WRITING TASK- NURSING
TIME: READING: 5 MINUTES
WRITING: 40 MINUTES
Read the case notes below and complete the writing task which follows.
Notes
Patient name: Mr. Charlis Browne
DOB: 25/08/2001
Age : 18
History:
       Student
       Facial eczema as baby
       Flexular eczema as child
       Allergic rhinitis to pollens, cat hair
       History of asthma (mother)
01/09/ 2019
       Tender, weepy, crusty nipple
       Surrounding inflammation from plaster dressing
Treatment plan:
       Hydrocortisone
       Soap substitute
       Ellomite e.g. Edomin 5
       Stop using plaster, replace it with mepor dressing and keep uncovered
On 21/9/2019
       Nipple never healed
       Increased friction with T- shirts during sport, so cover with mepor
       Feels embarrassed after after sports dressing room, need complete resolution
       Reported use hydrocortisone intermittently
On examination
Nipple was tender, no crustations, change in appearance and become warty
Diagnosis? Seborrheic keratosis
           : ? Eczema
         : ? Others
Dermatology consultation performed
Diagnosis: Eczema
Treatment
      Initiated phototherapy
      Initiated steroid treatment
      Topical immunomodulatortherapy
Discharge plan
      Education for skin care
      Give advises for how to use moisturizer cream
      Medication monitoring
Writing Task
 Using the information in the case notes, write a letter of a referral Mrs. Margret Philip
,community health nurse, Newtown Hospital, 81 Canyon Road, Newtown.