Community Health Nurse
Eastern Community Health Center
456 East Street
Centreville
22 January 2019
Dear Nurse
Re: Mr Peter Dunbar
DOB 18. 03. 1932
Thank you for accepting Mr Dunbar into your care for the regular monitoring of his diabetes and encouragement to
comply with his medication and dietary regimens. Mr Dunbar is moving to Centreville to live with his daughter.
Since October 2018, Mr Dunbar has shown signs of diabetic neuropathy and consequently mobilizes with a walking
stick. His type 2 diabetes is controlled by metformin and through his diet, however, he remains resistant to any form of
treatment, and has not been compliant with his medication regimen, reporting poor memory as the primary cause of
his neglect. On occasion, he also double doses. Contrary to advice, Mr Dunbar has continued to consume excessive
amounts of alcohol, fatty foods, salt and sugar since the death of his wife last year, contributing to his current
condition. While his daughter will now be cooking for him, she will require a number of guidance related to his needs.
In June 2018, he suffered a myocardial infarction for which he was hospitalized at City Hospital in Newton. He was
diagnosed with atrial fibrillation on the same admission and was subsequently prescribed warfarin and sotalol. His
hypertension is controlled by Ramipril. As with his other medication, Mr Dunbar is intermittent in his compliance.
Thank you for your continued management of this patient.
Yours faithfully, rn
Community Health Nurse
Eastern Community Health Center
456 East Street
Centreville
22 January 2019
Dear Nurse
Re: Mr Peter Dunbar
DOB 18. 03. 1932
Thank you for accepting Mr Dunbar into your care for the regular monitoring of his diabetes and encouragement to
comply with his medication and dietary regimens. Mr Dunbar is moving to
Centreville
to
live
with his daughter.
Since October 2018, Mr Dunbar has shown signs of diabetic neuropathy and
consequently
mobilizes with a walking
stick. His type 2 diabetes
is controlled
by metformin and through his diet,
however
, he remains resistant to any form of
treatment, and has not been compliant with his medication regimen, reporting poor memory as the primary cause of
his neglect. On occasion, he
also
double doses. Contrary to advice, Mr Dunbar has continued to consume excessive
amounts of alcohol, fatty foods, salt and sugar since the death of his wife last year, contributing to his
current
condition. While his daughter will
now
be cooking for him, she will require
a number of guidance
related to his needs.
In June 2018, he suffered a myocardial infarction for which he
was hospitalized
at City Hospital in Newton. He
was
diagnosed
with atrial fibrillation on the same admission and was
subsequently
prescribed warfarin and
sotalol
. His
hypertension
is controlled
by
Ramipril
. As with his other medication, Mr Dunbar is intermittent in his compliance.
Thank you for your continued management of this patient.
Yours
faithfully
,
rn
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