Nursing Case Notes - 5th August 2017

Nursing Case Notes - 5th August 2017

OET Letter Update

Venue: Adelaide, Australia

 

Letter to a District Nurse

Patient’s Name: Norris XXX

Age: 52 Years Old

Married mother of 2 adult daughters  

 

Pt referred to the hospital by her GP after she had fallen on the rock and injured her leg/foot

Diagnosis: Venous Cellulitis

Admitted to the hospital for 3 days

 

Nursing Management

Antibiotics given during hospitalization

Blood Test including wound swab to check for infection and white blood count

DGL

Hydrosol dressing to minimise exudate – education provided for the same

Paracetamol PRN

 

Medical History

Diabetes (4 years)

Prescribed medication (total 5)

Calcium for bones

 

Discharge Plan

Pt independent with ADL

Self-regulated diet

GP review after a week

Monitor Pain