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Reason for Admission: Perianal abscess. Pt referred by GP. Painful swelling near anus. Pus collection slightly yellow in colour, no offensive odour. Pt discomfort. Area swollen. VS on admission: Temp: Patient advised to not use ibuprofen long term Metronidazole: mg every 8 hours for 7 days. Course to be completed at home orally. Nursing Management and Progress: Daily dressings to the right of the anus.

Analgesia recommended to be taken before dressing changes first few days. Currently 2cm in length and 1. Assessment: Pt showing no signs of infection on discharge. All observations normal. Bowels opened post-surgery, aid of stool softener. Continue with dressing choice as you see fit see above for current dressing choice Monitor for signs of infection Encourage Pt to finish course of ABX Refer back to hospital if any concerns with healing If pt has a lot of pain when opening bowels we have advised to use stool softener and eat a fibre based diet Pt has a follow up review at Surgical Outpatients Department, Greenville Hospital in 6 weeks.

Using the information in the case notes, write a letter to the GP Nurse, Greystone General Practice, 57 Sand Lane, Greystone asking for wound care and monitoring post-discharge. Expand the relevant notes into complete sentences Do not use note form Use letter format words. Thank you for seeing Mr Thompson, who was admitted on the 8 th June , due to a perianal abscess.

He will require wound care following an incision and drainage yesterday and will be discharged today. Post operatively, Mr Thompson is observationally stable.

The incision site, slightly to the right of the anus, is currently 2cm width x 1cm length and has been cleaned daily with prontosan, packed with kaltostat and sealed with a tegaderm. On discharge, nil signs of infection were noted. The patient has been advised to take pain killers before dressing changes for the next few days and has been warned against long term use of ibuprofen. In addition, Metronidazole mg PO, q8hrs was prescribed for one week as prophylactic cover. Please ensure Mr Thompson finishes his course.

I would be grateful if you could continue to dress the wound daily as it is producing a lot of exudate. Please monitor for any signs of infection and do not hesitate to refer Mr Thompson back to the hospital should you have any concerns.

Please note we have advised that he uses a stool softner as when needed for short term use to reduce any discomfort. It's a fascinating mod that can serve as a hole filler for gamers. Of course, when you place and remove this filler, it will be utilized to fill gaps.

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