Test 1 of 33

OET writing sample test 1 for nurses

OET Writing sample test 1 for nurses
OET Writing sample test 1 for nurses

OET Writing sample test 1 for Nursing

Welcome to a new OET writing sample test 1 for nurses from OET2.com.

You will have 5 minutes to read the letter and 40 minutes to write your answer.

We do not guarantee a free correction of letter, but we will do our best to evaluate it.

Please wait for few seconds after stating the test for the file to be uploaded

Responses

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  1. Ms Cathy Ina
    Community Nurse
    6 Buchanan St
    Glasgow G69 6DY
    United Kingdom

    25 July 2018

    Dear Ms. Ina,

    Re: Ms. Anna Dijana, aged 42

    I am writing to refer Ms. Dijana who is recovering from External-Fixation, fasciotomies right lower leg secondary to right proximal tibia fracture & lateral tibial plateau fracture, Compartment syndrome. She is set to be discharged today and needs further care and management.

    On 15th July 2018, Ms. Dijana has difficulty balancing weight on her right leg. She fell off the stairs as a result, her right knee is in pain. She was immediately brought to the operating room for an emergency procedure and was commenced with pain medications. Postoperatively, Ms. Dijana recuperated well and her vital signs was stable. Also, her wound was healing well and there were no sign of infection, swelling and pain.

    It would be greatly appreciated if you could educate Ms. Dijana on how to assess her wound by monitoring the site for any sign and symptoms of infection, pain and to inform us for any unusual changes in her wound. In addition, please educate her on how to keep the wound free from any foreign objects to keep the wound sterile and to watch out for any discharges or drainage. It would also be beneficial if you could inform the visitors about wound care management.

    Should you have any queries, please do not hesitate to contact me.

    Yours sincerely,

    Registered Nurse

  2. 25 July,2018

    Ms Cathy Ina
    Community Nurse
    6 Buchanan
    St, Glasgow G69 6DY, UK.

    Dear Ms Ina,

    Re:Ms Anna Dijana ,aged 42

    I am writing refer MS Anna Dijana who is recoverung from External-Fixation and fasciotomies R lower leg.She requires further assesment and guidence from your service .

    Ms Dijana was admitted on 15 July with right proximal tibia fracture , lateral tibial plateau fracture and Compartment syndrome.Immediately , she has undergone surgical intervention and was treated with pain medication . Her prognosis is unremarkable and wound is free of infection .Although she is unable to bear the weight on right leg.

    Ms Dijana is working as a school teacher .She is married and has two kids .She is on Carbamazepine for her seizure. She is a social drinker.

    It would be greately appreciated ,if you could educate Ms Dijana to keep the surgical site clean and sterile .In addition , advise her to avoid keeps blankets and clothing out of the wound area .Kindly inform her about the importace of resting extremities , body parts and the expected drainage .She has been knew about the surgical site ,signs of infection and inform the nurse if needed .

    If you have any quirese ,please donot hesitste to contact me.

    Yours sincerelly ,
    Registered Nurse

  3. Ms Cathy Ina
    Community Nurse
    Baillieston Community Care
    6 Buchanan St.,
    Glasgow G69 6DY, UK

    25th July 2018

    Re: Ms Anna Dijana, aged 42

    Dear Ms Ina,

    Ms Dijana, who is recovering from a post surgical operation on her right leg, will be discharged today. Your ongoing support during her recuperation is being requested.

    Ms Dijana presented to the hospital on 15th July with pain on her right knee following a fall from the stairs. In addition, she was unable to bear weight on the affected limb. She underwent 2 incision fasciotomies after she was diagnosed with compartment syndrome secondary to fractures on her right proximal tibia and lateral tibial plateu. Also, an external fixator was applied to stabilize her fractures and wound vacuums were placed on the fasciotomy incision sites. She was commenced on pain medications and her wound and wound drainage were assessed for signs of infection.

    Currently, Ms Dijana is medically stable and her wound is healing properly with no drainage and no signs of infection.

    Ms Dijana was advised to keep her wound sterile and rest her right leg. Wound drainage teachings, as well as signs and symptoms of infection were discussed with her and she was encouraged to notify a nurse immediately if infection she suspects wound infection.

    It would be appreciated, if you could provide ongoing monitoring of Ms Dijana’s wound condition and her compliance to the above-mentioned health teaching.

    Please do not hesitate to call me for any queries.

    Yours sincerely,

    Nurse

  4. Ms Cathy Ina
    Community Nurse
    6 Buchanan street
    Glasgow G69 6DY,
    UK

    25 July 2018

    Dear Ms. Cathy Ina

    Re: Mrs. Anna Dijana, 42 year old

    l am writing this letter referring Mrs. Dijana a 42 year old teacher, who had external fixation , fasciotomies rt lower leg done and she is being discharged today. Mrs. Dijana requires continued monitoring and management of her health.

    On the 15 of July, Mrs was rushed to the OR for two insicion (four Compartment) fasciotomies of the right lower leg, after falling from stairs and experiencing right knee pain and being unable to bear weight on the right leg. Mrs Dijanas fracture was stabilized with external fixator and fasciotomies was perfprmed. However, post-op Mrs Dijana experienced pain and painmedication was adminstered.

    Mrs Dijana has a history of seizures, and she is on carbamazepine. She is married and has got two children. Socially Mrs. Dijana is a non smoker and is a social drinker.

    On assessment, Mrs. Dijanas incision site is free of infection, drainage , no ordor, and redness. As well, there is no swelling or pain noted, since we were assessing tht wound for sinns of infection contiually and wound Vac on fasciotomy incision was being done. Mrs Dijana is resting comfortably at the moment.

    Health education was given to Mrs. Dijana, about signs and symptoms of infection that might be seen on the wound site and encouraged patient tp notify a nurse immediately if anything changes. i would appreciate it if you could teach thr patient how t keep the area sterile by keeping blankets and clothing out of the reach of the wound and resting ths extremity of the body part. Also advis visitors of the same factors and teach patient about the expected drainage.

    Your continued monitoring and management will be mostly appreciated. please contact me if you need more information on Mrs. Dijana’s dischargë.

    Yours Sincerely
    Nurse

  5. Ms. Cathy Ina
    Community Nurse
    6 Buchanan Street
    Glasgow G69 6DY
    United Kingdoms

    25 July,2018

    Mrs. Anna Dijana, aged 42

    Dear Ms. Cathy Ina,

    I am writing to refer Mrs. Dijana, who is recovering from external-fixation and fasciotomies right lower leg. She requires ongoing care and monitoring from your service .She is being discharged today.

    Mrs. Dijana presented to hospital emergency department on 15 July, 2018 with right knee pain after a fall from stairs and she was diagnosed as compartment syndrome ; therefore, she underwent surgery and fractures stabilized with external fixator and fasciotomies. Post-operatively, she has attained normal recovery and wound appears healthy. Currently ,she is recuperating well.

    In context of Mrs. Dijana’s social and medical history, she is a School teacher, married with two children .She drinks socially .She had an episode of seizures and on Carbamazepine regularly.

    Upon discharge, your willingness to provide ongoing care and support for Mrs. Dijana would be highly appreciated. Kindly educate her regarding the signs and symptoms of wound infection and to notify a nurse immediately . She was advised, to keep the area sterile by keeping blankets and clothing out of reach of the wound and resting the extremity , body part and the expected amount of drainage.

    should you require any further information ,kindly contact me.

    Yours sincerely,
    Registered Nurse

  6. Ms Cathy Ina
    Community Nurse
    6 Buchanan
    Glasgow G69 6Dy
    United Kingdom

    28 July 2018

    Dear Ms.Ina

    Re;Ms.Anna Dijana ,42-year-old

    I am writing to discharge Ms Dijana was admitted with a diagnosis of right proximal tibia fracture and lateral tibial fracture compartment syndrome.She requires ongoing monitoring and management.

    Ms Dijana was admitted to the hospital 10 days ago following a fall on the stairs and sustained severe injury to the right knee and was unable to maintain her weight on the right leg.

    During Hospitalisation , Ms Dijana had four-compartment faciotomy incisions done and underwent external fixation as a result her fracture was controlled successfully .Post operatively,pain medication was prescribed.On assessment,her wound was noted to be free from infection.

    On discharge today, Ms Dijana was advised to inform the nurses in case of any abnormalitie.She can benefit if you teach her to avoid wound contamination with cloths , blankets and keep wound area sterile as well as resting the impacted leg.Please note that,she will anticipate drainage from the wound.

    It would be greatly appreciated if you could provide on-going monitoring and management.a after her discharge.

    Please do not hesitate to contact me,should you need further information .

    Yours sincerely
    Nurse

  7. To,
    Ms Cathy lna
    Community nurse
    6 Buchanan st
    Glasgow G69 6DY
    Uk

    25/07/2018

    Dear Nurse

    Re:Ms Anna Dijana, 42-year-old

    Iam writing this letter to refer Ms Anna Dijana , who was recovering from right proximal tibia fracture & lateral tibial plateau fracture, Compartment syndrome is being discharged today. She needs your further care and management.

    Ms Dijana was admitted on 15/07/2018 with complaints of right knee pain following a fall. She underwent emergency OR for External-Fixation, fasciotomies R lower leg. Postoperatively, she was stable ang her vital signs were normal. She was presented with wound vac and drainage has asessed for signs of infection.

    It would be greatly appreciated if you could provide health education regarding proper caring of wound and expected drainage. It would important to monitor any signs and symptoms of infection. Kindly informed her to keep the extremity rest.
    If you have any quiries please do not hesitate to contact me.

    Yours sincerely
    Registered Nurse

  8. 25 July 2018

    Ms. Cathy Ina
    Community Nurse
    6 Buchanan Street
    Glasgow G69, 6DY
    United Kingdom

    Dear Ms. Ina,

    Re: Mrs. Anna Dijana, 42 years old

    I am writing this letter to introduce you to Mrs. Dijana, a 42-year-old married woman who is being discharged today at the New Victoria Hospital following a recent surgery.

    She came to the hospital 10 days ago due to right knee pain after falling off the stairs. As a result, she had difficulty standing on her right leg.

    After further assessment and evaluation, she was diagnosed with Compartment Syndrome and fracture on her right proximal tibia and lateral tibial plateau. Therefore, an immediate two incision (four compartment) fasciotomies were performed.

    Postoperatively, this has proceeded well and fractures were stabilized with an external fixator. The fasciotomy incision is on wound vac and no signs of infection were noted. Currently, she is resting and recovering well with normal vital signs.

    Please note that she is on pain medications and currently on Carbamazepine for her seizures.

    To achieve her full recovery, please ensure that Mrs. Dijana is aware about wound care management and notify the nurse immediately for any signs and symptoms of infection. Also, kindly educate her on how to keep the wound area sterile and inform her visitors of her care.

    Should you have further queries or concern, please don’t hesitate to let me know.
    Thank you very much for your kind assistance.

    Sincerely Yours,
    UK-RN Nurse

  9. I have planed to write an oet in nursing category ,could you please help me out to send writing materials along with tips to my mail

  10. Ms. Cathy Ina
    Community Nurse
    Baillieston Community Care
    6 Buchanan St
    Glasgow G69 6DY
    UK

    19 June 2021

    Dear Ms Ina,

    Re: Ms Ana Dijana, 42 years old

    I am writing regarding Ms Ana Dijana, who requires ongoing care following a recent surgery. She is now ready for discharge today.

    Upon admission, Ms Dijana presented pain on right knee and inability to bear weight on her right leg due to fall from stairs. She was diagnosed with right proximal tibial fracture, lateral tibial plateu fracture, and compartment syndrome. She was rushed to the OR for two-incision fasciotomies and application of external fixator to stabilize her fractures on her right lower leg.

    Ms Dijana has been treated with pain medications during hospitalisation. Although wound vac was installed on her fasciotomy incisions, her wounds appeared to be healing well with no signs of infection nor swelling and discharge.

    Please provide Ms Dijana education on signs and symptoms and the expected drainage on her wound site. For any untoward changes, please report immediately for prompt care. In addition, please instruct her to maintain her right leg at rest and sterile by keeping blankets and clothing out of reach of the wound. I would greatly appreciate if you could inform the visitors the same.

    If you require further information, please do not hesitate to contact me.

    Yours sincerely,
    Registered Nurse

  11. Ms. Cathy Ina,
    Community Nurse
    Baillieston Community Care
    6 Buchanan St
    Glasgow G69 6DY, UK

    25 July 2018

    Dear Ms. Ina,

    Re: Anna Dijana, 42 years old

    I am writing with regard to Ms. Dijana, who was admitted on the 15th this month at The New Victoria Hospital. She requires your continued care and monitoring following her discharge today.

    Upon admission, Ms Dijana presented with right knee pain after falling off the stairs. Her right leg was unable to bear any weight for that reason. She was diagnosed with compartment syndrome due to the fractures of right proximal tibia as well as the lateral tibial plateau. Hence, she was rushed to the operating room, and underwent external fixation and fasciotomies on her right lower leg. She was manage with pain medications post operatively.

    Ms. Dijana’s wound was noticed as improving. Although the wound appears to be red in color which is normal at early stages of healing process, it is already free of infection as evidenced by no drainage, no odor, and absence of swelling and pain.

    In view of above, it will be appreciated if we could continue to monitor Ms. Dijana’s wound and to provide health teachings about its proper management. Specifically on keeping the wound site sterile that is free from any form of clothing, keeping the affected extremity well rested, noticing possible signs and symptoms of infection as well as expected drainage, and notifying healthcare team on unexpected changes. It is equally important to advise visitors of the same factors.

    Please contact me for any queries.

    Yours sincerely,

    Registered Nurse

  12. Ms. Cathy Ina
    Community Nurse
    Baillieston Community Care
    6 Buchanan St
    Glasgow G69 6 DY, UK

    25 July 2018

    Dear Ms. Ina,

    Re: Anna Dijana, aged 42

    I am writing to refer Ms. Dijana, who was in out care for the treatment of fractured right proximal tibia and lateral tibial plateau which was associated with compartment syndrome. She requires your further care and support following her discharge today.

    External fixation was performed to stabilize the fracture as well as fasciotomies was done on 15th July 2018. However, Ms. Dijana has been stabilized without infection and also her vital signs were normal. In addition of her regular anti-seizure medication she is on pain reliever.

    Ms. Dijana, has been instructed to keep wound clean by keeping clothes and blankets away from the wound and also to monitor signs and symptoms of infection and if she notices any then she has been advised to inform the nurse immediately. Please make sure that, she will take adequate rest especially of her extremities.

