14 July 2017
Dear Dr Laricrell
Re: Mr Walter Pitman, 69 years old
This letter is to update health status of Mr Pitman who requires a full cardiac assessment owing to his uncontrolled hypertension.
Mr Pitman was initially admitted to the newtown Hospital and was treated appropriately for accidental cut injury. On admission his wound was cleaned, dressed and sutured. He received the course of prophylactic antibiotics. Subsequent day his blood pressure was 140/90 mmHg and 180/90 mmHg in sitting and supine position respectively. He was discharged on third day and was referred to me for regular dressing and blood pressure monitoring.
On 4 July, Mr Pitman presented with severe pain and mild hematoma. Pain was reported 8/10 on pain scale. His blood pressure was 186/89mmHg and 190/86 mmHg in sitting and supine position respectively. Consequently, his wound healed well; however, blood pressure was measured in same range during each visit.
You are aware that Mr Pitman leads sedentary lifestyle and his current BMI is 30. In addition, he has had hypertension since 2008.
In view of the above, it would be appreciates if you could perform a complete cardiac assessment of Mr Pitman. Kindly do the needful management for his hypertension.
Please feel free to ask any queries.
Nurse-Led Outpatient Clinic