Task 125th July 2009 The Director Community Child Health Service 41 Jones Street Ekibin Dear Sir/Madam, Re: Vamuya Obeki I am writing to refer Vamuya, a 4year-old child and his family to you. He was admitted to our hospital on the 15th of July through the Children’s Emergency Department with the diagnosis of acute meningoencephalitis following mumps. He is due to be discharged today. He was born in Sudan and arrived in Australia in 2008 with his parents and a 2 year-old little brother as refugees. They recently moved to rental accommodation. Their only income is made by his father, Abdullah, who is employed as a factory shift worker. This family has no family doctor now. As well as this, they have a language barrier. His father can understand spoken English but his mother, Miri, has limited understanding of English. During his stay in hospital, he has fully recovered from the mumps and meningoencephalitis. However he will need a neurological check –up. For both children, the advice on recommended vaccines will be needed. I hope you will be able to arrange someone who can help this family and provide proper medical support. Please do not hesitate to contact me if you require any further information about this family. Yours sincerely, Nurse 189 words Nicole had difficulty with vaginal delivery which took 16 hours of labour. The baby is progressing quite well with breast feeding and is gaining weight and is currently 4. Therefore. 4101 Dear Sir/Madam Re: Ms Nicole Smith DOB: 04/09/1991 I am writing to refer this patient. Nicole has no relatives in Brisbane and no contact with her family or the father of the baby. Fefol and Vitamin C were prescribed to Nicole as her blood examination revealed low numbers in her hemoglobin from blood loss. Yours sincerely. Thank you for agreeing to assist in this matter. due to fetal distress and progress failure an emergency caesarean section was performed. an 18-year-old single mother who delivered a baby boy on the 10/09/09. Should you require any further information. please do not hesitate to contact me. Charge Nurse Spirit Mother’s Hospital . It would be greatly appreciated if you could organise a home visit for Nicole and the baby. My main concern is that she does not believe she has the ability to breastfeed. Nicole requires appropriate advice and assistance to encourage her to develop parenting skills due to her isolated circumstances.4kg.Task 2 The Director Community Child Health Service 41 Vulture Street West End. bathe or care for her baby and is considering adoption. She lives in a rented flat with one other young woman and is on a single mother’s pension. Task 3 The Admission Doctor The Spirit Hospital Emergency Department Dear Doctor. pale and sweaty and complaining of persistent chest pain. When I checked on her at 10. Night Nurse Golden Pond Retirement Village . Re: Mrs Betty Olsen DOB: 29/01/1926 I am writing regarding Mrs Olsen. timoptol eye drops 0. Yours sincerely. hypertension in 2003 and glaucoma in 2004. an elderly woman suffering from chest pain who has been transferred to your hospital via ambulance. Mrs. orixine 0. Olsen was distressed. She had trouble sleeping and complained of shoulder and neck pain. She also takes non prescription medication which includes: golden glow glucosamine tablet one daily and vitamin C complex sustained release with breakfast. She is a resident of Golden Pond Retirement Village. Her condition has further deteriorated today and normison and two Panadol tablets were given at 10 pm. Mrs. She was diagnosed with hypothyroidism in 1997. she has an allergy to penicillin. I would appreciate your assessment and emergency management of this patient’s condition. Last night she refused her dinner because she felt slightly nauseous. Her husband died in December 2008 and she has a son who lives in Warwick. Olsen is currently on prescription medication which includes: karvea 150 mg daily.5% twice a day and normison 10 mg as required.1 mg daily.45 pm. Please also note. Her blood pressure was 190/100 mmHg. She has had lower intestine cancer since March. please do not hesitate to contact me. she has remained free from severe pain and has been able to tolerate a fluid diet. She has received IV fluids and transdermal patch for pain. who has been under our care for the treatment of cancer. Thank you for agreeing to assist in this matter. please make an arrangement to provide prioritized care. Sarina Chai Charge Nurse. her brother has requested that Mrs. Maeve Greerson I am referring this patient.Task 4 1 August. a 58. 