QQ-3153. Mr Sean William - Nursing – Shakila David – Chronic Obstructive Pulmonary Disease
12 February 2019
Ms Aline Beckmsale
Pharmacist
Brookwille Community Centre
Brookwille 8431
Dear Ms Beckmsale,
Re: Mr Sean William, aged 72
I am referring Mr William who requires education regarding techniques to use inhaler and he is diagnosed with chronic obstructive pulmonary disease .
Mr William lives alone and receiving pension for aged person. He has leg ulcer and treating with daily dressing. He has had chronic obstructive pulmonary disease and commenced on salbutamol and Ibratrobium inhaler , 2 puff , daily. Has no drug allergies.
On 06 February 2019, Mr William was presented with complaints of shortness of breath, especially during activities. On observation, his inhaler technique was inappropriate. On assessment, he was suspecting for exercised induced bronchospasm, therefore he was advised to stop salbutamol, ipratropium and started on Ventolin HFA inhaler with a counter and spacer, 2 puffs were demonstrated and supervised. Today, during home visit found her still experiencing shortness of breath at activities and verbalized that Ventolin HFA is ineffective.
It would be greatly appreciated if you could teach her regarding inhaler use along with spacer .
Should you have any queries please do not hesitate to contact me.
Yours sincerely,
District Nurse.