Transfer letter — Case 1
Reading time: read the case notes and the writing task. You can't type yet.
Mr Harold Fitzgerald (86)
Case notes
Notes: You are a registered nurse on the medical ward of Lakeside District Hospital.
Patient details
Name: Harold Fitzgerald
DOB: 19/01/1939 (86 yrs)
Admission date: 20/09/2025 via ED (found on floor at home, confused)
Transfer date: 02/10/2025
Diagnosis: Delirium secondary to urinary tract infection; Alzheimer's dementia (moderate)
Enduring power of attorney: Daughter, Margaret Doyle
Social background
- Widower; lived alone with daily visits from daughter
- Former carpenter; enjoys radio (cricket), woodwork magazines
- Daughter can no longer manage — family meeting 29/09 agreed permanent residential care
- Has a dog — rehomed with grandson
Medical history
- Alzheimer's dementia (2021) — donepezil 10 mg nocte
- Benign prostatic hyperplasia — tamsulosin 400 mcg daily
- Osteoarthritis both knees
- Hearing impairment — hearing aids both ears (often refuses to wear)
- Allergies: nil known
Nursing management and progress
20/09 Acutely confused, agitated at night. Urine dipstick +ve, MSU: E. coli → IV then oral antibiotics
Bruising L hip — X-ray NAD
23/09 Sacral skin red, non-blanching (stage 1 pressure injury) → 2-hrly repositioning, air mattress
25/09 Confusion improving. Oriented to person only. Wanders at night, tries to leave ward
27/09 Sleeps better with radio on low and lamp on. Responds well to calm, simple instructions
29/09 Eating 50% meals — prefers finger food; needs prompting. Weight 61 kg (68 kg in 2024)
30/09 Mobilising with 4-wheeled walker + supervision. 1 near-fall (rushing to toilet at night)
01/10 Sacral area improved — skin intact, still slightly red. Continent with 2-hrly prompting
Medications
- Donepezil 10 mg nocte
- Tamsulosin 400 mcg daily
- Paracetamol 1 g TDS (knee pain)
- Antibiotic course completed 30/09
Plan
- Transfer to Banksia Gardens Aged Care, 2 Lake Road, Lakeside
- Dietitian review: supplements BD, weekly weight
- Falls prevention: low bed, sensor mat
- Daughter visiting on day of transfer
Writing task
Today's date: 02/10/2025
Using the information in the case notes, write a letter to Ms Grace Liu, Nurse Unit Manager, Banksia Gardens Aged Care, 2 Lake Road, Lakeside, to accompany Mr Fitzgerald on his transfer to the facility today.
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.
Letter body: 0 words (guide 180–200) · total 0