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oet sample letter

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894 views

9

oet sample letter

Uploaded by

mcyu12222
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF or read online on Scribd
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i a FE a z io} =) a Q Alfie Coleman, a 85 yearold man, was admitted into the hospital on complaints of extreme abdominal pain. His eldest son brought him to the hospital Patient Detail Name: Alfie Coleman Marital Status: Marted with two children ‘Admission Date: 17 August 2006, Discharge Date: 27 August 2016 Social Background Lives with his wife, Makoff Cally and tw chen Fun a rooting company along wit his sons His wife uns a boutique shop Patient History No history of ehronie alcoholism immune abnormality, vius-elated hepatitis, industrial poison and medicine, cholestasis, schistosomi or inherited metabolic ciseases, ‘Nursing Notes 15 August 2016 ‘The patient suffered from abdominal pain after a slight cough. The patient dd consult a doctos. 16 August 2016 Pain developed Weakness increased 17 August 2016 Physical examination at our hospital ‘The patient was dizzy Blood pressure (119/74 mmaBlood pressure (119/74 mmHg) Heart rate (104 bpm). Reports of ab findings are attached, Left side of his abdomen showed an abdominal mass, Both lower extremities showed mild iting edema, (CT performed: Enlarged left lower abdomen wth a huge hematoma and @ maximal diameter of 55 cm. Severe hypersplenotrophy, peritonitis, hepatocithoss, seropertoneum were observed Unclear border ofthe hematoma Treatment: Fed cell concentrates and continuously lo flow oxygen were admitted Before pleural effusion, two kinds of antibiotics were started Fresh frozen plasma and vitamin K were injectedin tothe patient every day Used DiisopropylamineDichloroacetate and Glutathione ‘Somatostatin, abdominal bandage compression and hemocoagulase wete used to enhance the effect ofthe hemostasis. ‘Saline was restricted in 1 L Human serum albumin an furosemide (20 mg/day) ‘Combined spirolactone (60 mg/d), ‘Combined spirolactone (60 mg/day). P centesis of chest. 21 August 2016 ‘overall condition continued to deteriorate Breathing dificuty increased Large area of cchymesis could be observed in et abdomen, perineal and waist. Chest puncture was used torelieve the symptoms, 22 August 2016 ‘Signs of improvement appeared,Haemoglobin recovered to 81 gil 'AS a preventive measure, extraction of pleural effusion was taken again 25 August 2016 Laboratory findings showed mare improvement (eports are attached to). Hardly any parapneumonic effusion and pyoperitoneum. No obvious edema of lower limbs. Discharge Patient was given discharge on August 27 2016. Patient was doing well tthe time of discharge. ‘ASmonth stay at the cae home ie suggested bythe doctor. Witing Taste Using the information given in the case notes, wit a eter to the residential care nurse, Alvin Myon, ATK Care Home, 58 Spencer Hil Rd, Wimbledon, London SW19 4EL, UK, who willbe responsible for Alfie Coleman's continued care at the Nursing Home, Inyour answer ‘+ Expand the relevant notes into complete sentences + Donot use note frm + Use letter format ‘The body ofthe eter should be approximately 180-200 words.

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