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QQ-3876. Alicia Nesbitt – Nursing – Deepthi Kumar – Opioid Dependence


The Local Community Midwifery Team

Saltown Maternal And Child Health Centre


28 April 2016

Dear Sir/Madam

Re:Alicia Nesbit,Dob:22 April 2016

Alicia Nesbit,who has been recuperating from low birth weight and opioid dependence,requires home visits following the discharge today.

Alicia’s birth weight was 2 kilograms.Six days later which is 2.3 kilogram only owing to decreased appetite,suspected irregular bottle feeding as well.Alicia’s mother Ms Gemma Poole was heroin dependent for the past 2 years;therefore ongoing addiction issues has been managed with drug and alcohol team.Moreover liaise with them for lessen the substance abuse afterwards.During hospitalization,both are withdrawn completely with out any complication.Despite poor bonding between mother and baby,Ms Gemma often needs promoting to care for baby.

Alicia is a first child of their parents.Ms Gemma recently worked as a sex worker.After an alleged domestic violence Alicia’s father was estranged.It has supportive grandmother.Although they have support from social services,approve of discharge living situation as long as with grandmother.

Based on the aforementioned circumstances,ensure safe environment for baby and update social worker if any risk present.kindly ,monitor mother’s coping as well as psychological state.Ms Gemma and her mother require education regarding infant care would be profoundly beneficial to improve Alicia condition.In case any additional information is required,please do not hesitate to contact me.

Yours faithfully,

Registered Nurse.


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