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QQ-3860. Ms Mary Bell – Nursing – Divya Dsouza - Unstable Diabetes Mellitus


Ms Jane Rudik

Community Nurse

Newtown Community Health Centre

15 July 2017

Dear Ms Rudik,

Re: Ms Mary Bell, aged 66

I am writing to update you the current health status and accomplish her medical and social needs. She was diagnosed with unstable diabetes mellitus and small infected foot ulcer being discharged today. Ms bell is retired

from managerial position and lives alone. He is getting small amount pension, however no friends and relatives. Therefore, he consume more alcohol and changes in dietary habits. In addition there will be problem with

self-addministration of hypoglycemia medication. the condition was treated with glibenciamide 5 mg daily, metformin 850 mg thrice daily, amoxycillin 875/125 mg orally tiwce daily were commenced.

Fiftine years ago, Ms Bell had non-insulin-dependent diabetes mellitus. At present, encourage her to continue with medical hypoglycemic agent and antibiotic course prescribed. Monitor her ound margins assist in

saline dressing, observe signs of complication and prognosis need to encouraged.

Necessary education has been provided regarding medication compliance, regular physical exercise controlling blood sugsar level, restrict alcohol intake and also involvement of social activity adviced.

Based on the aforementioned circumstances, provide appropiate services it would be beneficial.

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

Yours sincerely,

Registered Nurse

In Patient Department

Newtown Community Hospital


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