    It would be appreciated if you could have the visitors of similar problem, which will help her to ventilate her feelings without hesitation. If you have queries, please do not hesitate to contact me.

    Yours sincerely
    Registered Nurse

  13. July 25, 2018
    Ms. Cathy Ina
    Community Nurse
    Baillieston Community Care
    6 Buchanan St Glasgow G69 6DY
    United Kingdom

    Re: Ms. Anna Dijana, 42 years old
    Dear Ms. Cathy Ina,
    I am writing regarding Ms Dijana, who was admitted to our hospital for leg surgery following a fall. She is being discharged today and now requires care and assistance.

    On 15th June 2021, Ms. Dijana was admitted with right knee pain with difficulty balancing on her right leg after falling off the stairs. She was immediately brought to the operating and underwent external fixation and right lower leg fasciotomies. Postoperatively, her operative wound was monitored for the signs of infections and swelling.

    Currently, Ms. Dijana is hemodynamically stable with stable vital signs and resting comfortably without discomfort, pain, and swelling.

    In view of the above, it would be greatly appreciated if could provide care and support to Ms. Dijana. Kindly educate her on how to assess her wound by monitoring the wound site for any signs and symptoms of infections and notify us immediately if there are unusual changes in her wound. Kindly also educate her on how to keep the area sterile by keeping the blankets and clothing out of reach of the wound and watching out for any discharges or drainage.

    Please do not hesitate to contact me if you have any queries.

    Yours sincerely,
    Registered Nurse

  14. Ms Cathy Ina
    Community Nurse
    6 Buchanan Street
    Glasgow G69 6DY,UK

    July 25,2018

    Dear Ms Ina,

    Re: Ms Anna Dijana, 42 year old

    I am writing to refer Ms Dijana, who had recent surgery on his right lower leg.She is now recovering and ready to be discharged today.She needs further monitoring and care to your side.

    Ms. Dijana was admiited to our hospital last 15th of July after falling off the stairs resulted to her right knee pain and inability to bear weight on her right lower leg.The diagnosis was right proximal tibia and lateral tibial plateau fracture secondary to compartment syndrome. She was immediately operated for two incisions fasciotomies on the affected leg.External fixator was put up to stabilized the fracture and wound vac drainage for the fasciotomy incision.She was given pain medication post operatively. At the moment of assessment her wound is free from infection. No odor or redness.No swelling or pain.Her parameters are within normal range.

    Wound education was explain to Ms Dijana like how to keep the wound sterile by keeping the blankets and clothing out of reach. She noted that must always rest her extremities and body parts and expect minimal drainage from the incision site. Highlighted to her also to observe sign and symptoms of infection and need to notify the nurse immediatly. The teaching above was also advised to her visitors.

    I would really appreciate if you could help to monitor Ms Dijana’s full recovery. If you have any concerns please feel free to contact me.

    Sincerely yours,
    Charge Nure

  15. Ms Cathy Ina
    Community Nurse
    Baillieston Community Care
    Buchanan St, Glasgow G69 6DY,
    United Kingdom

    25Th July 2018

    RE: Ms. Anna Dijana, aged 42

    Dear Ms Ina

    I would like to refer into your care Ms Dijana who was admitted to our hospital on 15th of July 2018 with right proximal tibia fracture and lateral tibia plateau fracture as well as Compartment syndrome. She is said to be discharged on 25th July and will need a follow up care as she transition back in the community.

    Ms. Dijana was rushed into our facility following a fall off the staircase which made her feeling pain in her right leg when walking. She had two operations which involves a fasciotomies of the right lower leg. Post operation fractures are stable with external fixation. She was given medication to manage her pain after the procedure. Post operationally, patient was stable and wound healing well and is free from infection. Monitored vital signs are within normal range.

    On discharged, patient was educated on how to observed an infectious wound and to inform a nurse early. I will be grateful if you could educate her more on the importance of sterilization of the affected area, and also move all clothings away. Kindly explain to her the amount of drainage need.

    Please do no hesitate to call me for any inquiries.

    Yours Sincerely.

    Lydia Ohene Owusu
    Charge Nurse
    New Victoria Hospital

  16. Ms Cathy Ina
    Community Nurse
    6 Buchacan St
    Glascow G69 6DY
    United Kingdom

    25 July 2018

    Dear Ms Ina,

    Re: Ms Anna Dijana, aged 42

    I am writing to refer Ms Dijana, who is diagnosed with Right proximal tibia fracture and lateral tibial plateau fracture, Compartment syndrome. She is set to be discharged today and would need continued care and management from your center.

    Upon admission, Ms Dijana presented right knee pain after falling off stairs. As a result, she was unable to bear weight on her right leg hence, she was rushed to operating room for two incision (four-compartmen) fasciotomies right lower leg wherein wound vac has been attached.

    Post-operatively, fractures was stabilized and her wound is free from infection. She was given pain medications and no swelling noted in her wound site. It would be much appreciated if you will visit Ms Dijana and teach her on how to keep her wound clean and sterile. Moreover, advise her to avoid blankets and clothing to touch her wound. Above all this, please instruct her to check the wound site for signs and symptoms of infection and to notify immediately if anything changes.

    Should you have any queries, please do not hesitate to contact me.

    Yours Sincerely,
    Registered Nurse

  17. MS Cathy Ina,
    Community Nurse,
    6 Buchanan St.,
    Glasgow G69,6DY,
    UK.
    03/07/2021

    Dear Ms Cathy Ina,
    LETTER OF DISCHARGE OF MS DIJANA
    I am writing this letter of discharge on behalf of Ms Dijana who is being discharged today.
    She is a 42 year old female teacher who was admitted on 15th July,2021 with a diagnosis of R
    Proximal tibia fracture and lateral tibial plateau fracture ,compartment syndrome.
    On presentation, she reported to have developed right knee pain after falling off the stairs and was
    unable to bear weight on the leg.
    She is a known seizure patient and is presently on carbamazine.
    She was rushed to the operating room for emergency two-incision fasciotomies on the R lower
    leg.
    Post operatively, the wound was accessed for signs of infection and woung vac on fasciotomy
    incisions. Further assessment shows she is free of infection as the wound is red in clour without drainage.
    She has been health educated on managing the wound site and the signs of infection. She was encouraged to notify the Nurse in charge if she notices any changes.
    Kindly teachher about the changes in drainage to be be expected and re-emphasize the need to
    keep the wound site sterile and keep away cloths and blankets from the wound.
    Do revert to me if you need further clarifications on her case.

    Yours Sincerely,
    Nurse

  18. Ms. Ina
    6 Buchanan Street
    Glasgow
    G69 6DY
    UK

    25 July 2018

    Dear Ms. Ina

    Re: Ms. Anna Dijana (42 years old)

    I am writing regarding Ms. Dijana, who was admitted into our facility on the 15th of July, with a diagnosis of R proximal tibia fracture and lateral tibial plateau fracture compartment syndrome, she is being discharged today and your ongoing care and support will be required.

    While on admission, she presented with right knee pain and inability to bear weight on the R. leg, she underwent external fixation fasciotomies on the right lower leg. Postoperatively, fractures were stabilized with an external fixator, wound VAC on fasciotomy incision and incision drainage site was assessed for any sign of infection. she was also placed on a course of medication (pain killers). Additionally, she made good progress, the wound healing process is fine, vital signs are within normal range and she is made comfortable.

    Ms. Dijana was educated about what to observe from the wound site and was told to report any sign of infection noticed immediately to the nurse and was also educated on how to prevent it.

    Could you please ensure that her wound site is closely monitored and observed for any sign of infection, kindly ensure that she adhere to infection control techniques and complaincy to her medication intake.

  19. Ms Cathy Ina
    Community Nurse
    6 Buchanan St
    Glasgow G69 6DY
    UK

    25 July 2018

    Re: Anna Dijana, 42 years old

    Dear Ms Ina,

    I am writing to refer Ms Dijanna, who will be under you care following discharge today. She underwent external fixation and fasciotomies on her right leg.

    10 days ago, Ms Dijanna fell from stairs. As a result, she suffered right knee pain and unable to bear weight on her right leg. She was rushed to the hospital, diagnosed with right proximal tibia fracture, lateral plateau fracture, and compartment syndrome. She underwent external fixator and fasciotomies on her right lower leg. Post-operatively, she has wound vac on fasciotomy incision. Additionally, she was managed with pain medication and there were no signs of infection on wound site. She recuperated well from the operation.

    It would be greatly appreciatedif you could monitor and attend on Ms Dijannas medical needs. Kindly teach her regarding proper wound assessment for any signs of infection and to notify you immediately for such. Also, kindly educate her how to keep the area sterile by ensuring that neither blankets nor any objects will touch the wound. Same goes to any visitors to maintain sterility of the affected site. Lastly, please teach her what to expect regarding the draining coming from the wound vac.

    If you have any questions, feel free to contact me.

    Yours Sincerely,

    Nurse

    New Victoria Hospital

  20. Ms Cathy Ina
    Community Nurse
    6 Buchanan St
    Glasgow G69 6DY
    UK

    25 July 2018

    Re: Anna Dijana, 42 years old

    Dear Ms Ina,

    I am writing to refer Ms Dijanna, who will be under you care following discharge today. She underwent external fixation and fasciotomies on her right leg.

    10 days ago, Ms Dijanna fell from stairs. As a result, she suffered right knee pain and unable to bear weight on her right leg. She was rushed to the hospital, diagnosed with right proximal tibia fracture, lateral plateau fracture, and compartment syndrome. She underwent external fixator and fasciotomies on her right lower leg. Post-operatively, she has wound vac on fasciotomy incision. Additionally, she was managed with pain medication and there were no signs of infection on wound site. She recuperated well from the operation.

    It would be greatly appreciatedif you could monitor and attend on Ms Dijannas medical needs. Kindly teach her regarding proper wound assessment for any signs of infection and to notify you immediately for such. Also, kindly educate her how to keep the area sterile by ensuring that neither blankets nor any objects will touch the wound. Same goes to any visitors to maintain sterility of the affected site. Lastly, please teach her what to expect from the drainage coming from the wound vac.

    If you have any questions, feel free to contact me.

    Yours Sincerely,

    Nurse

    New Victoria Hospital

  21. Ms. Cathy Ina
    Community Nurse
    6 Buchanan st,
    Glasgow G69 6DY,UK

    22th July 2021
    Dear Ms.Ina,
    RE:Anna Diyaja,42 years old

    I am writing to refer Mrs. Diyaja,who has post external-fixation and right lower leg fasciotomies that needs your further optimal fallow up and comprehensive management in wound care fallowing discharge from our hospital.

    Roughly,she peresented to is last 15 july 2018 with complaints of right knee pain and inability to bear weight after falling from stairs.She immediately underwent external fixation and right lower leg fasciotomies after developing fructure and compartment syndrome.She was treated with pain releiver post operatively.

    Mrs. Dijaya is progressively stable and resting comfortably.Apart from this,her post operative wound shows absence of any signs of infections.However,she still have vac system on inscision site that needs to be strictly monitored constantly.

    I believe that your scope of expertise is of great help to her in recovering from her condition. Take note,additional teaching guides was escalated to Mrs. Dijaya on proper and sterile method of wound site care as well as emphasized to her to notify the nurse immediately if there is evidence of unpleasant changes in her wound.

    Kindly contact me in 12 111 111 for any clarifications. I am glad to be of service anytime.Thank you for giving time to read this letter.

    Yours sincerely,
    Mary Jane Jaalain
    Senior Nurse
    New Victoria Hospital

  22. To,
    Ms. Cathy Ina ,
    Community Health Nurse,
    6 Buchanan St,
    Glasgow G69 6DY , UK.
    25th July 2018
    Dear Nurse
    Ref; Anna Dijana
    I am writing to refer Anna Dijana , a 42 year old patient who is recovering from right proximal tibia fracture and lateral tibial fracture , compartment syndrome. She is fit to be discharged today and requires further assessment and care from your service.
    Anna Dijana was admitted to our hospital on 15th July 2018 with right knee pain following a fall from stairs. Immediately she rushed to the operation theatre , her fracutre has been stabilized with externa fixators and faciotomies were prformed. Her pain is managed with pain medications.
    A wound vac was attached to faciotomy inscion site.
    On the day of dischagre today, she is free from pain. Her post operative wound site is red in colour, free of drainage , no ordor or swelling. Her vital signs are within normal limits. She resting comfortably in the bed.
    It would be grately appreciate if you could able to assess her wound site for any signs and symptoms of infection. Please inform us for any changes in her wound. Kindly educate her about how to keep the sterile by keeping the blankets and clothing out of reach of the wound. She needs adequate rest to her extremities , body part. It would be benificial if you could inform the vistors about wound care management.
    Please donot hesitate to contact me for further queries.
    Yours sincerely
    Charge Nurse.

  23. 25th july 2018

    Ms.Cathy Ina
    Community nurse
    6 Buchanan St.
    Glasgow G69DY
    UK
    Re: Anna Di Jana ,age:42 years old
    I am writing this letter to request ongoing care and management of Ms. Anna Dijana who is recovering from External Fixation and fasciotomies right lower leg. She has been attaining significant recovery and is being discharged today.

    on 15 July 2018,she was admitted in hospital with right proximal tibia fracture, lateral plateau fracture, Compartment syndrome due to falling off stairs; therefore, she underwent two incision fasciotomies lower leg and was commenced with pain medication. Her vital signs is unremarkable and wound is free of infection.

    As per her social and medical history, she is a school teacher. She is married and has two kids. She is a social drinker and is taking Carbamazepine for her seizure.

    Given the above, it would be greatly appreciated please could teach her to keep the surgical site clean and sterile. Additionally, please educate her on how to keep the wound sterile by avoid blankets and clothing out of the wound and watch out for any drainage.

