October 31, 2021

Nursing Director
North West Transition Care Program Service
12 West Street, Northbridge, QLD, 4543

RE: Mrs. Bronwyn Green, DOB: March 15, 1949

Dear Sir/ Madam,

I’m writing to refer to you Mrs. Green, who is admitted in our facility on 20 th of January 2018 due to
Right hemicolectomy. She is for discharge and your continuous management and care is requested.

Mrs. Green has been known COPD and she’s taking Tiotropium inhaler 1 puff in the morning, fluticasone
and Salmeterol 250/25mcg inhaler 2 puffs BD. Consequently, she is also taking amlodipine 5mg in the
morning for her Hypertension and oxazepam 15 mg at night and citalopram 10 mg in the morning for
anxiety and depression. She developed metabolic and respiratory acidosis post operatively, that need
her to transfer in the ICU.

On the 3rd day of Mrs. Green admission, she was transferred to thoracic ward and continuously used
oxygen supplement of 2L NP because of her shortness of breath during mobility. She’s taking regular
analgesic of Paracetamol 1 gm QID and prn of Endone 2.5 mg until maximum dose of 20 mg for post
operative pain. She had referral to the dietician because of her poor appetite. She is wearing pull-up
pads as a result of her occasional urinary incontinence and need assistance and prompting, when she is
anxious especially when taking a shower.

Please note that Mrs. Green requires applying rails on her bathroom and toilet as a result of
Occupational therapy home visit. She is able to walk using single point stick but with supervision. Kindly
monitor also her need to used Oxygen supplement and her anxiety level. She requires to change her
abdominal wound dressing every three times in a week. She is plan for discharge on 11 th of February
2018 and she will accompany by her sister to home because she leaves alone.

For further inquiries for Mrs. Greene please do not hesitate to contact me.

Yours faithfully,

Nurse