suggested.
Based on the above mentioned cirsumstances, your ongling support and management would be extremelh beneficial. Ms. simms, present conditiona. I you requires any addition information. Please do not hesistate to contact me.
South Eastern, Rehabilitation Hospital.