How to write request respite admission?
The situation of this letter is that a community nurse is actually doing a home visit to provide community care for a patient at home and this patient is to be admitted so it is necessary to request respite admission. The diagnosis of the diseased Crystal Ball and the purpose of corresponding to the Director of Redeemer Palliative Care Hospital must be crystal clear. Mrs. Crystal Ball was nurtured effectively at Blue Care for two months by a community nurse who writes to the Director of Redeemer Palliative Care requesting palliative care admission.
The reader of the letter is the Director of Redeemer Palliative Care who must admit Mrs. Crystal Ball to her care and continue the remedy based on the feedback given by the community nurse. The date given in the case notes is 06/03/2019. The case notes begin with Mrs. Crystal Ball’s family background after specifying her date of birth as 14/02/1976. Immediately after this information, detailed medical history about her diagnosis and therapy is given in the case notes followed by the current medication also. The case notes of Mrs. Crystal Ball is followed by the Writing Task, so the selection, organization as well as transmission of case notes will have to be really transparent and authentic.
CASE NOTES
Today’s Date:- 06/03/2019
You are a community nurse working for Blue Care. You have been providing support for Crystal Ball and her family for the past two months.
Patient Details:-
Name:- Crystal Ball
DOB:- 14/02/76
SOCIAL HISTORY
Married, two children aged 10 and 12
Next of Kin:- Mike Ball (Husband) Real estate agent
Crystal Ball school librarian before illness
Husband main care giver – reduces work hours to care for Crystal
Reports difficulty in caring for a dying partner
Under emotional and physical stress
Children, misbehaving attempts, difficult to manage (not important)
House untidy, dishes not washed etc (not important)
Mike feels isolated and sometimes angry (not important)
No other family support available
Neighbor helps with child minding (not important)
Mrs. Ball doesn’t like people coming to see her (not important)
Mrs. Ball requested spiritual advice
MEDICAL HISTORY
Tonsillectomy as a child (x unimportant)
Appendectomy at 15 (x unimportant)
Admitted General Hospital 18/12/18 with severe stomach pain
Laparoscopy performed stage 4 Ovarian Cancer diagnosed 20/12/2018
Metastasized to liver and left lung, negative prognosis, life expectancy 4 months
Increased Pain, depressed, not eating well, palliative chemotherapy offered to attempt to shrink tumours and slow growth – Mrs. Ball refused. Wished to return home to family. Discharged home – 02/01/2019.
CURRENT MEDICATION
Stemital (anti-nausea) twice daily 8 am to 8 pm
Oxicontin 60 mg prolonged release BID (pain relief)
Panadol 2 tablets every 4 hours PRN
Maxolan for nausea PRN
Writing Task
Write a letter to the Director, Redeemer Palliative Care Hospital, 32 Nelson Drive, Lucia QLD 4050 requesting palliative respite admission.
Introduction
Date: 06.03.2019
Director
Redeemer Palliative Care Hospital
32, Nelson Drive.
Lucia, QLD 4050
Dear Director,
Re Crystal Ball DOB 14.02.76
Introduction
I am writing this letter to request a palliative respite admission for Crystal Ball aged 43 who has been recently diagnosed with terminal cancer.
To write the first paragraph, the language must be in a narrative style (simple past tense), omission of history that has no relevance to the letter and absolute focus on recent history. Tonsillectomy and Appendectomy need not be included because they are in no way related to Crystal Ball’s current health and above all, this information is trivial to the Director Redeemer Palliative Care Hospital as no action can be taken on the basis of these ailments. The rest of the particulars on medical history are mandatory and must be specified clearly. In addition to what is already specified, her current medication must also be highlighted with precision.
Body Paragraph 1
Mrs. Ball was hospitalized for the first time at Spirit Hospital on 18.12.18 due to awful stomach pain. She was diagnosed for stage 4 ovarian cancer with metastasis to the liver and left lung after conducting a laparoscopy. She was suggested chemotherapy but had refused the same and expressed her unwillingness to stay at the health-care centre only to re-join with her family at the earliest.
The past medical history is already stated so the current trend of Mrs. Ball is to be specified at length which is none other than her pain which depresses her in addition to also suffering from a low appetite.
At the moment, she is suffering from shooting pain and her appetite is very low. Besides, she is in a state of depression. The current medication administered for her present condition too need to be presented in a very condensed manner. She has been prescribed a pain killer to instantly lessen and stop her severe pain in addition to also Stemital and Maxolan to maximize her appetite.
Body Paragraph 2 and conclusion
To prepare the second body paragraph, present tense must be used thereby also summarizing effectively and excluding the irrelevant details. Recommend respite admission for Mrs. Ball. Mrs. Ball can have a break and resume work. He has agreed to this request. The important case notes on social history are ‘highlighted in bold’ and the unimportant ones are labelled as ‘not important’. The words to be selected from the case notes on social history are ‘main care giver’, ‘isolated’ and ‘spiritual advice’, ‘reports difficulty’ and ‘family advice’.
Mrs. Ball lives with her husband, and has two young children. Mr. Ball worked for lesser hours in order to nurture his better half. However, he is undergoing emotional stress and feels isolated at times. Due to the complexity of the present situation, Mr. Ball agreed to respite admission for his wife. It is to be noted that, Mrs. Ball requested for spiritual advice.
It would be absolutely commendable if you could allow Mrs. Ball into your care to lessen the pressures faced by the family.
Yours Sincerely,
Xxxx
The entire phase of the letter on request respite admission is as follows:-
Introduction
Date: 06.03.2019
Director
Redeemer Palliative Care Hospital
32, Nelson Drive.
Lucia, QLD 4050
Dear Director,
Re Crystal Ball DOB 14.02.76
Introduction:-
I am writing this letter to request a palliative respite admission for Crystal Ball aged 43 who has been recently diagnosed with terminal cancer.
Body paragraph 1
Mrs. Ball was hospitalized for the first time at Spirit Hospital on 18.12.18 due to awful stomach pain. She was diagnosed for stage 4 ovarian cancer with metastasis to the liver and left lung after conducting a laparoscopy. She was suggested chemotherapy but had refused the same and expressed her unwillingness to stay at the health-care centre only to re-join with her family at the earliest.
Current situation
At the moment, she is suffering from shooting pain and her appetite is very low and besides, she is in a state of depression. The current medication administered for her present condition too need to be presented in a very condensed manner. She has been prescribed a pain killer to instantly lessen and stop her severe pain in addition to also Stemital and Maxolan to maximize her appetite.
Body Paragraph 2
Mrs. Ball lives with her husband, and has two young children. Mr. Ball worked for lesser hours in order to nurture his better half. However, he is undergoing emotional stress and feels isolated at times. Due to the complexity of the present situation, Mr. Ball agreed to respite admission for his wife. It is to be noted that, Mrs. Ball requested for spiritual advice.
Conclusion:-
It would be absolutely commendable if you could allow Mrs. Ball into your care to lessen the pressures faced by the family.
Yours Sincerely,
Xxxx