    Of note; please could inform the visitors about wound care and management.

    your sincerely
    Registered nurse
    New Victoria Hospital

  24. Ms. Cathy Ina, Community Nurse
    Baillieston Community Care
    6 Buchanan St, Glasgow G69 UDU
    United Kingdom

    25 July 2018

    RE: Ms. Anna Dijana, 42-year-old

    Dear MS. Ina

    Ms. Dijana is being discharged today from The New Victoria Hospital and requires your continuous treatment, education and management.
    On admission, Ms. Dijana experiences right knee pain after falling off stairs and unbearable weight on right leg. She has a medical history of seizures commencing on Carbamazepine.
    She was diagnosed with Compartment Syndrome associated with Right proximal tibia and lateral tibial plateau fracture. Surgical procedure was done at the fasciotomies located at right lower leg and an external fixator was secured to stabilized fractures. She was on pain medications. Upon assessment, the surgical incision site has no swelling or pain, no drainage was observed and no evidence of infection has noted. Vital signs are with in normal and no reports of discomfort.
    Ms. Dijana requires teaching on how to keep the wound site sterile avoiding unnecessary contacts to the wound. Please inform as well family members and visitors.
    Her awareness what to expect on the wound drainage is necessary. Please encourage her to report any changes or presence of signs and symptoms of possible infection. In, addition, patient was advised to rest her lower extremities and body part as well.
    Please notify me for any question or queries.

    Sincerely,
    Registered Nurse

  25. 25 July 2018

    Ms Cathy Ina
    Community Nurse
    6 Buchanan St
    Glasgow G69 6DY
    UK

    RE: Ms Anna Dijana, 42-years old

    Dear Ms Ina,

    I am writing to introduce to you the above- named patient who underwent external-fixation, fasciotomies on the right leg following fall. She is admitted on our care on 15 July. She attained good recovery and is for discharge today.

    On that day, Ms Dijana was rushed to the operation and had two incision. Her fractures remain stable and on pain relief medication.

    Her dressing remain clean and dry, had wound vac on her fasciotomy site. Kindly monitor for any signs of infection. Ms Dijana was educated on monitoring signs and symptoms of wound infection. Additionally, it is greatly appreciated if you could educate the patient on wound dressing by keep it sterile and on the expected drainage. It is advisable to get the visitor or family to get involve in the wound care.

    It is grateful that you could take over in the management and care of patient to minimise infection from occurring.

    Should you have any queries or concern, kindly contact me.

    Yours sincerely,
    Charge Nurse

  26. To,
    MS Cathy Ina
    Community Nurse/
    6Bunvhan St,
    Glasgow G69,6DY,
    UK

    25/July/2018

    Re:,Ms Diljana ,42 years old

    Dear Cathy
    I am Writting this letter i inform you Ms Diljana 42 years old who under went Extrenal -Fixation,Fasciotmies R lower limbs, discharge today from our facility, at present no signs of infection noted There is a Wound Vac on Facilotomy Incicion The wound and drainage From the Wound assessed for infection.
    Patient Having on pain medication, Educate the patient to ensure be always keep starility to wound area.
    expecting drainage from the wound site vac applied Please follow up if it is nessecrery and also please Dont hesitate to contact me for further quires.
    Yours Faithfully
    RN
    Chinnumol

  27. 25 July, 2018

    Ms Cathy Ina
    Community Nurse
    6 Buchanan St
    Glasgow G69 6DY
    UK

    Dear Ms Ina,

    Re: Ms Anna Dijana, aged 42

    I am writing to introduce Ms Dijana who is recuperating from an external fixation and fasciotomies of right lower leg. She requires guidance and support from your facility following her discharge today.

    Ms Dijana was admitted to New Victoria Hospital on 15 July, 2018 following a fall from stairs. She was diagnosed with multiple fractures and compartment syndrome and she underwent the surgery. Post-operatively she was managed with pain medications and wound vac on fasciotomy incisions. Upon discharge, she was progressed well without any infection and drainage on wound site.

    Ms Dijana, a school teacher, is married and has two children. She has seizures, for which she is on Carbamazepine.

    It would be greatly appreciated if you could teach Ms Dijana about the wound site, signs and symptoms of infection and the expected drainage. Kindly teach her how to keep the area sterile and resting the extremity. Please note, she needs to notify a nurse in case of changes in wound condition. In addition, advise any visitors of the same factors.

    Should you require any information, please contact me.

    Yours sincerely,

    Registered Nurse

  28. Ms. Cathy Ina
    Community Nurse
    Baillieston Community Care
    6 Buchanan St
    Glasgow G69 6DY
    UK

    17 August 2020

    Dear Ms. Ina,

    Re: Ms. anna Dijana, 42 years old

    Thank you for taking over the care of Ms. Dijana, who requires post op wound monitoring and management.

    Ms. Dijana was admitted with a right knee pain after falling from the stairs. She sustained fracture on right proximal tibia and lateral tibial plateau, and was diagnosed with compartment syndrome. She is now medically stable after performing external fixation and fasciotomies over right lower leg.

    Ms. Dijana was discharged with wound VAC on fasciotomy incisions. It is necessary to monitor wound and drainage from any signs of infections.

    Kindly assist Ms. Dijana for proper management of wound at home. It would be beneficial to keep the area of wound sterile and to report any signs of infections immediately.

    Please do not hesitate to contact me for any queries.

    Yours Sincerely,

    Registered Nurse

  29. 25/7/2018

    Ms. Cathy Ina
    Community Nurse
    6 Buchanan St
    Glasgow G69 6DY
    U.K.

    Dear Ms. Ina ,

    Re; Ms. Ina Dijana , aged 42 years .

    I am writing this letter to refer Ms. Anna , into your facility for furthur care and assessment .

    On 15 july , Ms. anna presented to our hospital with the complained of right knee pain , due to fallend from the stairs , for which is unable to bear weight on right leg . after the daignostic test , she was daignosed with the right proximal tibia fracture and lateral tibial plateau fracture, as well as compartment syndrome.thus she was underwent to a fasciotomies on right lower leg and applied external fixation for speeedy recovery.

    During the post oprative treatmnet , she showed remarkable prognosis . her fracture was stabilized with help of an external fixation and she is on pain killers for pain management.According to assessment , wound site showed no any abnormality , its indicate that patient was free of the infection , in addition there was a no complained about pain and swelling . patients vitals revile that , she is stable and she can resting comfotably.

    In the view of above , it would be highly appriciate if you could teach her about the signs and symptoms of infection and how to keep her surrounding straile and if anything changes inform to a nurse immediatly. Please note , advising the same factor to visitors and explaine her about the expected drainage .

    should there be any queries ; please feel free to contact me .

    yours sincerely ,

    Registerd Nurse .

  30. I am writing this letter to request Ms Dijana a 42-year-0ld married woman who requires ongoing support and management. Who has been diagnosed with right proximal tibia fracture and lateral tibal plateau fracture, compartment syndrome. She is being discharged.
    Ms Dijana was admitted to hospital on 15th July 2018 following a fall from stairs with complained of knee pain and unable to bearing weight on her right leg.she underwent external fixation and fasciolomies right lower leg.
    During hospitalisation Ms Dijana was appeared well and has no signs of infection.
    It would be greatly appreciated if you could educate her to regarding signs and symptoms of infection and sterile techniques as well as the expected drainage.
    If you have any queries. Please do not hesitate to contact me.
    Yours sincerely,

    Registered nurse

  31. 25/07/2018

    Ms. Cathy Ina
    Community NURSE
    6 Buchanan St
    Glasgow G69 6DY
    U.K.

    Dear Ms. Ina ,

    Re; Ms. Anna Dijana , aged 42 years.

    I am writing this letter to refer Ms. Dijana into your facility for furthur care and assessment .

    On 15 july , Ms. Dijana presented to our hospital wiht the complain of right knee pain due to fallen from the stairs , for which she is unable to bear a weight on her right leg. After the investigation , she was diagnosed with the right proximal tibial fracture and lateral plateau fracture . As well as she had acompartment syndrom , for which she underwent to a fasciotomies on right leg lower leg and also applied external fixation for speedy recovery.

    During the post operative treatment , she showed remarkable prognosis.Her fracture was stabilize with the help of an external fixation . She is on pain killers for pain management . According to assessment , wound site showed no any abnormality thus , indicate that patient is free of infection . In addition , there was a no complain about pain and swelling. She can resting comfortably and her vitals are stable .

    In the view od above , it would be highly appreciate if you could teach her about the signs and symptoms ofinfection and how to keep her surrounding straile. If any thing changes report to nurse immediatly . Please note , advicing the same factor to the visitors and explain her about the expected drainage .

    Should there be any queries ; please feel free to contact me .

    Yours Sincerely ,

    Registerd Nurse

  32. Ms. Cathy Ina
    Community Nurse
    Baillieston Community Care
    6 Buchanan Street
    Glasgow G69 6DY
    United Kingdom

    25 July 2018

    Dear Ms. Ina,

    Re: Anna Dijana, 42 years old

    I am writing with regard to Ms. Dijana, who was admitted to our hospital after falling off the stairs and was diagnosed with right proximal tibia and lateral tibial plateau fractures, and compartment syndrome. She requires a follow up from your facility following her discharge today.

    On her admission ten days ago, Ms. Dijana was unable to bear weight on her right leg due to the pain on her right knee. She was rushed in the OR and had undergone two fasciotomy incisions with wound vac on her right lower leg. Her fractures was stabilized with an external fixator as well as the fasciotomies performed. Additionally, the wound and drainage has had been free from any signs of infection.

    Now, Ms. Dijana’s wound has improved for it is free of drainage with no odor or redness observed. Overall, her vitals are stable and she is ready to be discharged.

    In view of the above, it would be greatly appreciated if you could provide health teaching regarding proper wound care and expected wound drainage, and to notify the nurse for presence of infection; informing the visitors of the same factors is nevertheless necessary.

    Please contact me for any queries.

    Yours sincerely,

    A G
    Registered Nurse
    The New Victoria Hospital

  33. Ms. Cathy Ina
    Community Nurse
    6 Buchanan St,
    Glasgow G69 6DY, UK

    July 25 2018

    Dear Ms. Cathy,

    I am writing this letter to Inform you that our patient, Ms.Anna Dijana has been discharged today. She was admitted on the 15th of July 2018 with the Diagnosis of Right proximal tibia fracture and lateral tibia plateau fracture, Compartment syndrome. She had undergone External Fixation, fasciotomies at Right lower Leg. She is currently under pain medications due to her operation procedures and now on a manageable state.

    Pre discharge assessment was done and no signs of infections was seen. Wound is red in color, free of drainage, no swelling and minimal Pain as verbalized by the Patient. Patient rested comfortably before discharged from the hospital.

    Health Education was done and the patient was fully informed about the things she needs to watch out for. She was taught of how to take care of her wound, keeping it sterile and how to avoid getting further injuries. The patient is now aware about the things she needs to report in case she suspects Infection on her wound site.

    I would like to thank you for accepting this referral and may you feel free to contact me through my email of phone number for Further assistance of Information if needed. I am more the willing to assist you with any queries.

    Respectfully Yours,

    Che***** R ****
    Registered Nurse
    The New Victoria Hospital

  34. 04 September 2021

    Ms. Cathy Ina
    Community Nurse
    Baillieston Community Care
    6 Buchanan St.
    Glasgow G69
    6DY, UK

    Dear Ms. Ina

    Re : Anna Dijana, 42 years old

    Ms. Dijana is for discharge today and I am writing this letter to give you information about her latest condition as well as further medical and nursing needs management.

    Ms. Dijana was admitted on 15th of July 2018 at New Victoria Hospital because she sustained an injury on her right knee after she fell down from stairs. She was unable to bear weight on her right leg following the incident.

    Ms. Dijana was diagnosed with right proximal tibia fracture and lateral tibial plateau fracture, compartment syndrome. She was urgently transferred to Operating Room for surgical procedure. She had two-incision (four compartment) fasciotomies and External-Fixation to stabilized the fractures on her right lower leg. She received pain medications post-operatively.

    Ms. Dijana showed good prognosis following the surgical procedure. There were no signs of infection on post-operative wound site. She is vitally stable and not complaining of any pain at the moment.

    After Ms. Dijana’s 10 days hospitalization period, she is fit for discharge today. Kindly provide health teachings on proper wound care management, including any signs and symptoms of possible infection, expected amount of drainage, how to keep the affected site sterile and to rest the extremity. Lastly, inform her to notify a nurse immediately if there would be any changes in her condition.

    For any queries, please don’t hesitate to call me.

    Yours sincerely,

    Nurse

  35. Ms Cathy Ina
    Community Nurse
    6 Buchanan,St Glasgow
    G69 6DY
    UK
    4 October 2021
    Dear Ms, Ina
    Re: Ms Anna Dijana , age 42
    I am writing regarding to refer Ms Dijana.Patient is recovering from external fixation,fasciotomies right lower leg.
    On 15 july she fell of from the stairs and star feeling pain and she is unable to bear weight on her right leg .Her wound is red in colour no odour and redness She is not feeling any pain, vital sign are stable .She is discharge from the hospital on 25thjuly and she need to teach how to look after the wood and try to keep her cloths and blank from the wound if there is any red and swelling on the wound then inform to the nurse .It would be vary beneficial If visitors know about the wound care management.
    If you have any query do not hesitate to contact me.

    your sincerely
    Registered nurse

    ;

  36. 11 September 2021

    Ms. Cathy Ina
    Community Nurse
    Baillieston Community care
    Buchanan St., Glasgow

    Dear Ms. Ina,

    Re: Anna Dijina, 42 years old

    This letter is intended to inform you that the aforementioned patient is discharge into your care. She will need your service for her condition for further care and management.

    Ms. Dijina was admitted in our hospital due to her right leg fracture affecting her tibial platue associated with a compartment syndrome. She was rush to undergone surgery of external fixation, with fasciotomies on her right lower leg after an unfortunate event of falling from the stairs causing her to experience pain on her right knee that she was not able to bear weight on the affected leg.

    Past medical history reveal that she is taking carbamazepine for her seizure, she is a non smoker but social drinker.

    Her fracture was stabilised, she is given pain relief medication, and a wound vac dressing is applied on her wound. Further assessment reveal that her condition is unremarkable as manifested by her incision site is free from infection, no odor or swelling around the wound noted, she did not complaint for any pain, in addition her vital signs are within normal.

    Plan of care on her discharge include to advise her to report to a nurse for any signs and symptoms of any changes on her condition and on her wound site. Furthermore, reiterate about keeping the area sterile by limiting blanket and clothes touching th her wound, and visitor should take precaution when visiting her and they need to do the same practice on keeping the sterility on her wound, she needs to take a rest especially on her affected extremety. In addition, she needs to be inform what to expect on her wound draininge.

    if you have further question, please contact me

    Sincerly yours,

    Nurse

  37. 25/7/2008
    Ms Cathy Ina
    community nurse
    6 Bushanan St,
    Glascow G 66,6DY
    UK
    Re: Ms Ms Anna Dijana,42 years.
    Dear Ms Cathy,
    I am writing to refer Ms Anna Dijana, who is diagnosed with compartment syndrome and needs further care and management for effective recovery. She is being discharged back to her home today.
    She was admitted with right knee pain following a fall. Consequently, underwent an external fixation and facitomies on right leg. Her fractures were stabilized postoperatively with external fixator and fasciotomy was performed additionally; she has been commenced on pain medication.
    Her past medical history reveals that she is a known case of seizure and on carbomizipine. Socially, she is a schoolteacher and have two children. Her wounds were assessed during hospitalization, and it is not infected.
    As per the discharge plan, it would be appreciated, if you could educate her regarding the signs of infection and advise her to notify the nurse in case of any infection. Kindly teach her about the expected drainage.

