Dr Stevens

Mill Street Surgery

Farnham GU10 IHA
06/04/2024
Dear Dr Stevens,
Re: Ms Sally Fletcher, 25-year-old

I am writing regarding Ms Fletcher, who is ready to be discharged today for further follow-up,
after undergoing laparoscopic surgery for an endometriotic cyst.

On 25/03/2018, Ms Fletcher admitted herself with complaints of painful periods for 3 years.
She was diagnosed as a case of endometriois. Her transvaginal ultrasound showed 6cm cyst
for which she underwent this operation laparoscopic surgery with uneventful recovery.

Regarding Ms Fletcher's post-operative care, her incisions need to be kept clean and dry. In
regards to. Regarding her nursing care, Ms Fletcher should be she was encouraged to take
oral fluids, resume her regular diet as early as possible and Moreover she also need to be
ambulate as per her tolerance.

She. Ms Fletcher is stable and is well-oriented to time, place and person. Her post-operative
blood investigations are unremarkable with good overall progress. She is allowed to take
shower after 24 hours of discharge. In addition, she can resume sexual activity after 02 weeks
of surgery and driving can be resumed after 24-48 hours after completion of the final dose of
analgesics.

In view of the above, it would be appreciated if you could follow up on Mrs Fletcher’s
condition at your clinic.

Please do not hesitate to contact me in case of any queries.

Yours sincerely,
Doctor
Corrections

 Purpose paragraph: Elaborate on the purpose

paragraph according to the patient's requirement and type of letter as it is a discharge
letter so, write accordingly.

Content
 It's an update letter, so elaborate on the follow-up request in the closing paragraph.

 Write the second name of the patient with Mr/Ms instead of the pronoun at the
beginning of each paragraph. If the patient is less than 16 years old, you only write the
first name without Mr/Ms. If pt is over 16 years old, write 2nd name with Mr/Ms, Ms
Fletcher.

 Improve your case note selection by focusing on presenting complaints of the patient’s
most recent visit and by keeping the recipient of the letter and his profession in mind (to
whom you are writing the letter).

Some connectors are less suitable for healthcare letter writing. These include
 Academic connectors: furthermore, moreover.
 Informal connectors: besides, meanwhile, apart from that, later on.
 Outdated connectors: hence, thus thereafter.

 Instead, it is recommended to use terms like In addition, Additionally, However, Therefore,

Consequently, As a result, Please note that and Subsequently.

 Do not write Mr/Ms with the patient’s name in the reference (Re: Ms Sally Fletcher, 25-
year-old).

 Organisation and Layout: For this letter; Introduction > Initial visit para > Nursing
management > Patient’s discharge plan and > Closing

 The underlined lines are written by you but placed incorrectly. Their underlining refers to
the place where they must be.