Asthma Discharge Letter

Patient's Given name:
Patient's Surname: 
Patient's UR number:
Completing Doctor: or
Date: 12 February, 2012

 

Dear Doctor
This patient has been discharged from the

of the

Royal Children's Hospital.
The discharge diagnosis is:

The patient was treated with inhaled bronchodilator therapy 

plus corticosteroids

Other comments regarding presentation or treatment given
Discharge medications - please see copy of attached asthma action plan.
Other discharge medication comments

Follow up plans
We have asked the family to seek attention at your surgery, or back at RCH, if the condition deteriorates or fails to improve significantly within 48 hours.

We have arranged a follow-up appointment in the medical outpatient clinic in the next few weeks. 

We have arranged a follow-up appointment in the next few weeks. 

             Details 

Click submit if you have finished at this point, or continue below if an inpatient

  

You should print 3 copies of the generated action plan - one for the family, one for the notes, and one for the GP.

For patients admitted to the wards:

Admisssion date:
Discharge date:
Responsible consultant:
type 1st initial repeatedly or use scroll arrows

The patient required therapy in the intensive care unit
The patient required therapy in the intensive care unit including mechanical ventilation

The patient has chronic persistent asthma.

     Please click in circle if patient has any of :

  • >=800mcg of inhaled corticosteroid / day (>=400mcg for fluticasone)
  • Daily symptoms
  • Abnormal lung function in the interval period between attacks

(This information is important for coding purposes)

You should print 3 copies of the generated action plan - one for the family, one for the notes, and one for the GP.

We would also be very grateful if you printed a 4th copy, annotated it with any suggestions / comments and returned it to Mike South c/o General Medicine - Thanks

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