You are a health professional at the Royal North Shore Hospital. Read the case notes and complete the writing task as follows:

 

Patient: Mr James Naismith

DOB: 25.12.1940

History:

1.1.2010

Symptom A, symptom B, symptom C

Examination shows sign A and sign B

Diagnosis: disease A

Prescribe drug A 25mg tid

1.1.2011

Reports compliance with therapy A

Symptoms B and C are worse

Examination shows sign C

Increase dosage of drug A 50mg tid

PMHx:

Chronic condition A since 2002

Surgery A in location A – 1996

Episode of acute condition A in 1995, resolved

FMHx:

Father died of disease B at age 65

Social history:

Widower, lives alone in Sydney Retirement Solutions

Quit smoking in 2005

Emergency contact is son who lives in Homebush, mobile: 0555 555 555

Plan: refer to specialist to discuss possibility of therapy A

Using the information in the case notes, write a letter of referral for further investigation and discussion of a new management plan to the specialist Dr Michael Jordan, at 55 Main Street, Newtown.

In your answer:

–          Expand on the relevant notes in complete sentences

–          DO NOT use point form

–          Use letter format

The body of the letter should be approximately 180-200 words