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QQ-3128. Mr Martin Jones - Nursing – Gopika Gopalakrishnan – Terminal Metastatic Lung Cance


The Gp

09 October 2021

Dear Doctor,

Re:Mr Martin Jones , aged 69 years

I am writing to update you about the current health status of Mr Martin Jones who is diagnosed with Terminal metastatic lung cancer.He requires home visits for the prescription of syringe driver and medicines for pain relief.

As you are aware, he was discharged from palliative care on 09 August 2021.On 31 August 2021 during home visit,his wife reported that he was sleepy and had reduced food intake as a result of difficulty in swallowing.However,he was compliance with the medications and oral fluids.On the next visit,he suffered from pain and non compliance with food and medicines.Consequently,he has been educated for the possibility of syringe driving.But he and wife were refused.Therefore,topical cream and liquid morphine was suggested.

Today,he has been experiencing severe pain and observed,he has not taken the food and medications.Inaddition,they are willing for to take syringe driver.

Pertaining the above,it would be appreciated if you could assess Mr Jones' condition and provide further management.

Please do not hesitate to contact me if you have any further queries.

Yours sincerely,

Community Nurse


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