25 July, 2009

The Director
Community Child Health Service
41 Jones Street
Ekibin

Dear Sir/Ma’am,

Re: Vamuya Obeki, 4 year-old

I am writing to refer Vamuya, a four year-old child together with his family for further management and
evaluation. Vamuya has suffered from an acute meningoencephalitis secondary to a complication following
mumps, hence his admission at the hospital.

On the 15th of July 2009 he was being presented by his parents at the children’s emergency department and was
being diagnosed of meningoencephalitis. His medical history traces that the patient hasn’t received vaccination
for mumps as well as his younger sibling. His parents states that both children has received some kind of
vaccination at birth but have lost their record. As regards the patient’s social background, he was born in Sudan
and arrived in Australia in 2008 with his parents and a 2 year-old brother as a refugee. They have no family
doctor and that they have limited understanding of the English language.

As the patient shows full recovery from mumps and meningoencephalitis, the patient will be discharged today.
However, Vamuya will be needing a neurological check-up as well as vaccination for mumps on both children.

I would be glad if you could have someone to assist for this family’s needs and that they be given proper medical
support. Should you have queries, please contact me at (07) 3848555.

Sincerely yours,

Sherry May S. Jungco

Nurse
Children’s Hospital
13 September, 2009

The Director
Community Child Health Service
41 Vulture Street
West End, Brisbane 4101

Dear Sir/Ma’am,

Re: Nicole Smith, 18 years old

I am writing to refer Nicole, an eighteen year-old postpartum, for home visit to provide advice and assistance.

On the 9th of September, 2009, Nicole presented to the hospital on her first stage of labour which lasted for 16
hours that causes fetal distress and a failure of progress which opted to do emergency cesarean section. On the
10th of September, 2009 she delivered a live baby boy and is progressing well with the evidence of good suckling
reflex. Her medical history traces that she has no complications during her entire pregnancy. As regards the
patient’s social background, she lives in a rental share flat in Brisbane and has no family member in there and
has no contact with them.

Given that the patient is recovering from a blood loss and is taking Fefol (iron supplement) and Vitamin C. My
concern is that she is not that confident in having the baby breastfed, and overall caring for the baby.

It would be greatly appreciated if you could send someone to do home visit and follow up on Nicole and her
baby. Nicole requires appropriate assistance and advice to encourage her in developing proper parenting skills
considering her isolated situation. Should you have any queries, please do not hesitate to contact me.

Sincerely yours,

Sherry May S. Jungco

Charge Nurse
Spirit Mother’s Hospital
21 May, 2009

The Director
Blue Nursing Service
207 Sydney Street
West End

Dear Sir/Ma’am,

Re: Ms. Annette MacNamara

14 June, 1936

I am writing to refer Ms. Annette MacNamara, a pensioner who suffers from fractured wrist and laceration of
hand, for continuity of care and physiotherapy.

On the 20th of May, 2009, Ms. Annette MacNamara was admitted to the hospital following fall while descending
stairs to put out garbage at home, hence the result to her fractured wrist and lacerated left arm which requires
stitches. His medical history traces that the patient has now controlled high blood pressure with maintenance
medication of Karvea 150mg daily in the morning, and Normison 10mg one tablet nightly for her insomnia when
required.

As regards the patient’s background, she recently moved solely to a small flat in new suburb. Her next of kin is
her niece Stella Attois who lives and works in Southport who generally visits her once a fortnight. Thus,
practically, there is no one who can assist her on her daily physiotherapy.

As the patient shows significant signs of recovery and with no complications, she is due for discharge on 22 May,
2009. Included in the patient’s discharge plan are the following: daily visits from Blue Nursing Service to assist
with showering and to dress hand wound. Social workers to organise Meals on Wheel and physiotherapy. On 31
May, 2009 at 10:30 am is her scheduled review of situation in the outpatient department and her appointment
for removal stitches.

I would be grateful if you could heed to this request in behalf of the patient. Should you have further queries,
please do not hesitate to contact me at (07) 389-77642.

Sincerely yours,

Grace Jones
Qualified Nursing Sister
Princess Alexander Hospital
7 July, 2008

The Director
Department of Veterans Affairs
GPO Box 777
Brisbane 4001

Dear Sir/Madam,

Re: DVA eligibility for Mr. Jim Middleton, 84 years old

I am writing to request for Mr. Jim Middleton, an 84 year old veteran who has just undergone surgery for a left
inguinal hernia, and for his wife Olga as well for home visit and an aide for his application on re eligibility for
pension in the DVA and any other assistance that your department provides.

On the 7th of July, 2008, Mr. Middleton was admitted at the hospital following left inguinal hernia surgery. He
has been a Second World War veteran and was a prisoner of war for 16 months. He does not receive any
government pension or other assistance. His medical history traces that the patient is hypertensive since 1998
and had a maintenance medication of Atacand 4mg daily.

As regard to the patient’s background, he owned a house and lives with his wife Olga who has a hearing
problems. Prior to discharge his wife Olga spoke about their ability to manage their own house without
assistance since her husband has limited physical activities. She is worried on who will maintain their garden and
who will drive them to and fro, hence their income is not that adequate to sustain and pay for a gardener and a
driver.

As the patient shows progress upon his discharge today he is advised to avoid any heavy lifting and do light
exercise only, and in the meantime he is not advised to drive for at least 6 weeks and may take 2 Panadol six
hourly for pain. His appointment to a surgeon for post operation check will be on August 11 th, 2008 at 10am.

I would be grateful if you could have someone in your department to assist the couple with their daily activities.
Should you agree to enquire please do not hesitate to contact Olga at (07) 6946 5173.

Sincerely Yours,

Sherry May S. Jungco

Staff Nurse