
The community health nurse
Eastern community health center
456 East street
centreville
22 January 2019
Dear community nurse,
Re: mr peter dunbar, DOB: 18 march 1932
Thankyou for accepting mr dunbar into your care, who requires unceasing monitoring of the 2 diabetes along side encouragement regarding compliance with medication and dietary , regimens, as he is moving to centreville with his daughter .
In october 2018 , mr dunbar presented with iabetic neuropathy, exercise intolerence and restricted mobility non compliance is attributed for poor memory.
Since the death of his wife last year , exercise amounts of alcohol , fatty foods, salts and sugars have been consumed, contary to the professional advice.
In september 2017, type 2 diabetes was diagnosed which was managed with metformin 500 mg. along side, hypertension was controled with ramipril 5mg daily. despite, giving education on compliance on diet exercise and alcohol, fattyfoods, salts and sugars have been consumed, contary to the professional advice.
To september 2017, type 2 diabetes was diagnosed wich was managed with metformin 500mg . Along side, hypertension was controled with ramipril 5mg daliy. Despite , giving education on compliance on diet , exercise and alcohol consumption . Non aderence for the same was noted.
In june 2018, mr dunbar was admitted to the city hospital due to myocardial infarction. on the same admission , atrial fibrillation was diagnosed. electro cardiogram confirmed the diagnosis consequently, commenced on sotalol 40 mg and warfarin daily.
Based on above circumstances, it would be beneficial if you could provide regular observation and encouragement on his diabetic diet . If you require any additional inforation , do not hesitate to contact me.
Yours faithfully,
Registered Nurse
Community Health Centre.
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