2009. She was transferred to your centre for further care this morning. her brother Mr. Mrs. Re: Mrs. . nausea and severe pain. Should you require any more information. Over the past week. Greerson be transferred to your centre. Based on the advice of a social worker. low fiber foods and has been visited by a social worker. Therefore. 2009 The Director of Nursing Glen Haven Palliative Care Hospice 971 Arthur Street Toowoomba Dear Sir/Madam. Brian Hewson have made the decision that she would only receive treatment for pain and comfort. As she is in morbid condition. Greerson has had radiation therapy for six weeks and her life expectancy is only 3 – 4 months. When admitted to this hospital she complained of dehydration. she and her only relative.year-old terminally ill widow. She has been told to take light. Yours sincerely. O’Riley has attained a routine post operative recovery. who was admitted the hospital on the 2nd of September and diagnosed with obstructive coronary artery disease. Mr. In order to maintain a good health condition. Mr. O’Riley needs to go for a follow. Bill O’ Riley I am writing with regard to Mr. Mr.man. Yours sincerely. He has been advised to stop smoking and to reduce alcohol consumption. O’Riley has requested advice on low. 9476 Old Dam Road. O’Riley at his home address. rich foods. a 53 –year.Task 5 15/09/2009 The Heart Foundation Centre Community Information Section Gregory Terrace Brisbane Dear Sir/Madam. After the surgery. O’Riley. After he is discharged from the hospital. His body mass index is high and he usually eats fatty. He also has been told to follow a low fat diet and has been receiving attention from a social worker. Mr. fat dietary guidelines and healthy. Re: Mr. 4390. simple recipes. Goondiwindi.up visit to a local general practitioner and to continue a rehabilitation exercise program. His wounds are healing and he is walking well. Lee Wong Charge Nurse . He underwent a coronary artery bypass graft on the 4th of September. It would be greatly appreciated if you could send the above mentioned information to Mr.old. QLD. 0’Riley has a history of smoking (20 cigarettes per day) and drinks on a regular basis. Mater Hospital . As well as this. Ms.Task 6 01/11/2008 Ms. Ms. she has no relatives or friends to support her. following her discharge. Sonya Matthews Registered Nurse. She will also require assistance in showering and home help. In terms of her medical history. Please contact me if you require further information regarding this patient. Harwood lives alone and has no children. Jenny Attard The Nursing Director Community Home Care Agency Brisbane Dear Ms. she will need a regular monitoring on the blood glucose level which may become elevated due to administration of cortisone during hospitalisation. Attard Re: Ms. a 61 year-old widow who lives on her own. Robyn Harwood DOB: 04/02/1948 I am writing to request daily home visits by the Blue Nurses to provide care and support for this patient. Yours sincerely. Her next of kin is her niece. She has received ibuprofen and cortisone as prescribed and also daily visits by a physiotherapist. surgery has been suggested. she suffers from type 2 diabetes mellitus for which she is taking metformine 500mg. Megan Mack who lives in Sydney. however. Harwood was admitted to our hospital on the 30th of October with a diagnosis of right rotator cuff tear following a fall while descending stairs. However. she prefers non-surgical treatment. Regrettably. Therefore. she needs to review her condition with an orthopaedic surgeon on the 19th of November. Re: Mr. O’Keefe. please do not hesitate to contact me. Mr. who lives with his wife in a housing commission home. is an aged care pensioner. They are getting some help from their neighbours. it would be greatly appreciated if you could do a home visit and assess their needs and to arrange further assistance for this family. O’Keefe. Thank you for agreeing to assist in this matter. Henry O’Keefe I am writing to requesting aged care assistance for Mr. Therefore. Yours sincerely. Task 7 Model Letter The Director Aged Care Assessment Team 78 Masterson Street Brisbane Dear Sir/Madam. Since his discharge from the hospital. we have organized daily home visits until 24 March 2008 after which our nursing care will end. O’Keefe’s general condition had improved.year-old man who is recovering from a malignant melanoma in his left shoulder. Mr. On observation