Nursing

Notes: Today's date is 5 April 2025. Mrs. Margaret Turner, a 72-year-old woman, is a patient in the surgical ward of your hospital. You are the Charge Nurse.

Hospital: Maplewood General Hospital, 789 Oak Avenue, Maplewood

PATIENT DETAILS:

Name: Mrs. Margaret Turner

Marital status: Widowed

Residence: Maplewood Senior Living, Maplewood

Next of kin: Daniel Turner, son (48, married, living nearby)

Admission date: 25 March 2025

Discharge date: To be determined

Diagnosis: Appendectomy

Past medical history: Hypertension, osteoarthritis, and mild hearing impairment, managed with medications and assistive devices

Social background: Retired nurse, enjoys knitting, and has been actively involved in organizing events at Maplewood Senior Living, widowed for 15 years

Medical history:

• Admitted for an emergency appendectomy

• History of hypertension, osteoarthritis, and mild hearing impairment, all managed with medications and assistive devices

Medical background: Admitted for an emergency appendectomy due to acute appendicitis. The surgery was successful, and Mrs. Turner is in the postoperative phase.

Medical progress: Mrs. Turner is recovering well from the appendectomy. She is experiencing expected postoperative pain, which is managed with pain medications. Vital signs are stable, and she has resumed a regular diet.

Nursing management: Postoperative care, monitoring vital signs, wound care, pain management, and emotional support. Frequent assessment of pain levels and surgical site.

Assessment: Mrs. Turner's recovery is progressing well, and she is experiencing the expected postoperative pain.

Discharge plan: Pending pain control and overall well-being. Provide education on post-appendectomy care and follow-up instructions.

Writing Task:

Using the information given in the case notes, write a letter to Dr. Michael Adams, the surgeon responsible for Mrs. Margaret Turner's care, at Maplewood General Hospital, 789 Oak Avenue, Maplewood. This letter is to update Dr. Adams on Mrs. Turner's progress and readiness for discharge. 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.