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QQ-3708. Mr Janet Hardy - Nursing – Jaisintha Daffader – Chemotherapy Side Effects


Doctor Jacob Philip


23 Forum Avenue

New Hall

Date:22 April 2019

Dear Jacob Philip

Re:Mr Janet hardy, aged55

I am writing to refer to Mr Janet Hardy who has been recovering from the side effects of

chemotherapy. Your further care and support would be highly appreciated.

Mr Hardy was admitted on 6 April 2019 with complaints of respiratory infections and rust colour

sputum. His test revealed stage 2 non-small cell lung cancer with a 2.5cm tumour in the left lung

along with bronchial branches were not affected. He has been treated with 500mg of Amoxicillin

twice a day for five days. On consecutive days of treatment, his condition was confirmed by the

CT scan which shows metastasis, despite he underwent a VATS procedure and the tumour was

removed by a four-time incision. In addition, tubes were removed on the same day along with

dressing was done. He commenced on Percoet to reduce the pain. Vitals parameters were

within the normal limits except blood pressure was elevated 130/80mm of hg due to which tablet

Ramipril 5mg was prescribed.

Mr Hardy is a widower who lives alone. He has had Hypertension since 2011 and was not

under medications. No family history of cancer.

Mr Hardy presented on 21 April 2019 for the 4 cycles of adjuvant chemotherapy once every two

weeks in order to prevent relapse of the disease along with Cisplatin and Docetaxel were given

to treat the cancer. During chemotherapy, Mr Hardy experienced nausea which was settled by

giving Zofran and lost 5kg of weight.

Based on the aforementioned it would be highly appreciated if you could refer him to dietican in

order to gain weight during chemotherapy and a psychotherapist to quit smoking. His next CT

scan after three months annually and chest x-ray three Times per year.

Please feel free to contact me for further queries.

Yours sincerely

Charge Nurse

Oncology Ward


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