Nursing

Notes:

Today's date is 15 November 2023. Mrs. Patricia Lewis, a 62-year-old woman, is a patient in the oncology ward of your hospital. You are the Charge Nurse.

Hospital: Willowbrook Cancer Center, 789 Maple Street, Willowbrook

PATIENT DETAILS:

Name: Mrs. Patricia Lewis

Marital status: Married

Residence: Willowbrook Estates, Willowbrook

Next of kin: David Lewis, husband (64, retired) Admission date: 8 November 2023

Discharge date: To be determined

Diagnosis: Stage III breast cancer

Past medical history: Hypothyroidism, managed with medication

Social background: Retired schoolteacher, enjoys gardening, and has been active in the Willowbrook Estates community, married for 40 years

Medical history:

• Recently diagnosed with Stage III breast cancer

• Underwent mastectomy on 12 November 2023

Medical background: Admitted for post-mastectomy care. Currently has surgical drains in place. Experiencing pain at the surgical site, limited range of motion in the affected arm, and emotional distress.

Medical progress: Stable vital signs. Surgical drains functioning well. Physical therapy initiated to improve range of motion.

Nursing management: Pain management, wound care, emotional support, and assistance with activities of daily living.

Assessment: Mrs. Lewis is recovering well post-mastectomy but requires ongoing care and support.

Discharge plan: Pending completion of physical therapy and removal of surgical drains. Provide education on post-mastectomy self-care and rehabilitation exercises.

Writing Task:

Using the information given in the case notes, write a letter to Dr. Emily Davis, the oncologist responsible for Mrs. Patricia Lewis's care, at Willowbrook Cancer Center, 789 Maple Street, Willowbrook. This letter is to update Dr. Davis on Mrs. Lewis'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.