    Kindly contact me if you have any queries.

    Yours sincerely,
    Charge nurse

  38. Ms. Cathy Ina
    Community Nurse
    6 Buchanan St, Glasglow G69 6DY
    United KIngdom

    25 July 2018

    Dear Ms Ina
    RE: Anna Djana, age 43

    I am writing this letter to inform that Ms Djana who had a compartment syndrome will be discharge today and be transfer to your care.

    Ms Djana was admitted on 15 July 2018 due to right knee pain after falling off the stairs. Patient had external- fixation, fasciotomies on right leg. Nursing management includes wound vac on fasciotomy incisions and assessment for signs of infection. After operation, vital signs are stable and no signs of swelling and pain.

    Health teaching was given during hospital stay. Please teach the patient on how to keep the wound sterile and prevent from further complications. Advised also that drainage on wound is normal and expected. Encourage patient to notify immediately if any changes was observed.

    If you have queries, please dont hesitate to contact me.

    Yours Sincerely,

    Cathy Sandoy
    Nurse

  39. Ms Cathy Ina
    Community Nurse
    6 Buchanan St
    Glasgow G69 6DY, UK

    25 Jul 2018

    Re: Ms Anna Dijana, aged 42

    Dear Ms Ina

    Ms Dijana is being discharged from The New Victoria Hospital today. She underwent external-fixation and fasciotomies for her Right lower leg, which require your further care and management.

    On 15 Jul 2018, Ms Dijana experienced a fall from stairs and fractured her right proximal tibia and lateral plateau with compartment syndrome. Her fractures were then stabilized with external fixator and fasciotomies were also performed.

    Please note that a wound vac is on her fasciotomy incisions. The wound color is red, free of drainage, no odor, no selling and no redness at surrounding skin. In addition, the pain was stabilized with pain medications.

    For the discharge planning, it would be greatly appreciated by providing education about the signs and symptoms of wound infection and notify us immediately for any abnormal changes. Moreover, patient and the visitors should be taught keeping blankets and clothing away from the wound in order to keep the area sterile. Patient should also be well informed about the expected drainage and the importance of resting the extremity and body part.

    Should you have any queries, please do not hesitate to contact me.

    Yours sincerely,

    Registered Nurse

  40. Ms Cathy Ina
    Community Nurse
    6 Buchanan Street
    Glasgow G69 GDY, UK

    25 July 2018

    Dear Ms Ina,
    Re: Ms Anna Dijana, aged: 42 years

    I am writing regarding Ms Dijana, who was admitted to our hospital due to right knee pain after falling off stairs. He is due to be discharged today and now requires your further care and management.

    Ms Dijana was being rushed to Operating Room and underwent with External-Fixation, Fasciotomies Right Lower Leg. Post operatively, Ms Dijana rested comfortably with stable vital signs and was commenced with pain medication. Fractures were stabilized and the wounds were free from infection.

    In line with this, it would be greatly appreciated if you could teach her about wound care and when to notify a nurse immediately if there are signs and symptoms of infections and with any changes. Please take note that she has a Wound Vac and expected drainage on fasciotomy incision site. Also, please advised to minimize visitors for her fully recovery.

    If you have any further questions, please do not hesitate to contact me. Thank you for taking the time to read and extending your help.

    Yours sincerely,

    Registered Nurse

  41. 25th July 2018

    Ms Cathy Ina
    Community Nurse
    6 Buchanan St
    Glasgow G69 GDY
    UK

    Re: Ms Anna Dijana, 42 years old

    Dear Ms Ina,
    I am writing to introduce Ms Dijana, 42-year-old school teacher, who is discharged today and to inform you about the medical and nursing care she needs.

    Ms Dijana was admitted five days ago to The New Victoria Hospital with right knee pain after falling off the stairs and inability to bear weight on her right leg. She was diagnosed with right proximal tibia fracture and lateral tibia plateau fracture known as Compartment syndrome. Ms Dijana underwent external fixation and fasciotomies of the right lower leg.

    In postoperative, Ms Anna’s fractures were stabilized, the pain was managed with painkillers. However, the wound and the drainage revealed signs of infection.

    Today, Ms Dijana’s wound is free of infection and there is neither swelling nor pain.The patient is resting comfortably and her viatls signs are normal.

    I educated Ms Diaja about the care of the wound site, the possibility of drainage. In addition to that, I taught her about the signs and symptoms of infection and the importance to notify a nurse immediately in the case of any changes occur as well.

    It would be highly appreciated if you provide Ms Dijana with the adequate care when she requires.

    Kindly contact for any further queries.

    Yours faithfully,
    Nurse.

  42. Ms. Cathy Inna
    community Nurse
    Bailliestone Community Care
    6 Buchanon street
    Glasgow 69 6DY UK

    25 July 2018

    dear Inna

    RE: MS Anna Dijana 42 years aged

    I am writing a request regarding ms Dijana who presented to the hospital and was diagnosed with right proximal tibial fracture and lateral tibial plateau fracture along with compartment syndrome on 15-07-29018 and today is being ready for discharge

    according to her medical history, she had fallen from stairs then she developed pain in the right knee also complains unable to bear weight. she has a history of seizures that are managing with carbamazepine however in the context of her social history she is working as a school teacher, never smoked nor drinker

    during her stay at the hospital, she got immediate treatment regarding her fracture she has been operated on emergency base four-compartment fasciotomies, postoperatively the pain was managed by giving analgesics also she was assessed for wound drainage and signs of infections from the wound

    all necessary education regarding her wound care, how to maintain sterilization at home. also, guide her if any sign of infection will be noted immediate information to the nurse.

    it would be greatly appreciated if you can visit her and educate MS Dijana on how to assess her wound by monitoring the site for signs and symptoms of infection and pain to inform us of any usual changes in her wound

    additionally, educate her on how to keep the wound free from any foreign body the wound and sterile and to watch out for any drainage from wound. i would also be beneficial if you could inform her regarding visitors management

    should you have any query do not hesitate to contact me?

    your sincerely
    Neha
    nurse

  43. Ms Cathy Ina
    Community Nurse
    6 Buchanan St
    Glasgow G69 6DY
    UK
    28th September 2021

    Dear Ms Ina,
    Re:Anna Dijana, aged 42
    Mrs Anna Dijana was admitted at New Town Hospital with Right proximal tibia and lateral tibial plateau fracture with compartment syndrome. She is ready for discharge into your care today.
    On admission, Mrs Dijana underwent external fixation and fasciotomies of right lower leg as weight was unbearable for her on Right leg. Fasciotomy incisions had wound VAC inserted which was assessed for drainage and signs of infection. Upon assessment, patient is free of infection as wound noted to be red in color and drainage free. Wound management has been taught to Mrs Dijana and advised to notify a nurse if changes seen.
    Mrs Dijana and relatives have also been taught on how to keep the area sterile by keeping clothing off wound.Resting of extremity and body part was also advised to patient. Currently, no complaints of pain or swelling voiced by patient with normal vital signs.
    In addition to pain medications, Mrs Dijana is on carbamazepine for seizures.
    If you require further information, do not hesitate to contact me.

    Yours sincerely,
    Registered Nurse.

  44. 15th July 2018

    Community Nurse
    6 Buchanan St
    Glasgow G69 6DY
    UK

    Dear Ms Cathy Ina

    RE: Ms Anna Dijana; Age 42years old

    Im writing this letter in regards to Ms Anna Dijana, who requires continuous nursing care upon discharge today.

    Ms. Dijana was admitted to New Victoria Hospital on the 15th July 2018, with right knee pain after falling off the stairs, she was unable to bear weight on her right leg. Upon admission, it was identified that she had right proximal tibia fracture and lateral tibia plateau fracture which led to compartment syndrome.

    Ms. Dijana was urgently taken to OR for external fixation to stabilize the fractures and fasciotomies was performed for compartment syndrome on right lower leg.

    Apart from this, she was on pain relief medications with wound vac care for fasciotomy. Her wound was assessed regularly for any signs of infection. Today she is very stable with no swelling and pain on her leg.

    It will be greatly appreciated if you could educate her on wound care. Also advice her about keeping blankets and clothing away from wound area. It will be beneficial if you could inform the visitors about wound care management.

    Yours Sincerely
    Registered Nurse

  45. 25 July 2018

    Ms Cathy Ina
    Community Nurse
    6 Buchanan St
    Glasgow G69 6DY
    United Kindom

    Dear Ms Ina,
    Re: Ms anna Dijana, aged 42

    This letter is being written to refer Ms Anna Dijana who is recovering after fasciotomy surgery of right lower limb due to compartment syndrome secondary to proximal tibia and lateral tibia plateu fracture. She requires continuing care and management from your service following her discharge today.
    Ms Dijana was admitted to hospital on15 July following an accidental fall at home. On admission ,she was not able to bear weight on her right limb due to fracture. Subsequently ,her fractures was stabilized by external fixation and she underwent the surgery successfully. A wound vacum drain is in situ; therefore ,it would be beneficial if you could inform her regarding the expected volume of drainage.
    Post operatively, Ms Dijana was treated with pain medications and her vital signs were unremarkable. Although there is no signs of infection, it needs to be monitored after discharge. She was educated regarding the signs and symptoms of infection and instructed her to get immediate medical attention if any signs of infection.
    Kindly take over case of Ms Dijana and provide ongoing care and management . It is worthy to note , visitors to be educated about the measures to be taken to prevent infection.

    Please contact me if you require any further information regarding Ms Dijana.

    Yours sincerely,

    Registered Nurse.

  46. Ms. Cathy Ina
    Community Nurse
    6 Buchanan St
    Glasgow G69 6DY
    UK

    25 July 2019
    Dear Ms. Ina,
    Re: Anna Dijana, aged 42

    I am writing in regards with Ms. Anna Dijana. She underwent external-fixation and fasciotomies of right lower leg and is being discharged from The New Victoria Hospital back into your care.

    She was admitted on 15 July after she fell down the stairs due to being unable to bear weight on right leg. Ms. Dijana was rushed to OR for two incision fasciotomies of right lower leg. Fracture stabilization was ensured with external fixator. To relieve pain, she was given pain medications. VAC therapy was ensured on fasciotomy wound incision. Wound and drainage assessment showed no signs of infection. Wound presented red in color, free of drainage and with no swelling or pain.

    It would be beneficial for Ms. Dijana if you could teach her about the wound site, signs and symptoms and expected drainage. Also, if she notices any changes to notify nurse immediately. In addition, show her how to keep area sterile by keeping blankets and clothing out of reach of wound.Encourage her to rest the leg. Please note advising any visitors of the same factors.

    If you have further quires, please do not hesitate to contact me.

    Yours sincerely,
    Registered Nurse

  47. Ms. Cathy Ina,Community Nurse
    Baillieston Community Care
    6 Buchanan Street Glasgow G69 6DU,UK

    Oct. 6,2021

    Greetings!

    I am writing a letter to request a follow up visit and monitoring for Ms. Anna Dijana who was admitted in our facility,New Victoria Hospital and is recovering from her fracture due to a fall at home and will be discharged today.

    Ms. Anna is a 42 y.o. lady who was admitted on July 18,2018 with a diagnosis of fracture on R proximal tibia and lateral tibia with compartment syndrome following a fall from stairs at home. Ms. Anna had undergone two operations which are faciotomy and fixator on the affected side. Post operatively, wound vac was applied on the fasciotomy site with no signs of infection in the wound.The fracture was stabilized, no complaints of pain, and was hemodynamically stable vital signs.
    Ms. Anna is known to have seizure and is taking Carbamazepine ,she is also known to be a social drinker as per her record.

    Teaching education is being given to her as to observe any signs and symptoms of infection and to inform us of any unusual changes in the wound and that family members must be aware of this also.
    In addition to that, patient is also aware of the expected drainage she can drain on her vac.
    It would be a great help if you emphasize all the discharge plans we gave him and to make sure that she implements it at home.We are glad to hear a feedback from you for any progress in patients progress.
    If you have any further queries I would be glad to assist you.

    Yours sincerely,
    Registered Nurse

  48. ms.cathy Ina
    6 Buchanan St,
    Glasgow G69 6DY
    Uk
    25 July 2018
    Dear Ms. Ina
    Re: Mrs Anna dijana, Age 42 Year Old

    I am writing regarding the aforementioned patient, who was admitted to our hospital recently due to a right proximal tibial and lateral plateau fracture as well as compartment syndrome following a fall. She is being discharged today now requires further care and support.

    Mrs dijana was admitted to our hospital on the 15th of July 2018 , following a fall off flight of a stairs. She complained of of a right knee pain which made her unable to beat weight. Hence, she had an external – fixation as well as a fasciotomies performed. However, post op was largely uneventful, fractures were stabilized, pain was well controlled with medication and the wound drainage indicates infection free.
    On examination, the wound was healling well and vital signs within normal range. Upon discharge, she was educated on how to assess for signs of wound infection and to notify a nurse.
    Mrs dijana is a known seizure who is on carbamazepine and does not smoke but drinks alcohol occasionally.
    It would be greatly appreciated if you could teach her and her visitors on how to keep the wound site sterile and the expected drainage. Please encourage adequate rest
    If you require additional information,do not hesitate to contact me

    Yours sincerely
    Nurse

  49. Ms Cathy Ina
    Community Nurse
    Baillieston community care
    6 Buchanan St
    Glasgow G69 6DY
    United kingdom

    25 July 2018
    Re: Ms Anna Dijana, aged 42
    Dear Ms Cathy Ina

    I am writing to refer Ms ana Dijana into your care she will be discharge today after recovering from external-fixation, fasciotomies rt lower leg sec to rt proximal tibia fracture and lateral tibial plateau fracture, compartment syndrome.
    On 15tg July 2018 Ms Dijana has balancing problem in right leg. Due to fall from staris and has right knee pain. She was brought to OR for two incision fasciotomies of rt lower leg. After procedure pain medication were given to stabilize the pain. Her wound is free of infection. No redness, swelling,drainage seen at wound site. Her vital sign are also normal.