today. O’Keefe was admitted to the Mater Public Hospital on the 14th of March and underwent surgery. but they are having trouble keeping up with routine household work. Mr. For further queries. Charge Nurse Blue Skies Home Care Centre . an 83. As per the doctor’s order. His wound is healing and is free from complications. we have been doing daily home visits and wound dressing and also assisting him with his showers. In terms of her medical history. embarrassed about her eczema and missing her father. who is working full-time as a bank manager and her father died 3 years ago due to an accident. a year 5 student at our school due to possible psychological problems and low self esteem. Re: Alison Cooper DOB: 14/06/00 I am writing to refer Alison. however. I would appreciate it if you could investigate her case and should you require any further information please do not hesitate to contact me. Based on this. Her grandmother looks after the children when required. Charge Nurse Toohey Point State School Word Count: 195 words . Alison’s teacher contacted her mother regarding her situation and she reported that Alison is overeating. Alison has an older sister and a younger brother. who she was very close to. In addition. Task 8 Model Letter 07/03/2010 Barnaby Webster The School Psychologist Toohey Point State School Dear Mr Webster. She has few friends and has been teased by her peers about her weight. her academic performance is declining and she is reluctant to joint any school activities unless persuaded. Her school record shows that she has a history of regular absence during the past 5 years. She lives with her mother. Yours sincerely. she is suffers from asthma and eczema with no other significant illnesses. Please note. she is overweight for her age. 1936 I am writing to request daily visits by the Blue Nurses to provide support for this patient. an aged pensioner who lives on her own. hospital discharge is scheduled for 22 May. Meals on Wheels and a home physiotherapist visit are being organised by a social worker. Normison 10mg as required for insomnia and 2 Panadol 4 hourly while pain persists. lacerations to her left hand which required stitches and severe bruising to her right shoulder and lower back.30am appointment on 31/05/09 at our Out Patient Department to remove the stitches and review her situation. Grace Jones Ward C 25 Princess Alexandra Hospital Word Length: 201 Words . She has a 10. She moved to a new flat recently and has lost her usual social contacts. Task 9 Model Letter 21/05/09 The Director Blue Nursing Service 207 Sydney Street New Farm. Yours sincerely. Please contact me if you require any further information. 4106 Re: Ms Annette McNamara DOB 14. Ms McNamara will also require assistance with showering and to have her left hand wound dressed.06. Ms McNamara was admitted to the Princess Alexandra Hospital on 20th May following a fall down a flight of stairs at her flat. Providing there are no complications. Her next of kin is a niece. Stella who can be contacted on 075 5984 7216. She sustained a fractured right wrist. Ms McNamara’s current medications are Karvea 150mg daily to control high blood pressure. Their phone number is (07) 6946 5173. Olga does not drive and there is no nearby public transport. He was discharged from hospital on 9 July after a successful inguinal hernia operation. was also a prisoner of war. Prior to discharge. Belmont. Their income is not sufficient to pay for home or garden help. Brisbane 4153. Please contact me on (07) 3947 2987 should your require any further information Yours sincerely. 4001 Dear Sir/Madam Re: DVA Eligibility for Mr Jim Middleton D0B 3/7/1924 I am writing to request a home visit by DVA staff to Mr Jim Middleton and his wife Olga to assess their eligibility for a DVA pension and/or other assistance that your department provides. Nurse Manager. Mr Middleton. Ward 3 Word Count:184 words . His physical activities are currently limited and he cannot drive for at least six weeks. He does not receive any government pension or other assistance. a Second World War veteran. A home visit to discuss their eligibility for assistance would be appreciated. Task 10 Model Letter The Director Department of Veterans’ Affairs GPO Box 777 Brisbane. Mr Middleton’s wife Olga spoke to me about their ability to manage their own home without assistance. She is in good general health but finds phone conversation difficult due to hearing problems. Their address is Alexander Street.