Going home

Dr Mavis Grant
The Health Centre
New Town

Re: Angela Clark, 2 Rose Garden Drive, New Town

Dear Dr Grant,

Mrs Clark was admitted to the acute stroke unit of New Town Hospital on 1^st March with acute onset left sided weakness. CT brain scan showed a haemorrhage in the right basal ganglia. Investigations for an underlying cause identified hypertension but nothing else of note. Glucose and cholesterol were normal. Blood pressure on discharge was 135/75.

She has made a good recovery and is now independent for all ADL activities in the ward. She still requires some further physiotherapy and occupational therapy, which will be provided in her own home.
During her hospital stay, Mrs Clark complained of a persistent headache. This was fully investigated and it appears that the headache was due to the stroke with no other underlying cause. She was prescribed paracetamol with good effect and met with the clinical psychologist who gave her a management plan of how to cope with the pain. The clinical psychologist will continue to see Mrs Clark in her clinic and the Stroke Nurse Specialist will visit her at home and provide her with information about support services.

Mrs Clark was discharged home on 24^th April with a care package and rehabilitation at home will be provided by the Community Stroke Team. I will see her at the stroke clinic in 6 months time to review her long term medication requirements and in the meantime would be very grateful if you could monitor her blood pressure.

Medication on discharge:

Paracetamol 1g qds

Amlodipine 10mgs od

Ramipril 5mg od

Yours sincerely

Dr Kenneth Bryce

Stroke Consultant