    Ms Dijana will need your assistance for wound management. Kindly educate her sign of infections and keep the wound sterile and keep leg less mobilize. Educate her to keep clothes and blanket far from wound and look for any drainage if anything changes inform immediately.
    If you have any queries do contact me.

    Yours sincerely
    Registered Nurse

  50. Ms. Cathy Ina
    Community Nurse
    6 Buchanan Street
    Glasgow G69 6DY
    United Kingdom

    25 July 2018

    RE: Anna Dijana, 42 years old

    Dear Ms. Cathy Ina,

    Mrs. Dijana, who stayed in our hospital for 11 days, is due for discharge today after undergoing stabilization of fractures with external fixator and fasciotomies of right lower leg.

    On 15th of July 2018, she accidentally fell from the stairs in which gave her right knee pain causing her inability to bear weight on right leg. She was rushed to the hospital and was diagnosed with right proximal tibia fracture and lateral tibial plateau fracture and compartment syndrome prompting her to undergo operation as mentioned above.

    A wound vacuum is attached on fasciotomy incisions to assist drainage and prevention of other untoward symptoms. Continuous monitoring of the wound site for signs and symptoms of infection and expected appearance of drainage was also discussed with the Mrs Dijana. She was also taught on how to maintain sterility of the site by keeping blankets and clothing away from the wound. She was also advised to rest the affected extremity and body part. We would highly appreciate if these will be reiterated and sustained to the patient as well as her visitors once she’s at home by your team.

    Kindly contact me if you have any queries.

    Yours sincerely,

    Honeylore Pacio
    Registered Nurse
    The New Victoria Hospital

  51. Ms Cathy Ina
    Community Nurse
    Baillieston Community Care
    6 Buchanan Street
    Glasgow
    G69 6DY

    25/07/2018

    Dear Ms Cathy Ina,

    Re: Ana Dijana, aged 42.

    I am writing to refer Ms Ana Dijana into your care. Ms Dijana was an inpatient at the New Victoria Hospital after limb fracture. She is ready for discharge today.
    Ms Ana was admitted after fall from the stairs, presented a pain on her right knee and she could not also bear weigh on her right leg. After examinations she was diagnosed with right proximal tibia fracture and lateral tibial plateau fracture with compartment syndrome. So Ms Dijana was immediately took to operation room for a external-fixation, fasciotomies on her right leg. After surgery she was kept on wound vacuum on fasciotomy incision, drainage control for infection however, there a no signs of infection, her vital signs are normal, pain management as she needed.
    Ms Ana is a school teacher, married with two children. It would be appreciated if you teach her how to keep the wood sterile and clean, avoiding any contact with clothes/blanklets. She will need also advice about, how to be aware of any signs of infection and to seek the nurse immediately. Could you please advice also about the visitors who must to follow the same rules.

    Do not hesitate to contact me if you have any queries.

    Yours sincerely,

    Nurse.

  52. 25 July 2018

    Ms. Cathy Ina
    Community Nurse
    6 Buchanan st
    Glasgow G69 6DY
    UK

    Dear Ms. Ina,

    Re: Anna Dijana, aged 42

    I am writing to refer Ms. Digana who was admitted to our hospital on 15/07/2018 with the diagnosis of right proximal tibia fracture and lateral tibial plateau fracture as well as compartment syndrome. She is due to be charged today and requires your ongoing monitoring and management of her health condition.

    During admission, she underwent two-incision fasciotomies on her right lower leg at OR. The treatment was performed successfully. Post operatively, her condition was stabilized, she commenced on medication for pain relieve. In addition, the wound vac has been in situed, and she has no signs and symptoms of wound infection, her vital signs within the normal range at the time of discharge.

    After her discharge, Ms.Dijana needs an appropriate education regarding her wound care including monitoring the site of infection, notifying the nurse immediately if any changed, keeping the affected site sterile by keeping blankets and clothing out of reach of the wound, resting the extremely body part and being aware of the drainage as well.

    It would be greatly appreciated if you could provided the above mentioned education to Ms. Djana, your ongoing health management and monitoring would be extremely important for her.

    Please do no hesitate to contact me if you have any queries.

    Yours sincerely,

    Registered nurse
    The New Victoria Hospital

  53. July 25, 2018
    Ms. Cathy Ina
    Community Nurse
    Baillieston Community Care
    6 Buchanan St, Glassgow G69 6DY, UK

    Dear Ms. Ina,

    I am writing to give you update about our patient Mrs. Anna Dijana, 42 years old, married with 2 children who will be discharged today Jul 25, 2018. Patient was admitted on July 15, 2018 due to right knee pain after falling off stairs.

    Ms. Dijana was rushed to the OR and underwent external-fixation, fasciotomies in her right lower leg. Upon evaluation, patient has a history of seizures on carbamazepine and she is unable to bear weight on her right leg.

    Post-operatively, her fractures are already stabilized by the procedure she had undergone and is under pain medications. Furthermore her wound incisions is managed with wound vac. Upon further assessment, patient is free of infection and vital signs are normal. Ms. Dijana together with her visitor was already educated regarding the signs and symptoms she would have to be aware of and how to keep the wound area sterile along with the correct positioning of the right area. They were also taught about the expected drainage on her wound.

    In light of the above, she needs to continue with her wound management dressing and prevention of possible infections. Feel free to contact me should you have any questions or concerns.

    Yours sincerely,
    Leslie
    Registered Nurse
    The new Victoria Hospital

  54. Ms Cathy Ina
    Community Nurse
    6 Buchanan St
    Glasgow G696Dy
    UK

    25/07/2018

    Dear Ms. Ina,

    Re: Ms. Anna Dijana, aged 42

    Thank you for seeing Ms. Dijana who is recovering from external fixation and right lower leg fasciotomies after the fractures. She is being discharged today and she requires your further care and management.

    On 15/07/2018, the patient was admitted to the hospital with right knee pain and difficulty in bearing weight on her right leg, following a fall from stairs. She has undergone an emergency surgical investigation and was treated with pain management. Her prognosis is remarkable. Furthermore, her wound is healing well, and there are no signs of infection.

    Ms. Dijana is a school teacher, and is living with 2 kids. She has been taking carbamazepine as she suffers from seizures.

    It would be greatly appreciated if you could educate Ms. Dijana and her family about wound management, how to keep the site free from any foreign objects to keep the wound site sterile, and to watch out for any discharges or drainage. Please advise her to seek medical advice if any unusual signs and symptoms are noted around the wound.

    Please do not hesitate to call me for and queries.

    Thank you,
    Yours sincerely,
    Nurse

  55. 25 July 2018

    Ms Cathy Ina
    Community Nurse
    Baillieston Community Care
    6 Buchanan St., Glasgow G69 6DY, UK

    Re: Ms Anna Dijana, 42-years-old

    Dear Ms Ina,

    Ms Dijana, a 42-years-old is for discharged today into your care for further medical and nursing management after acquiring fracture on her right knee due to fall. She underwent external-fixation, fasciotomies as her initial treatment.

    Ms Dijana was admitted in our facility last July 15 and immediately rushed to OR for fixing the fractured knee with two-incision fasciotomies. Post operatively, she was attached to wound vac for drainage and noticed a sign of infection. She was prescribed with medications for pain. Upon strict medical and nursing management care during her 10 days’ admission, she recovered from any signs of infection and has no complains of pain. Her vital signs are all stable and she rest comfortably.

    It would be very greatly appreciated if you could educate her about the signs and symptoms of infection and immediately inform us for any unusual change. In addition, please ensure to keep her wound free from any infection by keeping away any foreign objects to the wound. It would be beneficial for he also if you could teach her visitors for the same care management. It it important for her to know that wound drainage is expected.

    If you have any questions to help Ms Dijana’s faster recovery, please don’t hesitate to give a call.

    Sincerely yours,
    Anna Cristina Torres-Velasquez
    Nurse in-charge

  56. Ms. Cathy Ina
    Community Nurse
    6 Buchanan Street
    Glasgow G69 6DY
    United Kingdom

    25 July 2018

    Dear Ms. Cathy Ina

    Re: Anna Dijana, 42 years old.

    Im writing to inform you that Ms. Dijanna, 42 years old who was admitted to us due to right knee pain associated to fall from stairs last 15 July and is now stable for discharge. I’m requesting for your continued care and monitoring for the patient after discharge.

    Ms. Dijanna sustained a fracture over her right proximal tibia and lateral tibial plateau accompanied with compartment syndrome after the fall and was rushed for operation. She had two incision fasciotomies on her right leg and an external fixator was placed to stabilized her fractures. Postoperatively she’s taking medications for her pain and her wound was on vacuum dressing.

    At present, patient was free from infection, no drainage, odor or redness noted from her wound. Her vitals are stable and resting comfortably. Upon discharge education was provided to her on symptoms of infection and to immediately notify nurse if changes noted. She is advised to avoid wound to be in contact with clothing or blanket to keep it sterile.

    Please do contact me for further queries about the patient.

    Sincerely yours,

    Registered Nurse
    The New Victoria Hospital

  57. Ms. Cathy Ina
    6 Buchanan St
    Allow G69 6DY
    United Kingdom.

    25 July 2018

    Dear Ms Ina

    REF: ANNA DIJANA, 42 YEARS

    I am writing this letter of discharge for the above named patient, who was admitted into our facility following a fall from the stairs and sustained Right proximal fracture and lateral tibial plateau fracture, component syndrome. On admission she was unable to bear weight with the fractured leg. MS Anna is an epileptic on cabarmezapine.

    She had external fixation, fasciotomies done on right lower leg. A wound Vac was put on the fasciotomy. Post operative she was Commenced on pain relief, wound and drainage were free from infection. Her vital observations where normal.

    Following her discharge, I would appreciate that you teach the patient on the signs and symptoms of early infection and to report immediately to the nurse, education on keeping the wound sterile by avoiding contact with blankets and clothing is important to the patient and her visitors. She should be made aware of possible discharge on wound site.

    Please contact me if you need further clarification

    Yours sincerely

    Registered Nurse.

  58. Ms Cathy Ina
    Community Nurse
    6 Buchanan St Glasgow
    G69 6DY UR

    25th July, 2018

    Dear Ms Cathy Ina

    Ref; Anna Dijana, Age 42 years old.

    Anna Dijana who was admitted on 15th July, 2018with a fracture of right proximal tibia and lateral fibial plateau fracture with compartment syndrome and due for discharge today to your care

    She has since been stablelized after external fixatorand fascrotomies of the right lower leg was perfomed. The wound is clean with no drainage hence no infection. Her vital signs have been monitored and are normal. On assessment there is no swelling and pain reported.

    I would request you to teach her and visitors to keep blankets and extra clothings away from the wound and to report you any type of drainage she notices or any symptons that she may feel.

    Incase of anything do not hesitate to contact me.

    Yours Sincerely
    Phelly
    Nurse

  59. Ms. Cathy Ina
    Community Nurse
    Baillieston Community care
    6 Buchanan St, Glasgow G69 6DY, UK

    25th July, 2018
    Dear Ms. Ina

    Re: Anna Dijana, Age: 42 years

    This is to refer Ms. Dijana, a 42 years old woman admitted due to right leg fracture and compartment syndrome. She is being discharged today and will be at your care for further management.

    Ms. Dijana got admitted on 15th July, 2018 with the diagnosis of right proximal tibia fracture and lateral tibial plateau fracture along with compartment syndrome. She was treated with external fixation and faciotomies on her right lower leg. Wound vac is present on fasciotomy incisions and signs of infection has been assessed on the wound and drainage during her stay here.

    Ms. Dijana is stable now with no signs of infection on the wound site. Vital signs are normal and pain has been managed well with medications. No any complications were present.

    Ms. Dijana works as a school teacher and has been married with two children. She does not smoke but is a social drinker.

    Ms. Dijana is now resting comfortably and has been taught about wound site care and danger signs of infection. She has also been educated about proper rest of extremity and body part. Her visitors were also advised of the same factors. She was informed about the expected drainage and suggested to seek professional help if anything unusual occurs.

    I would like to request you to assist with her condition and provide her the necessary care.

    If you have any queries, feel free to contact me.

    Yours sincerely
    Nurse

  60. 03/12/2021
    Ms. Cathy lna,
    Community Nurse
    6 Buchanan St
    Glasgow G69
    UK

    Dear Ms lna,

    Re: Anna Dijana, age 42 year old

    She has a r proximal tibia fracture and lateral tibia plateau fracture and also have a compartment syndrome and now needs a further care and management

    she admitted at new victoria hospital on 15 July 2018 for external-fixation, fasciotomies rt lower leg and she was rushed to OR for two incision after that fractures are stabilized with external fixation and given pain medications.

    We assessed the signs of infection or any drainage but the wound is red in colour no any drainage seen. vital signs are in normal range and patient is concious and comfortable.

    Now we discharge a patient from here and send it to your care for further management to teach the patient to notify the signs of infections or how to take care of wound and keep strile. keep her extremity in resting position.do not bear any type of weight and also give pain killers on time.

    kindly take care of Ms.dijana
    if you have query feel free to contact me.

    Your Sincerely
    Nurse

  61. Ms. Cathy Ina
    Community Nurse
    6 Buchanan Street
    Glasgow G69 6DY
    United Kingdom

    25 July 2018

    Dear Ms. Ina,
    Re: Ms. Anna Dijana, aged 42.

    I am writing to refer Ms. Dijana who recently underwent a four compartment fasciotomy and external fixation on her right lower leg for further management.

    Ms Dijana was admitted to our hospital last July 15, 2018 after a recent fall from the stairs. She presented with pain on the right knee and was unable to bear weight on her right leg. She was diagnosed with right proximal tibia fracture, lateral tibial plateau fracture and compartment syndrome. Her fractures were stabilised by an external fixator and fasciotomies were performed. Postoperative care included pain medications and a wound vac was attached on the fasciotomy incisions. Ms Dijana is now medically stable, free of infection and ready to be discharged today. 89

    Ms Dijana is working as a school teacher, married with two children and a social drinker. She has episodes of seizure which was managed by carbamazepine.

    It would be appreciated if you could teach Ms. Dijana about the wound site, signs and symptoms of infection and instruct her to notify a nurse if abnormalities are noted. Please provide her with necessary education on how to keep the area clean and sterile by keeping blankets and clothing out of the wound, resting the extremity and expected drainage.

