QQ-3318. Mr Martin Jones - Nursing – Adeya Mohammed – Difficulty Swallowing

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Rose wood land

Oxford

9/10/2021

Dear Doctor,

Re:Mr Martin Jones ,aged 69

I am writing in regards to your patient Mr Jones,requesting home visits for administration of syringe driver,and drugs for alleviation of pains.

Mr Jones present to the palliative care unit on 9/8/2021 with complain of inability to swallow food.he was already on pain relieves and wife agree to stay with him at home. 1 day after patient was visited at home by palliative care Nurse and was met comfortably on bed weighing 78kg.

Mr Jones has been monitored by his wife at home,and several visit was made to see his condition.during the 3rd visit wife seems upset due to non compliant by the patient, She was reassured.however Mr Jones was visited 2 times at regular intervals but was met sleeping, wife was worried about sleeping and lack of good progress.topical cream and liquid morphine was recommended.

During the subsequent visit,condition was not improving,inability to drink water,swallow food and take drugs persist.he was recommended on syringe driving but unwilling by patient and his wife.

Today patient present with severe pain ,inability to eat and take drug and was willing to take syringe driver.it would be greatly appreciated if you could continue to manage appropriately.

Yours Sincerely,

Charge Nurse

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