Read the case notes below and complete the writing task which follows.

notes:
Hospital: St. Mary’s Public Hospital, 32 Fredrick Street, Proudhurst
Patient Details: Ms Bethany Tailor
Next of Kin: Henry Tailor (father, 65) and Barbara Tailor (mother, 58)
Admission date: 01 March 2018
Discharge date: 18 March 2018
Diagnosis: Schizophrenia
Past medical history:
 Hypertension secondary to fibromuscular dysplasia
 Primary hypothyroidism Levothyroxine 88 mcg daily
Social background:
 Unemployed, on disability allowance for schizophrenia.
 History of polysubstance abuse, mainly cocaine and alcohol. Last used cocaine 28/02/18:

Admission 01/03/2018:
 Patient self-admitted: decompensated schizophrenia

Medical background:
 Not compliant with medications.
 Admitted for auditory command hallucinations telling patient to harm self.
 Visual hallucinations – shadow figures with grinning faces.
 Delusion – personal connections to various political leaders.

01/03/2018 –
 agitated and aggressive, responding to internal stimuli with thought blocking and latency.
 Commenced antipsychotic meds (rispoderone).
10/03/2018:
 Patient ceased reporting auditory or visual- hallucinations.
 Less disorganised thinking.
 No signs of thought blocking or latency.
 Able to minimise delusions and focus on activities of daily living.

Nursing management:
 Assess for objective signs of psychosis.
 Redirect patient from delusions.
 Ensure medical compliance.
 Help maintain behavioral control, provide therapy if possible.

Assessment:
 Good progress, chronic mental illness, can decompensate if not on
medications or abusingsubstances. Insight good, judgment fair.

Discharge plan:
 Discharge on Risperidone 4g nightly by mouth.
 Risperidone 1 milligram available twice daily p.r.n for agitation or psychosis.
 back to apartment with follow-up at Proudhurst Mental Health Clinic

Writing Task:
Ms. Bethany Tailor is a 35-year-old patient in the psychiatric ward where
you are working as adoctor

Using the information given in the case notes, write a discharge letter to the
patient’s primary care
physician, Dr. Giovanni DiCoccio, Proudhurst Family Practice, 231 Brightfield
Avenue, Proudhurst

In your answer:
● Expand the relevant case notes into complete sentences
● Do not use note form
● Use correct letter format

The body of your letter should be approximately 200 words. Use correct letter
format.