    Yours sincerely,

    Registered Nurse

  62. Ms. Cathy Ina
    Community Nurse
    6 Buchanan Street
    Glasgow G69 6DY
    United Kingdom

    25 July 2018

    Dear Ms. Ina,
    Re: Ms. Anna Dijana, aged 42.

    I am writing to refer Ms. Dijana who recently underwent a four compartment fasciotomy and external fixation on her right lower leg for further management.

    Ms Dijana was admitted to our hospital last July 15, 2018 after a recent fall from the stairs. She presented with pain on the right knee and was unable to bear weight on her right leg. She was diagnosed with right proximal tibia fracture, lateral tibial plateau fracture and compartment syndrome. Her fractures were stabilised by an external fixator and fasciotomies were performed. Postoperative care included pain medications and a wound vac was attached on the fasciotomy incisions. Ms Dijana is now medically stable, free of infection and ready to be discharged today.

    Ms Dijana is working as a school teacher, married with two children and a social drinker. She has episodes of seizure which was managed by carbamazepine.

    It would be appreciated if you could teach Ms. Dijana about the wound site, signs and symptoms of infection and instruct her to notify a nurse if abnormalities are noted. Please provide her with necessary education on how to keep the area clean and sterile by keeping blankets and clothing out of the wound, resting the extremity and expected drainage.

    If you need further information, please feel free to contact me.

    Yours sincerely,
    Registered nurse

  63. Ms Cathy Ina
    Community Nurse
    6 Buchanan St
    Glasgow G69 6DY, UK

    25th of July, 2018

    Dear Ms. Ina,

    Anna Dijana is a 42 years old woman who was admitted to The New Victoria Hospital due to a fracture on her right leg, and from now on will be under your care.
    On the 18th of July Ms Dijana fell of the stairs and broke her right leg. The fractures caused a compartmental syndrome. After her admission, an external – fixation and two fasciotomies were performed to stabilize the fractures and release pressure of her right leg.

    After the surgical intervention, pain was managed with medication. Now she is comfortable. The wound seems to progress without incidences as it is red in color and has no signs of infection.

    The patient has been reached to identify signs of infection, when she has to visit the nurse, and how to keep the wound sterile by keep in it away from clothes of blankets. She is aware that some possible drainage of the wound is normal as far as it has not greenish color.

    If you have any queries, please do note hesitate to contact me.

    Yours sincerely,

    Registered Nurse.

  64. Ms. Cathy Ina,
    Community nurse,
    6 Buchanan St,
    Glasgow G69 6DY,
    United Kingdom.

    25th July 2018

    Re: Ms. Anna Dijana, Age: 42years
    Dear Ms. Ina,

    I am writing in regard to Ms. Dijana, who is being discharged today after a ten day period of admission following diagnosis of right proximal tibia fracture and lateral tibial plateau fracture, compartment syndrome. She needs further care and management.

    On 15th July 2018, she fell off the stairs and sustained right leg injury which was unable to bear weight. External-fixation, fasciotomies right lower leg was done in the operating room alonside pain management.

    Ms. Dijana has history of seizures and currently on carbamezapine. She is a social drinker but not a smoker.

    Currently, the wound is red in colour, free of drainage, has no adour not swollen and has no pain. She is in stable condition with no infection and her vital signs are within normal range.

    Ms. Dijana has been informed about assessing signs of wound infection and reporting promptly to the nurse. Subsequently, she has been taught about expected drainage, advised on how to maintain wound sterility and encouraged to rest the extremity. It is important that her visitors are also informed of these factors.

    Please contact me in case of any concerns. Thank you.

    Yours sincerely,
    Daisy Wasilwa.
    Registered nurse.

  65. 16 February 2022

    Ms Cathy Ina
    Community Nurse
    6 Buchanan St
    Glasgow G69 6DY
    UK

    Dear Ms Ina,

    Re: Ms Anna Dijana, aged 42

    I am writing regarding Ms Dijana, who was admitted due to compartment syndrome. She is ready for discharge and requires your continuous nursing care and management following a surgery.

    Upon admission, Ms Dijana presented with right knee pain swelling following a fall on stairs. In addition, her right leg was unable to bear weight. Due to her presenting problems, she was diagnosed with right proximal tibia fracture and lateral tibia plateau fracture. Ms Dijana underwent urgent surgery for external fixation, fasciotmies right lower leg.

    Ms Dijana’s surgery was uneventful. She was commenced on pain medication post-operatively. Aside from that, her wound VAC dressing was strictly assessed including output and any signs of infection.

    Currently, Ms Dijana is pain and infection free. I would greatly appreciate it, if you could educate Ms Dijana about wound site care, possible signs and symptoms of infection and to notify the nurse immediately if any untoward observations was noted. Also, instruct the patient and family the importance of keeping the affected area sterile by keeping the blankets and clothing out of reach the wound and resting the extremity of the affected part. Lastly, kindly teach Ms Dijana about the expected output or drainage.

    Should you require more information. Please do not hesitate to contact me.

    Yours sincerely,

    Registered Nurse
    The New Victoria Hospital

  66. Ms Cathy Ina
    Community Nurse
    6 Buchanan St
    Glasgow G69 6DY
    UK
    25th July 2018
    Dear. Ms Ina
    Re : Ms Anna Dijana(aged 42)

    I am writing letter for Ms Anna Dajana who was admitted in The New Victoria Hospital due to R proximal tibia fracture & lateral tibial plateau fracture, Compartment syndrome on 15th July 2018
    She is ready for discharge to the your community

    On 15th July 2018, she had fallen from stairs and felt in pain
    She took external-fixation and fasciotomies R lower leg in the OR room with two incision
    After surgery, she has kept fractures stabilized with external fixator & fasciotomies
    Now she is on pain medication for controlling pain

    She has history of seizure with Carbamazapine

    Fortunately. she dosen’t have any symtom of infection and Wound site is clear
    We can observe only red color is in site and good drain without odor or redness
    Vital sign is also within normal and she is looks like comfortable

    She got advice about handling with wound site, signs and symtoms of infection
    If there is any symtoms of infection, need to contact immediately to the nurse

    It would be appreciated, if you could provide ongoing monitoring of Ms. Dijana’s wound and her condition

    Please, Do not hesitate to contact me if you have any concern

    Yours sincerely,

    Charge Nurse

  67. Cathy Ina
    Community Nurse
    Baillieston Community Care
    6 Buchanan St
    Glasgow G69 6DY, UK

    25th July 2018

    To: Ms Ina
    Re: Ms Anna Dijana, 42 years old.

    Ms Dijana was admitted to New Victoria Hospital on 15th July 2018 for fractures over the right lower limb, and she is now ready to be discharged into your care.

    Ms Dijana suffered right proximal tibia fracture and lateral tibial plateau fracture after a fall and was complicated with compartment syndrome on the same day of admission. Post operation, her fractures are stabilized with external fixator, and she has fasciotomy incisions with wound vac.

    Ms Dijana’s vital signs are stable and there was no complain of pain after taking her pain medications that was prescribed. Her wound and wound drainage was assessed regularly during her stay in the hospital, and no signs of infections was seen. Please assist in providing patient education on the signs and symptoms of wound infection, expected drainage, and also do reinforce about keeping the area sterile by keeping blankets and clothing out of reach from the wound. Ms Dijana should also be resting her injured site as much as possible.

    Thank you for the continued management of this patient.
    Please contact me if you have any queries.

    Yours sincerely,
    Vina Yeo
    Registered Nurse

  68. Ms. Cathy Ina
    Community nurse
    6 Buchanan st, Glascow
    G69 6DY, UK

    Dear Ms. Cathy,

    I’m writing to refer my patient Ms. Anna Dijana. She was admitted last July 15th 2018 due to right knee pain after falling from the stairs. She had external fixstion, fasciotimies on her right leg. However she has a history of seizure and on carbamazipine medication.

    She will be discharged today the 25th of July. Her woud is red in colour, free of drainage, no odor, no swelling or pain and vital are normal.

    Patient plan is to teach her to keep wound clean, teach her to look for signs and symptoms of infection and to notify nurse immediately if there is a change. To keep the wound sterile by not touching anything on her wound site.

    Please don’t hesitate to contact me if there’s any queries. Thank you.

    Yours sincerely,
    RN

  69. Ms. Cathy Ina
    Community Nurse
    Buchanan Street, Glassgow G69, 6DY UK

    25th July 2018

    Dear Ms. Cathy Ina,
    Re: Ms. Anna Dijana, Age: 42 years old

    Ms. Anna has undergone treatment of External fixation, Fasciotomies of right Lower leg due to a fall in the stairs. She is now ready for discharge and back into your care.
    Ms. Ana is on wound vaccum therapy for her fasciotomy incisions.There is no infection noted on the incision site. The patient is comfortably resting with no pain and discomfort.
    The patient is a school teacher married with 2 children. She is a nonsmoker but a social drinker.
    She is on pain medication and prescribed with Carbamazepine for her seizure attack.
    Please do assessment and monitoring about the proper wound drainage and educate her medical and nursing needs.
    Yours sincerely,
    Nurse

  70. 25 July 2018

    Ms Cathy Ina
    Community Nurse
    Baillieston Community Care
    6 Buchanan St,
    Glasgow G69, UK

    Dear Ms Cathy Ina,

    RE: Ms Ana Dijana, aged 42

    This is to refer Ms Dijana, who had undergone fasciotomies at the right lower leg due to compartment syndrome. She is being discharged today and requires your professional assistance for further care and management.

    On 15 July 2018, Ms Dijana was brought to the hospital with complaints of right knee pain, for this reason, she was unable to bear weight on her right leg which causes her to fall off the stairs. Consequently, the aforementioned surgery was done. The fracture was immobilized with an external fixator along with the wound vac. In addition, she was commenced with pain medications. Postoperatively, she is recuperating well as evidenced by her vital signs are stable, as well as the surgery site are free from the infection.

    It would be greatly appreciated if you could educate Ms Dijana on how to assess her wounds by monitoring for any signs of infection together with the expected drainage thus, to notify the nurse immediately if there are any changes. Moreover, kindly teach her how to keep the wound sterile. and lastly, please include the visitor regarding to wound care management.

    if you have any queries, please do not hesitate to contact me.

    Yours sincerely,

    Nurse

  71. 25/07/2018

    Ms. Cathy Ina
    Community Nurse
    6 Buchanan St
    Glasgow G69 6DY
    UK

    Dear Ms.Ina,

    Re: Ms. Anna Dijana, age: 42 years

    I am writing this letter to refer Ms.Dijana who underwent External- Fixation and fasciotomies right lower leg and is due for discharge today. She requires your continued care and assistance.

    Ms. Dijana is a school teacher, married, and has 2 children. She was diagnosed with right leg tibial fracture and compartment syndrome after a fall from stirs on July 15th.

    Ms. Dijana underwent Fasciotomies and her fracture was corrected with External- Fixation. There were multiple incisions and a wound vac was fixed. Postoperatively, her wound was assessed for any drainage. There are no signs of infection. the wound is red in color and odor-free. Her Vital signs are normal and she is due for discharge.

    I would very much appreciate your follow-up for Ms. Dijana. She requires education about wound site care and to assess for any signs and symptoms of infection. Kindly teach her about keeping the blankets or clothing away from the wound to keep the area sterile and to promote healing. Educate her about the need of resting her extremity. Advice on visitors of same factors and also teach her about the drainage which is normal and expected. Please note that she has Seizures and takes Carbamazepine as treatment.

    Please do contact me if you have any queries.

    Yours sincerely
    Registered nurse

  72. Ms. Cathy Ina,

    Community Nurse, 

    6 Buchanan St,

    Glasgow G69 6 DY, UK.

    25th July 2018

    Dear Ms. Cathy,

    RE: Anna Dijana, 42 years old

    Good day, i am writing to you this letter regarding Ms. Anna who is planned for discharged today. She is diagnosed with Right proximal tibia fracture & lateral tibia plateau fracture with compartment syndrome and now postoperatively of external fixator and fasciotomies.

    For your reference, on 15th July 2018, she had a fall off from stairs and developed right knee pain also unable to bear weight on her right leg. She is a school teacher, married with two children and known as seizures treated with Carbamazepines. A non-smoker but a social drinker.

    Currently, her wound is not showing any signs of infection. Her condition is stable and vital signs is normal.

    Kindly follow the discharge plan for your convenient. Patient should be teach about any signs and symptoms of infection and inform the nurses of any abnormality. I would appreciate also if you could tell her that no foreign object should be resting on the wound as to kept it sterile. And, it would be generous of you if you could advise the family or any of her visitors to do the same as well.

    Should there is any queries please do not hesitate to give me a call.

    Thank you.

    Yours Sincerely,

    Imelda Taunek

    Registered Nurse.

  73. Ms Cathy Ina
    Community Nurse
    Baillieston Community Care
    6 Buchanan St
    Glasgow G69 6DY
    UK

    25th July 2018

    Dear Ms Ina
    Re: Anna Dijana, aged 42

    I am writing to indrocude you Ms Anna Dijana, a 42-year-old teacher, who requires a wound care supervision following right leg surgery.

    On 15th July 2018, Ms Dijana was admitted to The New Victoria Hospital due to right proximal tibia fracture and lateral tibial plateau fracture, and compartment syndrome. She had external-fixation, fasciotomies surgery on right leg.

    Prior to her admission, she fell off from stairs which made her right knee painful and unable to walk. Urgent surgery was performed after she was rushed to the hospital. Ms Dijana has history of seizures on carbamazepine.

    Today, her condition improved and pain is controlled by pain relievers. The wound on right leg is healing well which does not appear swollen and not painful. It appears red, no pus, no odor and no redness on the surrounding area and is currently managed by VAC machine which requires regular dressing and monitoring.

    Ms Dijana was informed about looking after her wound including expected discharges, signs and symptoms to watch out for impending infection, and informing a nurse immediately if she finds anything unusual. She is also aware of risks of touching blankets and clothes into her wound that could make it dirty. She is advised to rest especially her affected leg and she understands that visitors should do the same precautions.

    I would be greatful if you could ensure her part about wound management is carried out as planned.

    Yours sincerely,
    Nurse Pinoy

  74. (2nd try)

    Ms Cathy Ina
    Community Nurse
    Baillieston Community Care
    6 Buchanan St, Glasgow G69 6DY
    UK

    25th July 2018

    Dear Ms Ina
    Re: Anna Dijana, aged 42

    I am writing to refer you Ms. Anna Dijana, a 42-year-old teacher, who is discharging today and requires your care following right leg surgery.

