Nursing

Notes: Today's date is 15 August 2025. Mr. John Harris, a 60-year-old man, is a patient in the critical care unit (CCU) of your hospital. You are the Charge Nurse.

Hospital: Meadowview Regional Medical Center, 567 Meadow Lane, Meadowview

PATIENT DETAILS:

Name: Mr. John Harris Marital status: Married Residence: Meadowview Suburb, Meadowview Next of kin: Mary Harris, wife (58, married) Admission date: 8 August 2025 Discharge date: To be determined Diagnosis: Acute Myocardial Infarction (AMI) with complications Past medical history: Hypertension, hyperlipidemia, and type 2 diabetes, all managed with medications Social background: Retired mechanic, enjoys woodworking, and has been an active member of the local woodworking club, married for 35 years

Medical history:

• Admitted with an acute myocardial infarction (AMI) complicated by cardiac arrhythmias and heart failure

• History of hypertension, hyperlipidemia, and type 2 diabetes, all managed with medications

Medical background: Admitted to the critical care unit (CCU) following an acute myocardial infarction (AMI) complicated by cardiac arrhythmias and heart failure. He requires continuous monitoring and care.

Medical progress: Mr. Harris remains in critical condition. He has experienced episodes of cardiac arrhythmias, requiring the administration of antiarrhythmic medications. His heart failure is being managed with diuretics. Vital signs are unstable, and he is on mechanical ventilation.

Nursing management: Continuous monitoring of vital signs, administration of medications, ventilator care, emotional support for the family, and coordination of care with the medical team.

Assessment: Mr. Harris remains in critical condition with unstable vital signs and ongoing cardiac arrhythmias.

Discharge plan: Pending stabilization and improvement in cardiac function. No immediate plans for discharge.

Writing Task:

Using the information given in the case notes, write a letter to Dr. Emily Turner, the cardiologist responsible for Mr. John Harris's care, at Meadowview Regional Medical Center, 567 Meadow Lane, Meadowview. This letter is to update Dr. Turner on Mr. Harris's current critical condition and ongoing care in the CCU. In your answer:

• Expand the relevant notes into complete sentences.

• Do not use note form.

• Use letter format. The body of the letter should be approximately 180–200 words.