lOMoARcPSD| 39099223
Read the case notes below and complete the writing task which follows. (30 points) Notes:
Assume that today’s date is 11 November 2021
You are a nurse in a city clinic. Mrs Melanie Bell is under your care for 2 months. Today she is referred
to a ward of Endocrinology Dept. for further monitoring and treatment. PATIENT DETAILS: Name: Melanie Bell DOB: 15 June 1964 Social History: lives with her husband has two children home duties Family History:
Mother – diabetes, died stroke 10 years ago Unremarkable Medical History: No medications 08/09/2021 Subjective:
4 months thirst, bulimia, nocturia (4 times per
night) lethargy 7 weeks dizziness Objectives: Ht. 1.60 Wt. 95kgs. Pulse 84 reg., BP 160/95 Plan:
Arrange investigations – blood sugar, mid-stream urine
(MSU) Dietary advice re-weight loss, appropriate foods 11/11/2021 Subjective:
Report has followed diet, no weight loss Symptoms unchanged Frequent headaches Objective: No weight loss BP 170/95
Investigation results: blood sugar 11 mmol/l • no sugar in urine • albumin in urine ++ lOMoARcPSD| 39099223 Plan:
Prescribe antidiabetic and antihypertensive medications Continue diet
Referral Dr Harley Elsevier, endocrinologist Dr. Harley Elsevier, Endocrinologist
City Clinic, Endocrinology Dept. Dear Dr. Harley Elsevier, November 11, 2021 RE: Patient Melanie Bell DOB: 15 June 1964
I hope my letter finds you well. Mrs. Melanie Bell, under my care for two months, is being referred to
your endocrinology ward for further evaluation. Today, Mrs. Bell was moved to the nutrition ward due
to persistent symptoms despite previous interventions. Mrs. Bell, residing with her husband and two
children, has a family history of diabetes and stroke. Her medical history is unremarkable, with no current medications.
Initial symptoms included prolonged thirst, bulimia, nocturia, lethargy, and dizziness. Recent
assessments show no improvement, with elevated blood pressure and blood sugar levels. Medications
were initiated with no observed response.
Prescriptions for antidiabetic and antihypertensive medications have been initiated. Considering the
lack of improvement and complex symptoms, I request your expert evaluation for tailored management.
Thank you for your attention to this referral. For further details, please contact me at my ward. Sincerely, lOMoARcPSD| 39099223 Nurse