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8.-Michael-Minesses_Nursing_Discharge_CRF_Home-care-nurse_EASY
8.-Michael-Minesses_Nursing_Discharge_CRF_Home-care-nurse_EASY
8.-Michael-Minesses_Nursing_Discharge_CRF_Home-care-nurse_EASY
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TIME ALLOWED: READING TIME: 5 MINUTES
WRITING TIME: 40 MINUTES
Read the case notes and complete the writing task which follows.
Notes:
Assume today is 17th February 2022. You are a community health nurse at
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Suncoast Hospice Care Center, North Pinellas, Florida, USA.
PATIENT DETAILS
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Age: 78 years
Marital status: Married
DOA: 10th February 2022
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Diagnosis: Chronic renal failure, Acute lung failure, DKA
Social History:
• Origin: Philippines
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Family History:
• Father: CKD, T2DM, HTN (died)
• Mother: COPD (died)
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Medications:
• Insulin glargine 16 units BD
• Glucophage 500 mg OD
• Osnate D daily
• Ascard 150 mg OD
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• Metoprolol 25 mg BD
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• Family refused intubation-BIPAP attached
• Code: DNR comfort care
• Kept in SCU
• Plan: Transfer to a hospice care facility
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• Pt. shifted to Suncoast Hospice Care Center
• GCS 7/15, BP 110/65 mm Hg, HR 76 b/min, RR 28 breaths/min
• Breathing via BIPAP
• First degree bedsore-heal area, mineral oil applied
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• Air mattress in place, continuous skincare
• ROM and positioning
• NG feed q6h
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• Wife requested to stay with pt.
Discharge Plan:
• Shift pt. back to home (as per family’s request)
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• NG feed q6h
• Positioning q2h
• Medications
○ Tramadol 100 mg PO
○ Ventolin Nebs q6h
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○ Ipratropium bromide Nebs q6h
Writing Task
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Using the information given in the case notes, write a discharge letter to
Mr. Michael Minneses’ family physician, informing about the patient’s condition
and the continuous home care support required. Address this letter to Dr. Shelly
Thomson, North Pinellas Medical Center, Florida, USA.
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• Expand the case notes where relevant into full sentences.
• Use formal letter format.
The main part of the letter should be approximately 180-200 words long.
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