The Community Nurse
Community Health Centre
17 February 2018
Re: Mr Phillip Satchell, aged 73
Mr Phillip Satchell, who was diagnosed with multiple sclerosis and chronic ulcer over both legs associated with type 2 diabetes mellitus, requires further assistance and evaluation from your service.
Since March 2015, a regular follow-up care has been provided. Intravenous antibiotics twice daily and metformin thrice daily were recommended. Wound dressings twice daily were performed. Medication adherence and blood glucose levels were supervised on regular basis. In addition, discussion on diabetic regime was held, and indicators of multiple sclerosis were observed continuously for relapsing.
Mr Satchell, a widower, lives alone in the public housing in Orange. He has two sons and they have good relationship with him; however, they seldom meet him. Currently, he has planned to shift to Maroubra in the similar housing for ongoing treatment of multiple sclerosis. Apart from that, poor - compliance with the medication and diabetic diet was recorded. Recurrent episodes of multiple sclerosis as well as Staphylococcus Aureus infection were noted.
Based on the aforementioned circumstances, an appointment with the neurologist would be profoundly beneficial. A review at Prince of Wales Diabetic Clinic is recommended for medication evaluation, and for more assistance with diabetic diet. Isolation can be well managed with the involvement in community services.
In case additional information is required, please do not hesitate to contact me.