QQ-3831. Mr Amir Akbari Nursing – Jalaja Vinod – Guillaun-Barre Syndrome

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Charge Nurse

Prince Henry Rehabilitation Centre

Malabar Bay

23 April 2011

Dear Nurse,

Re: Mr Amir Akbari, aged 41

Mr Amir Akbari, who has been suggesting from Guillaun-Barre syndrome, requires rehabilitative care and management following his discharge today.

Mr Akbari was admitted to the hospital on 06 March 2011 and had been treated in intensive care unit with mechanical ventilator support for three days. During hospitalisation sudden deterioration and recovery have neen noticed. Initially, he could not more the limbs independently. Inspite of daily physiotherapy programs and self exercises, his mobility is improved. Even though he can walks slowly with the aid of a frame, he needs assisstance with activities of daily lying. Additionally regular plasmapherises was performed and five doses of intravenous gammaglobulin were administered.

Mr Akbari is an Iranian Muslim man who luves with his wife and has two children aged 3 and 4. They stays in a rented home and have less support network here in Australia. Mr Akbari and his wife are Ph D students and he also works in a service station. His medical history is remarkable for post-traumatic stress disorder, which is due to war to war traumatic in 1980. Therefore he is at a risk of depression and anxiety.

Based on the aforementioned circumstances a discussion with your team in recommended regarding Mr Akbari need for psychologist assessment since he is feeling depressed about his prospects. Regular physiotherapy and continuous encouragement for self exercise would be beneficial. In addition, monitoring of respiratory status and neurological signs are being recommended. Kindky ensure that the social worker support is a available for his wife.

In case of any additional information, please do not hesitate to contact me.

Yours faithfully,

Charge Nurse

Neurological Ward

Prince Charles Hospital

Randwick.

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