TIME ALLOWED: READING TIME: 5 MINUTES Task 2 WRITING TIME: 40 MINUTES Read the case notes below and complete the writing task which follows. Hospital: Fairbanks Hospital, 1001 Noble St, Fairbanks, AK 99701 Name: Mrs Sally Fletcher Date of Birth: 3/10/1993 Marital status: Married, 5 years Appointment date: 25/03/2018 Diagnosis: Endometriosis Past medical history: * Painful periods 3 years © Wants children, trying 1 year ++ Social background: * Accountant, regular western diet. © Exercises 3 x week local gym Medical background: © Frequent acute menstrual pain localised to the lower left quadrant. * Pain persists despite taking OTC = naproxen. © Shy discussing sexual history. Occasional constipation, associated with pain in lower left quadrant. Trans-vaginal ultrasound showing 6cm cyst, likely of endometrial origin. * Patient recovering post op from laparoscopic surgery(25/03/2018) — nocomplications Post op care: Keep incisions clean and dry. Mobility post op: © Showering is permitted 26/03/2018 © Driving is prohibited when on analgesics. * Driving can be resumed 24-48 hrs after final dose analgesics. * Sexual activity can be resumed 2 weeks post op. HET © WatermarklyNursing management: Encourage oral fluids. © Patient may return to regular diet. © Ambulation encouraged as per patient tolerance. Medical progress * Afebrile. Het, Hgb, Pits, WBC, BUN, Cr, Na, K, Cl, HCO3, Glu all within normal limits. * Patient sitting comfortably, alert, oriented x 4 (person, place, time, situation). Assessment: * Good progress overall. Discharge plan: * Patient to be discharged when can eat, ambulate, urinate independently. * Patient must be discharged to someone who can drive them home. You are a first year resident in a surgical ward. Sally Fletcher is a 25-year-old woman who has recently undergone surgery. You are now discharging her from hospital. Using the information given to you in the case notes, write a letter of discharge to the patient’s GP, Dr Stevens, Mill Street Surgery, Farnham,GU10 1HA. In your answer: * Expand the relevant case notes into complete sentences «Do not use note form » Use correct letter format The body of your letter should be approximately 200 words. Use correct letter format © Watermarkly