Read the case notes below and complete the writing task which follows.
Notes:
Today’s Date: 21 July, 2024.
You are a school nurse at the boarding school where Marie Winfield is a 3rd Grade Student. She fell down in the school and is being monitored.
- Patient: Marie Winfield.
- Age: 8 years.
- Address: Resident scholar at Almond County School, Ottawa North. She has special permission to go home on all Fridays (her home is only 38 miles from school).
Incident Details:
- Date of Incident: 18 July, 2024.
- Location: Basketball court at Almond County School.
- Possible cause: Overstraining and/or exposure to high temperature (37°C)
Symptoms/Condition Post-Fall:
- Dizziness and weakness immediately following the fall.
- Mild headache.
- Fatigue over the past three days.
- Complaints of persistent urination and bloating.
Immediate Care Provided:
- Hydration with oral rehydration solution (ORS).
- Application of ice pack to minor bruises.
- Discussed the incidents with her family physician Dr John Mortimer.
Medications Administered:
- Paracetamol (Tylenol) 250mg: For pain relief and fever management.
- Ibuprofen (Advil) 200mg: For reducing inflammation and managing pain
Social Details:
- Resident scholar, actively participates in school sports and extracurricular activities.
- Known to be cheerful and sociable among peers.
- No stress or anxiety reported (however, close friends reported a sudden change in her behavior).
- Parents (both) running business.
- Residential Address: 3456 Carl Island, Ottawa East – United States.
Academic Performance:
- Marked drop in class test performance over the past three weeks.
Having symptoms suggestive of:
- Heat exhaustion.
- Dehydration.
- Possible urinary tract infection (UTI).
- Potential underlying anemia or other systemic conditions.
Information collected from parents:
- No issues at home. Financially doing better.
- Marie had attended the funeral of her grandmother a month ago. “Was attached to Grannie.”
We suspect that her current condition has been partially or completely caused by her grandmother’s demise since she was very attached to her.
Follow-Up Actions:
- Monitor hydration levels and encourage regular fluid intake.
- Avoid strenuous activities and direct sunlight exposure until fully recovered.
- Schedule a comprehensive medical evaluation to rule out other underlying conditions, including a urine test to check for UTI and blood tests for anemia
Plan:
- Allow Marie to spend time with family for the next 2 weeks.
- Rest and avoid physical exertion for the next 48 hours.
- Maintain a high fluid intake to ensure proper hydration.
- Administer Paracetamol and Ibuprofen as needed for pain management.
- Follow-up appointment with the family physician for further evaluation, including urine and blood tests (appointment scheduled for 24 July, Monday).
Writing Task
Using the information in the case notes, write a letter to Marie’s parents highlighting the recent developments. Include all relevant information.
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. However, you needn’t include any irrelevant information to reach the word-count; nor do you have to omit any information to avoid exceedance.
