{"id":15197,"date":"2020-07-30T13:37:31","date_gmt":"2020-07-30T08:07:31","guid":{"rendered":"https:\/\/tijusacademy.com\/?p=15197"},"modified":"2020-07-30T13:37:31","modified_gmt":"2020-07-30T08:07:31","slug":"mr-gurdeep-singh","status":"publish","type":"post","link":"https:\/\/s420.previewbay.com\/tijus\/mr-gurdeep-singh\/","title":{"rendered":"Mr Gurdeep Singh"},"content":{"rendered":"

Reading : 5 minutes<\/strong><\/p>\n

Writing : 40 minutes<\/strong><\/p>\n

You are the nurse manager in the Wesley Hospital, Australia.<\/p>\n

Name<\/span>:                             Mr Gurdeep Singh<\/p>\n

DOB:<\/span>                              22\/09\/1965<\/p>\n

Marital status:<\/span>              married<\/p>\n

Admission date:<\/span>           06\/08\/17<\/p>\n

Discharge date:<\/span>            28\/12\/17<\/p>\n

Diagnosis:<\/span>                    Colostomy, prolapsed and infected stoma<\/p>\n

Social background:<\/span>     lives with wife, Fathima, and two children .currently works as an accountant, worried<\/p>\n

about extended leave from work. Hobbies: gardening, swimming, chess.<\/p>\n

Medical history:<\/span>          2007: type 2 diabetes, hyperlipidemia
\n2009 -anxiety- sleep deprivation
\n2010- polyps -benign – excised, no complications
\n2016- colorectal cancer<\/p>\n

Medications:<\/span>                high fibre and low-sugar diet, atorvastatin -80mg daily, Daonil 15 mg, metformin<\/p>\n

500mg.<\/p>\n

Management:<\/span>             surgery to remove colorectal cancer 02\/07\/2017. Due to severe discomfort admitted<\/p>\n

on 06\/08\/2017.diagnosed with prolapsed infected stoma. Two additional operations<\/p>\n

during hospitalisation.<\/p>\n

Assessment:<\/span>                no stoma infection. Significant weight loss (110 kg on admission) 80 kg on discharge.<\/p>\n

Patient can do ADL but worried about the job.<\/p>\n

Discharge plan:<\/span>          due to weight loss and multiple abdominal folds, colostomy bag, comes off often. Help<\/p>\n

with changing the colostomy bag and monitor it daily. Monitor medication<\/p>\n

compliance. Monitor for stoma infection. Continue for home visits for two weeks post-<\/p>\n

discharge.<\/p>\n

Write a letter to Mr Mathew Harris, Outpatient stoma therapist at Prince Alexander Hospital, 456<\/strong> Plat road, Australia, Vic 3245.<\/strong><\/p>\n

 <\/p>\n

28\/12\/2017<\/p>\n

Mr Mathew Harris<\/p>\n

Outpatient stoma therapist<\/p>\n

Prince Alexander Hospital<\/p>\n

456 Plat road<\/p>\n

Vic 3245<\/p>\n

Dear Mr Harris<\/p>\n

Re: Mr Gurdeep Singh, DOB: 22\/09\/1965<\/p>\n

I am writing to request home visits for two weeks to Mr Singh’s house for daily observation and management since he is recovering from prolapsed and infected stoma.<\/p>\n

Mr Singh underwent a colostomy for colorectal cancer in 2016, and removal of colorectal cancer was performed on 02\/07\/2017.<\/p>\n

After a month, Mr Singh was admitted to hospital due to definitive symptoms of the above-mentioned diagnosis. Whilst in hospital, two additional operations were performed, and he was received conservative management. His stoma is clear from infection, and he is being discharged today.<\/p>\n

Mr Singh is an accountant who lives with his wife and two children. Even though he is capable of his activities of daily living, he found to be anxious regarding his job since his colostomy bag often come off owing to the significant weight loss and multiple abdominal folds.<\/p>\n

As per the discharge plan, kindly monitor the health of stoma, and assist him in changing the colostomy bag daily.<\/p>\n

Please feel free to contact me for further queries.<\/p>\n

Yours Sincerely<\/p>\n

Nurse manager
\nThe Wesley Hospital
\nAustralia.<\/p>\n

 <\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

Reading : 5 minutes Writing : 40 minutes You are the nurse manager in the Wesley Hospital, Australia. Name:                             Mr Gurdeep Singh DOB:                              22\/09\/1965 Marital status:    […]<\/p>\n","protected":false},"author":1,"featured_media":14328,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[122],"tags":[],"class_list":["post-15197","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-oet"],"acf":[],"_links":{"self":[{"href":"https:\/\/s420.previewbay.com\/tijus\/wp-json\/wp\/v2\/posts\/15197","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/s420.previewbay.com\/tijus\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/s420.previewbay.com\/tijus\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/s420.previewbay.com\/tijus\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/s420.previewbay.com\/tijus\/wp-json\/wp\/v2\/comments?post=15197"}],"version-history":[{"count":0,"href":"https:\/\/s420.previewbay.com\/tijus\/wp-json\/wp\/v2\/posts\/15197\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/s420.previewbay.com\/tijus\/wp-json\/"}],"wp:attachment":[{"href":"https:\/\/s420.previewbay.com\/tijus\/wp-json\/wp\/v2\/media?parent=15197"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/s420.previewbay.com\/tijus\/wp-json\/wp\/v2\/categories?post=15197"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/s420.previewbay.com\/tijus\/wp-json\/wp\/v2\/tags?post=15197"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}