    On 15th July 2018, Ms. Dijana was admitted to The New Victoria Hospital due to right proximal tibia fracture and lateral tibial plateau fracture, and compartment syndrome. She had external-fixation, fasciotomies surgery on right lower leg. Prior to admission, she fell off from stairs which made her right knee painful and unable to walk. She was rushed to the hospital, administered pain relievers, and had urgent surgery.

    Today, her condition has improved, and vital signs are normal. Her wound is healing well and managed by VAC machine. It appears red, free of discharges, no odor or redness on surrounding area. It does now appear swollen and not painful.

    She was taught about identifying signs and symptoms to watch out for impending would infection, expected discharges and informing a nurse immediately if she notices anything unusual. She is aware to keep the wound covered so blankets and clothes could not touch it directly. She is advised to rest especially her right leg and tell visitors to be mindful when they get closer.

    I would be grateful if you could ensure that wound condition is closely monitored. Thank you very much.

    Your sincerely,
    Nurse Pinoy

  75. Ms. Cathy Ina
    Community Nurse
    6 Buchanan St, Glasgow
    G69 6DY, UK

    25 July 2018

    Dear Ms Ina
    Re: Anna Dijana

    I am writing regarding Mrs Dijana, a 42-year-old and teacher, to briefly inform you about her condition, as well as her medical and nursing needs. She is ready to be discharged today into your care.

    Mrs Dijana was admitted to The New Victoria Hospital with right knee pain after falling off stairs on 15 July 2018 and unable to bear weight on R leg. She was diagnosed with R proximal tibia fracture & lateral tibial plateau fracture, and compartment syndrome and treated with an external fixator and fasciotomies.

    On hospitalization, Mrs Dijana’s postoperative progress is largely uneventful. Her pain was controlled by medications. There is not any sign of infection including drainage, odor, or redness in her wound area. Her vital signs remain in normal limits. At the time of writing this letter, she is resting comfortably.

    On discharge, Mrs Dijana is educated in postoperative management: She will observe her wound area in terms of any infection symptoms. She is to keep the area sterile by keeping blankets and clothing out of reach of the wound. She was informed about the expected drainage. She should be encouraged to rest the extremity and affected body parts.

    I would greatly appreciate it if you could arrange a home visit to meet Mrs Dijana’s medical and nursing needs. Should you have any queries, please feel free to contact me.

    Faithfully,
    Nurse.

  76. Ms.Cathy Ina
    Community Nurse
    6 Buchanan street
    Glasgow G69 6DY
    UK

    30-03-22

    Dear Ina,

    Re: Anna Dijiana, 42 years old.

    Thank you for accepting Ms.Dijina into your care for the regular monitoring of her wound and continuity of care. She has recently undergone Right lower leg faciotomies with external fixation and now ready to be discharged.

    Ms. Dijana was admitted on 15th July right leg pain due to fall and was diagnosed with right proximal tibia fracture, and lateral tibial plaute fracture and compartment syndrome. She was unable to bear weight on the right leg.

    Post operatively, her wound was connected with Vac dressing and fractures were stablised. Her pain has controlled with painkillers. Please note that her wound is free from signs and sympotoms of infection.

    With regards to past medical history, she has been suffering with seizures for which she takes carbamazepine.

    Kindly instruct the patient and the visitors regarding close monitoring of the wound site for the signs of infection and in case of any abnormal changes to inform the nursing team immediately .Please ensure her wound is away from blankets and clothing and educate her on the same. Importantly, she might experience mild discharge at he wound site which is expected and if any foul smelly discharge should be notified. For your information, please make sure she keeps the right leg and other body parts in appropriate position.

    If you have any questions, please do not hesitate to contact me or my team.

    Yours sincerely,
    Nurse.

  77. Ms Cathy Ina
    Community Nurse
    Balliaston Community Care
    6 Buchanan St.,
    Glasgow G69 6DY,
    United Kingdom

    25 July 2018

    Dear Nurse Ina

    RE: Ms Anna Dija, 42 years old

    I would like to introduce Ms Dijana, who undergone External Fixation, fasciotomies on her right lower leg. She will require continued post operative care and management upon her discharge later today.

    Ms Dijana is a school teacher, married with two children. In 15 July 2018, she was rushed to OR for two-incision fasciotomies of her right lower leg, following a fall in stairs incident. Now she was unable to bear weight on her right leg. Furthermore, she is showing no signs of infection, wound is red in color free of drainage, no odor or redness, no swelling or pain noted and her vitals are stable. In additional she has a wound vac on her fasciotomy incisions, ongoing assessment for signs of infection is required.

    She would benefit from your help in teaching about how to keep her wound sterile, and rest her legs, what to expect about wound drainage, and how to assess for any signs and symptoms of infection, and to notify nurse immediately if there is any changes. Lastly, advising any visitors of the same factors may be beneficial for her.

    If you have any questions, please contact me.

    Yours Sincerely
    Nurse

  78. Ms. Cathy Ina
    Community Nurse
    Baillieston Community Care
    6 Buchanan St
    Glasgow G69 6DY
    United Kingdom

    25th July 2018

    Dear Ms. Ina

    Re: Ms. Anna Dijana, aged 42

    Thank you for accepting Ms. Dijana, who was admitted to our hospital on 15th July 2018 due to right proximal tibia and lateral tibial plateau fracture with compartment syndrome following a fall. She underwent external fixation and fasciotomies of right leg and she is now ready for discharge today into your facility for continuous support and monitoring of the management of her wound.

    Postoperatively, Ms. Dijana ‘s recovery was largely uneventful, her vital signs were stable and her wound healed well without signs of infection, swelling or pain. She was managed with pain medication. Her past medical history includes seizures managed with Carbamazepine. She is a social drinker and non-smoker.

    It would be greatly appreciated if you could advise Ms. Dijana and her visitor on the management of wound care and expected drainage from the wound, and inform nurses if there are any changes or signs and symptoms of wound infection. Please ensure the sterility of the wound by keeping blankets and clothing out of reach of it. And ensure appropriate positioning of resting extremities and body parts to enhance the full recovery of the patient.

    Please do not hesitate to contact me if any queries arise.

    Yours Sincerely
    Charge Nurse

  79. Ms Cathy Ina
    Community Nurse
    6 Bunchanan St,
    Glasgow G69 6DY
    United Kingdom

    25th July 2018

    Dear Ms. Ina,
    Re: Anna Dijana, aged 42

    I am writing you to refer Miss Anna for post-discharge care. Miss Anna was discharged from the hospital for External Fixation and fasciotomies of her right lower leg.

    Miss Anna was admitted to our hospital on the 15th of April for a fracture of her right lower leg, complicated by compartment syndrome. She had surgery performed and is currently on vac therapy for her fasciotomy wounds. Post-surgical pain was managed with painkillers. Currently, the patient is free from wound infection as assessed. The wound bed looks healthy and dry. There is no foul-smelling discharge as the wound is dry. The patient vitals are normal, and she is comfortable.

    As for her medical background, she has a history of seizures and is on a preventive medication called Carbampazine. Prior to her admission, on the 15th of July, she had a fall injuring her right knee. Therefore, she is unable to bear weight on her right leg.

    It would be greatly appreciated if you could educate Miss Anna on wound management, changes in drainage, and observing signs and symptoms of infection. She should also be taught how to keep the wound as sterile as possible without contact with any foreign material. It would be beneficial if the advice would be also given to the visitors.

    Should there be any queries, please do not hesitate to contact me.

    Yours Sincerely,
    Registered Nurse

  80. Ms Cathy Ina
    Community Nurse
    6 Buchanan St
    Glasgow G69 6DY
    UK

    25 July 2018

    Dear Ms Ina,
    RE: Anna Dijana, aged 42

    I am writing regarding Mrs Anna Dijana, who was admitted on 10th May due to tibia fracture and compartment syndrome. She is scheduled to be discharged today and need your further assistance.

    On admission, Mrs Dijana was suffering from right knee pain following a fall from stairs, preventing her to bear weight in this leg. She was diagnosed with right tibia and lateral tibial plateau fractures and compartment syndrome. An urgent surgery was performed and external-fixation and fascionities stabilized the fractures.

    She has made good progress overall. Wound and drainage are free of infection signs nor swelling. Pain was managed with medication, and she has been able to rest comfortably.

    It would be greatly appreciated if you could give your assistance to Mrs Dijana in her ongoing care. Would you instruct her about identifying infection signs and encourage her to inform you as soon as she notes any change? Please teach her how to take care of the wound avoiding clothing contact, and instruct her about what to expect from the drainage and to monitor it as well. Kindly advise her to rest the leg affected. Could you share the same instructions to any visitors that might accompany her?
    If you have any queries, please do not hesitate to contact me.

    Kind regards,
    Nurse

  81. Ms Cathy Ina
    Community Nurse
    6 Buchnan Street
    Glasgow G69 6DY, UK

    Dear Ms Ina

    25th July 2018

    Re: Anna Dijana, aged 42

    Thank you for taking care over Ms Dijana, who requires ongoing nursing management after her surgery. She underwent to an external-fixation and fasciotomies of her lower right leg.

    Ms Dijana was admitted to the New Victoria Hospital in 15th July after she fell off stairs. It led to a fracture of her right tibia and lateral tibial plateau. It was aggravated by a compartment syndrome and she was totally unable to walk.

    After surgery, the incision wound was treated with VAC therapy in order to prevent any infection. Now, wound is healing nicely and patient is recovering very well.

    I would highly appreciate if you could ensure that the wound area is kept clean and sterile. Patient is already educated on how perform a good care. Resting is strongly recommended.
    Please do not hesitate to contact me should you require any further information.

    Yours sincerely,
    Nurse

  82. Ms Cathy Ina,
    Community Nurse,
    6 Buchanan St,
    Glasgow G69 6DY, UK.

    25 July 2018

    Re: Ms. Anna Dijana a 42-year-patient

    Dear Community Nurse Ms Cathy Ina,
    I’am Domenico one of the Nurses at the New Victoria Hospital, I write you for my patient Ms. Anna Dijiana wich admitted in my ward in 15th of July for R proximal tibia fracture and lateral tibial plateau fracutre and Compartment syndrome after she fell down off stairs.
    She is a School teacher, is married with two children, non-smoker and she is social drinker.
    She suffer by a seizures on Carbamazepine.
    She was treated in our ward with two-incision for compartment syndrome and with an external fixator and fasciotomies performed for the fractures, and we gave her pain medications.
    In the days after the surgery we applied a Wound VAC on the incisions wich we did and we didn’t see signs of infection.
    Now Ms Dijiana is free of infection, her Wound is red in color, free of drainage, no odor or redness.
    Her Vital Signs are normal and the Patient is resting comfortably.

    I teached Ms Dijiana to be able to notify signs and simptoms of infection, to keep the area sterile and about expected drainage.

    I’am so glad wich you accept my patient at your Community care and I’am here to further information or douts so if you have do not hesitate to contact me.
    Your sincerely,

    Nurse Domenico.

  83. Ms. Cathy Ina,
    Community Nurse,
    6 Buchanan St,
    Glasgow G69 9DY,
    Uk.

    25th July 2018

    RE: Anna Dijana, aged 42
    Dear nurse, I am writing to refer my patient aged 42 and married with two children.
    She was admitted to this hospital on 15.07.18 after R proximal tibia fracture and lateral tibial plateau fracture. Today, Ms. Ina will be discharged and she needs further care and management.

    When the patient arrived here, she was just fell off the stairs and she was brought to the emergency department where she was undergone a surgery procedure. After the operation, her fractures are stabilized with an External fixator and her pain is under pain killer. Moreover, we did wound vac on fasciotomy incisions.

    Now, her vital signs are normal. She doesn’t have signs of infection at the surgical site and she doesn’t have swelling or pain. Fortunately, patient is resting comfortably and stable.

    I would be grateful if you could educate Ms. Ina how to keep the area sterile by keeping blankets and clothing out of reach of the wound and how to understand if there is signs or symptoms of infection and when notify nurses if anything changes.

    I would appreciate if you could keep me informed about her further management.
    Your sincerely,
    Nurse Claudia.

  84. 20TH May, 2022

    Ms. Cathy Ina
    Community Nurse
    6 Buchanan St
    Glasgow G696DY
    UK

    Dear Ms. Ina,

    Re: Ms Anna Dijana, 42 years old

    I am writing this letter in regards to Ms. Dijana who will be discharged today. Kindly requesting for further nursing management and care.

    On 15th July, 2018, Ms. Dijana injured her right knee by falling from the stairs and was unable to bear weight on her right leg. On admission, she was diagnosed with right proximal and lateral tibial fracture and compartment syndrome. she was taken to operating room and underwent two-incisions fasciotomies of right lower leg. Her fracture was stabilized with external fixation.

    Regarding her past medical history, Ms. Dijana suffered from seizure for which she takes Carbamazepine.

    Furthermore, patient has a wound vac on fasciotomy incisions from where the signs of infection is assessed. Wound appears to be clean with no swelling or pain. As per discharge plan, patient is required to understand signs of infection of the wound site and to inform immediately if any changes noticed. The patient needs to be advised how to keep the wound sterile and drainage is expected.

    For further enquires, do not hesitate to contact me.

    Yours Sincerely,
    Registered Nurse.

  85. Ms Cathy Ina
    Community Nurse
    6 Buchanan St
    Glasgow G69 6DY
    UK

    25 July 2018

    Dear Ms Ina,

    RE: Anna Dijana, aged 42.

    I am writing regarding Mrs Anna Dijana, who was admitted to our hospital due to a right tibia and lateral tibial plateau fracture. She is scheduled to be discharged today and will need your care to her ongoing recovery.

    Ms Dijana fell from stairs on and was diagnosed with fractures of the right tibia and compartment syndrome, causing severe pain and preventing her to bear weight on right leg. She underwent to a surgical procedure and fractures were stabilized with external fixation and fasciotmies were performed.

    Ms Diana has made good progress. She is free of infection, and the wound has no inflammatory signs. There is no swelling of the leg affected nor pain, and she has been able to rest comfortably.

    Now Ms Dijana is ready to be discharged and needs your further support. The extremity of the leg should rest. Please instruct her how to recognize signs and symptoms of infection, and kindly request to be immediately informed in case of any change. Please teach her how to keep the area sterile avoiding clothing or blankets contact. Kindly advise visitors about it as well. I would be grateful if you instruct her about the expected drainage.

