Ms Mary Watson
Pliative Care Manager
Royal District Nursing Service
26 November 2011
Dear Ms Watson,
Re: Mr Roberts Jones, DOB: 02 June 1952
Mr Robert Jones, who has been diagnosed with complaints of chronic cough, hoarseness and difficulty breathing upon exertion. CT scan has been done, which confirmed the diagnosis. Therefore, resection of the lung has been performed. Fluid management and oxygen therapy have been started. Although, chemotherapy and radiotherapy have been initiated, it seems to be ineffective. Metastases in liver and spine has been identified. His pain has been Managed with Morphine Sulfate,40mg, fourth hourly and 20mg when required.
Since June 2007 Mr Jones has had Hypertension and frequent episodes of bronchitis. He has the habit of smoking heavily for the past 40 years. He is a lawyer and lives with his supportive wife. He has two daughters and they want their father to stay in the hospital for further treatment. However, he wishes to return home.
It would be appreciated, if you could monitor Mr Jone’s pain status, and manage symptoms. Assistance with mobility especially for daily livig activities and emotional support for the familu need to be provided. Incase of any additional information is required, please do not hesitate to contact me.
The Royal Adelaide Hospital.