Read the case notes and complete the writing task which follows.
Notes:
Assume that today's date is 30 August 2019.
Mrs Georgas is a regular patient at your clinic.
PATIENT DETAILS:
Name: Mrs Helen Georgas
DOB: 23 Mar 1931 (Age 88)
Address:
- Stillwater Retirement Village
- 35/222 Main Road
- Stillwater
Social background:
Allergies: NIL
Medical history:
- High blood pressure
- Glaucoma
- Parkinson’s disease
Dental chart:
- Full maxillary denture
- Removable acrylic partial denture to replace 35, 36, 37, 44, 45
- Buccal glass ionomer cement (GIC) restorations 46 (root), 47
- Full gold crown (FGC) 46
Dental history:
- 2014 Removal of remaining upper teeth, fittin for full upper denture
- 2015 Buccal GIC restoration 46
Last dental visit
14 Feb 2019
- Denture stomatitis (upper) noted
- Advised Pt: must remove denture at night
Treatment record
30 Aug 2019
Presenting complaint:
- Denture uncomfortable, itchiness on roof of mouth
Examination:
- OE: Pt has full upper denture and partial lower acrylic denture
- Caries: 33LA, 31M, 41M
- Periodontal Screening & Recording (PSR): xxx
222 - Palate appears erythematous – noted last visit (? denture stomatitis). No
improvement - Pt requires assistance to remove dentures. Says staff at retirement village don’t
help her with this - Does not remove dentures at night
Treatment:
- Scale and clean
- Restorations 33/41/31 with GIC
Plan:
- Letter to Nurse-In-Charge re denture stomatitis & staff support of denture care
(remove nightly, ensure clean, leave in clean dry container) - Review 1 wk – if no improvement, antifungals required
Possible prescription – Amphotericin B (Fungilin) lozenges (antifungal treatment)
q.i.d.
Writing Task:
Using the information given in the case notes, write a letter to Ms Dennis, the Nurse-In-Charge at
Stillwater Retirement Village where the patient lives, recommending closer supervision of her oral care.
Address the letter to Ms Veronica Dennis, Stillwater Retirement Village, 222 Main Road, Stillwater.
In your answer:
- Expand the relevant notes into complete sentences
- Do not use note form
- Use letter format
The body of the letter should be approximately 180–200 words.