    If you have any queries, please do not hesitate to contact me.

    Your sincerely,
    Nurse

  86. Ms. Cathy Ina
    Community Nurse
    Baillieston Community Care
    6 Buchanan Street
    Glasgow G69 6DY, UK

    11 July 2022

    Re: Mrs. Anna Dijana

    Dear Ms. Ina

    I am writing this letter to discharge Mrs. Anna Dijana into your care after who was admitted on 15 July 2018 and undergone external fixation and fasciotomies on right lower leg due to fall. She is set to be discharged on 25 July 2018 and your continuity of care is requested.

    Mrs. Dijana presented to hospital due to right knee pain following a fall, upon assessment she had fractures on her right proximal tibia and lateral tibial plateau. In addition, she was also diagnosed with compartment syndrome. Previously she had seizures and currently taking carbamazepine.

    During hospitalization, Mrs. Dijana was rushed to OR for fasciotomies of right lower leg. Subsequently, an external fixation was done to stabilized her fractures. She was given pain medication as needed and a wound vac was performed on incisions.

    Since Mrs. Dijana did not manifest signs of infections, she is now ready to be discharge and your continuous management is needed. Please note that she is already aware about the signs and symptoms of infection and advised to notify the nurse if any changes seen. Kindly, to demonstrate to her how keep the area sterile and do the same to those who come to their house. Lastly, inform her about the color of drainage she will expect for the coming days.

    Should you have any question about Mrs. Dijana, do not hesitate to contact me

    Yours sincerely,

    Nurse

  87. 25th July 2018

    Ms. Cathy Ina
    Community Nurse
    6 Buchanan St
    Glasgow G69 GDY, UK

    Re: Anna Dijana, aged 42

    Dear Ms. Ina,

    I am writing to refer Ms. Dijana, a married school teacher who had a history of fall last 15th of July 2018. She was diagnosed with right proximal tibia and lateral tibial plateau fracture and compartment syndrome. She requires further monitoring and management.

    Post operatively, her fracture was stabilized using external fixation and fasciotomies. Wound vaccuum was also placed on the incision sit for drainage. She also has pain medications.

    Currently, she shows no signs of infection and her vital signs are all stable. She has no wound discharge as of today.

    It would be greatly appreciated if you could continue her patient care with health teaching regarding expected wound drainage, signs of infection and how to keep the wound area sterile. This should also be reiterated to her visitors. Should she have any untoward changes and concerns, remind her to notify us immediately.

    Enclosed herewith are all pertinent patient details. Should you have additional queries, do not hesitate to contact me.

    Yours respectfully,
    Nurse

  88. MS. Cathy
    Community nurse
    Baillieston community care
    6- Buchanan st
    Glasgow G69 6DY, UK
    25 July 2018
    Dear Ms. Cathy Ina
    RE: Anna Dijana , aged 42

    I m writing with regards to the discharge of Mrs. Dijana, who underwent external fixation and fasciotomies of right leg. she requires your further monitoring and care.

    Mrs. Dijana was admitted on 15th July 18 with right proximal tibia and lateral tibial plateua fracture along with Compartment syndrome following fall off stairs. For this fasciotomies of right lower leg was done in the OT and fracture was stabilized immediately.

    Mrs. Dijana postoperative phase was uneventful with no swelling, redness, odor .Her wound was assessed and were free from sign of infection and drainage. Her vitals are normal and she is resting comfortably without pain.

    Upon discharge, educations on wound care and signs and symptoms of infection is given. iIt would be greatly appreciated if u could provide health education to her along with her visitors regarding possible ways to maintain wound site sterile by keeping blankets and clothing away from wound and resting extrimites. Also , inform her about expected drainage and notify if anything change occur.

    If you have any quires , please do not hesitate to contact me.

    yours sincerely
    Registerd nurse

  89. The Community Nurse
    Brailleston Communith Care
    6 Buichanan st
    Glasgow G69 6.Dy
    UK
    25th July 2018

    Dear Ms Ina
    Re: Ms Annah Dijana,42 years old

    I am writing regarding Ms Dijana who was admitted to the hospital on the 15th july 2018 for right proximal tibia fracture and lateral tibia plateau fracture with compartment syndrome.She is ready for discharge today for continuity of care.

    Ms Dijana presented with pain on the right knee following a fall and on arrival was immediately taken to theatre for operation.The fracture was stabilised with external fixation and facsiotomies
    also done on the right lower leg.

    Please note that Ms Dijana has history of convulssions which are controlled.She is taking carbamazepine.

    Currently Ms Dijana is stable.The wound is clean with no signs of infection.
    Kindly recieve Ms Dijana for ongooing care. She has been educated on signs and symptoms of infection.She was a;so adviced to report immediately to the nurse if she notices any changes.Please note that further education is needed on on wound care in order to keep the wound free from infection.Include family members and visitors in the education so that they can also be careful not to contaminate the wound.Furthermore make her aware of the expected drainage.

    Please do not hesitate to contact me for any clarifications.

    Yours sincerely

    Nurse

  90. Ms. Cathy Ina,
    Commmunity Nurse,
    6 Buchanan Street,
    Glasgow G6.
    25/08/2018

    Re. Anna Dijana, age, 42

    I am writing to refer Ms. Dijana, aged 42, who is going to be discharged today after her right lower leg faciotomy and exteranal fixation of her right tibia following right tibial and lateral tibial plateau fracture due to falling off stair, probably because of seizures on15th July, 2018. Your continuous care will be highly appreciated.

    Ms. Dijana was rushed to the emergency room due to her right leg pain due to fall of the stairs. In the ER two incisions were made to relieve the compartment syndrome and external fixation of her right tibia was done post-operatively. Pain killers were given for pain relief.

    Wound Vac was done for fasciotomy incisions and wound was assessed for any sign of drainage or infection. Upon assessment, wound is red in colour, free of discharge and there is no bad odor. No redness was observed. She is free of pain and vitally stable. She is resting comfortably.

    Ms. Dijana was taught about the signs and symptoms of infection and she was advised to call the nurse immediately if she notice any sign of infection. She was also taught how to to keep the wound sterile by keeping the blanket and clothes away from wound site. She was also advised to rest the extremity body parts. The visitors were advised the same.

    Socially, Ms. Dijana is a school teacher, married with two children , non-smoker and drink socially.

    She is having past medical history of seizures and taking carbmazepines.

    Your further care will be highly appreciated. Please let me know if you have any queries.

    Yours sinecerely

  91. 25 July 2018
    The Community Nurse
    6 Buchanan St
    UK
    Dear Ms Ina
    RE:Anna Dijana,aged 42
    I am writing in regards to Ms Dijana ,whom i am discharging into your care for supportive nursing and medicinal needs following a diagnosis of compartment syndrome post external fixation.

    Upon her admission to new Victoria Hospital,her chief complaint was right knee pain,associated with inability to bear weight on affected limb.Post assessment and evaluation ,her findings showed need of urgent inscison (four compartment )fasciotomy together with wound evacuation.

    regarding her social lifestyle she is married with two children ,working as a teacher who is a non
    smoker and a social drinker..further more it has indicated that she is a known epileptic on carbamazepine for management of her on and off seizures .
    k
    thank you for accepting Ms Dijana for care continuity and management.she need education on wound site care,drainage expectations, how to recognize early signs and symptoms of wound infection and complications

    if there are any queries regarding Ms Dijana,please do not hesitate to contact me
    Yours sincerely
    Registered Nurse

  92. Ms. Cathy Ina
    Community Nurse
    Baillieston Community Care
    6 Buchanan St. Glasgow G69 6D,UK

    25 July 2018
    Dear Ms. Ina,

    Re: Annna Dijana, 42 years old

    I am writing this letter to refer to you patient Anna Dijana who underwent for External-Fixation and Fasciotomies at right lower leg who is ready for discharge and requires your professional care regarding wound care and prevention of infection.

    Mrs. Dijana was admitted for ten days. She had a history of fall and subsequently having a pain over her right knee causing her to not ambulate and unable to bear weight on her right leg. The operation was successful and she was given pain medication post-operatively.

    Mrs. Dijana has a history of seizurez and she is taking carbamazepine. Currently, Mrs. Dijana is recovering well with no signs of infection. Her wound is healthy and no complications.

    I would be greatly appreciate it if you could teach her how to maintain her wound clean and dry to prevent infection. Additionally, she needs to know about what to report for any changes in wound characteristics or color.

    If you have any questions don’t hesitate to call me.

    Yours sincerely,

    Registered Nurse

  93. 28th July 2018

    Ms Cathy Ina
    Community Nurse
    6 Buchanan St
    Glasgow G69 6DY, UK

    REF: Ms Anna Dijana

    I write this letter to refer Ms Dijana who is being discharged today.

    She was admitted on 15th of July 2018 with a fracture of R proximal tibia and fracture of lateral tibial plateau following a fall off the stairs.

    On presentation she was complaining of R knee pain and inability to bear weight. Patient underwent external fixation and fasciotomy sucessfully. Suture line is intact and free of infection. Her vital signs are within normal ranges.

    Patient needs to be advised on how note symptoms of infection, how to prevent infection and to report any abnormalities immediately once noted. Kindly advise her on expected wound drainage and the need to rest her limb.

    Please do not hesitate to contact me for any querries.

    Yours sincerely

  94. Ms Cathy Ina
    Community care nurse
    Baillieston Community Care
    6 Buchanan Street
    Glasgow G69 6DY

    25 July 2018

    Dear Ms Ina,
    Re: Anna Dijana 42 year old

    Ms. Anna Dijana is a 42 year old school teacher, married with two children, and history of Seizures .She has been admitted to our hospital with right proximal tibia and lateral plateau and compartment syndrome. She is now ready to be discharged to your care.

    Patient admitted to our hospital due to right knee pain after falling off the stairs on 25th July. She was rushed to operationg room for two incisions (four-cmpartment) fasciotomies to right lower leg.
    Ms Dijana is now stable and free from infection. However she will need to have teached about her wound site, signs and symptoms of infections such as wound colour, if theres any drainage and odour and to notify a nurse immediately, if anything changes. Teach the patient how to keep the area sterile by keeping blankets and clothing out of reach of the wound and encourage her to rest affected the extremity.
    If any queries you can contact me

    Kind regards
    Liz Vergel
    Registered Nurse
    The New Victoria Hospital

  95. 25 July 2018

    Ms. Cathy Ina
    Community Nurse
    6 Buchanan St
    Glasgow G69 6DY
    UK

    Re: Anna Dijana, 42 years old

    Dear Ms. Ina,

    I am referring Ms. Anna Dijana for continuous care and management. She recently underwent external fixation and right leg fasciotomies due to tibial fractures and compartment syndrome. She is now ready for discharge.

    Upon admission last 15th of July, she was unable to bear weight on her right leg and complained right knee pain post falling off the stairs. Ms. Dijana was directly rushed to the operating room for external fixation and right leg fasciotomy. Post-operatively, wound vac was placed on the incision site for drainage, the fracture was stabilized using an external fixator and pain medications were given as needed. There were no signs of wound and discharge infection during assessment. Wound is red in color, no unusual odor and free of drainage. Ms. Dijana’s vital signs were checked and revealed normal results. No verbalization of pain and swelling was not noted.

    It would be of great help if you could assist Ms. Dijana about wound care and when to notify a nurse if any signs and symptoms of infection appear. I also suggest to teach Ms. Dijana to keep and maintain the post operative site sterile by avoiding blankets or any clothing touching the wound. Resting the injured extremity is also vital. Ms. Dijana must also be informed of the expected drainage from the wound.

    If you have any queries, feel free to contact me.

    Respectfully yours,

    Emma Santos
    Registered Nurse

  96. MS. CATHY LNA
    COMMUNITY NURSE
    6 BUCHANA ST,
    GLASGOW G69 6DU, UK

    DATED MAY,29 2022
    SUBJECT:- REGARDING MS. ANNA DIJANA PATIENT DETAIL.
    DEAR MAM
    MS.ANNA DIJANA 42 YEARS OLD PATIENT WAS ADMINTED IN OUR HOSPITAL ON 15TH JULY 2018 WITH THE COMPLAINT OF PROXIMAL TIBIA FRECTURE AND LATERAL TIBIAL PLEANT FRECTURE. HER FRECTURE WAS TREATED WITH EXTERNAL FIXATION. SHE IS A PATIENT OF CARBOMIZAPINE AND SEIZURES. SHE HAD PAIN ON RIGHT KNEE AFTER FALLING OF STAIRS AND UBABLE TO BEAR WEIGHT ON RIGHT LEG. PATIENT RUSHED TO TWO INCISORS AND PRESCRIBED THE PAIN KILLER. Now she is feeling good. No sign of redness on wound,No swelling and pain, Vital sings are normal. Drainez pipe has been removed. She is resting comfortly.
    she did not smok and regular drink.She is married and has two children. SHE HAS BEEN DISCHARGED TODAY.all the information related to the patient describe as above. please contact to me for any other information.

    Ms.Arya
    New Vicrotia Hospital

  97. Cathy Ina
    Community Nurse
    Baillieston Community care
    6, Buchanan St, Glasgow G69 6DY, UK

    Jul 25, 2018

    RE: Anna Dijana Aged 42

    Dear Ms Cathy,

    I am Writing this letter to inform regarding Mrs. Dijana who will be discharged today from our care and be needing your your follow up and assistance in your community. She has been diagnosed with Right proximal tibia fracture and lateral tibia plateau fracture with compartment syndrome. she has a past medial history of Seizure as well with maintenance medication.

    On the day of July 15, 2018 she was rushed in our hospital because of right knee pain and unable to bear weight on his leg after falling from the stairs, she had undergone right lower leg fasciotomy and stabilization of fracture with internal fixator.
    while on recovery she is receiving pain medications and daily wound dressing to avoid any complications. right now she is hemodynamically stable, her wound is healthy with no signs for any infection and resting comfortably. Health teaching was given to her for proper wound dressing, keeping the wound area dry and free from cloths and linens to maintain cleanliness and sterility, enough extremity rest and to spot any changes with her drainage.

    If you could kindly check if Mrs. Dijana is performing all of the health teachings given to her, monitor if she is taking her medications on time, to check her wounds if there are any signs of infection and lastly to educate her carer regarding the her condition and the importance of assistance while on recovering from fracture.

    Thank you and if there are any questions, please fell free to contact us.

    yours truly,

    Simon
    Nurse
    New Victoria Hospital

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