Urgent Care Summary ReportJamesBrownWakefield Out of Hours CentreWakefield District PCTNATIONAL CARE RECORDS SERVICE SPINEWest Street Surgery, WakefieldPeterLucasJamesBrownLisaWaltontreat once.JamesBrownLisaWaltontreat once.AlexSmithWakefield Out of Hours CentreAlexSmithWakefield Out of Hours Centre5 days ago.AlexSmithWakefield Out of Hours CentreJaneWilliamsAlexSmithWakefield Out of Hours CentreJaneWilliamsAlexSmithWakefield Out of Hours CentreJaneWilliamsPresenting InformationCall Handler: Alex Smith, Heath Advisor
Caller Name: Jane Williams
Caller Relationship: CarerThe patient is bed bound and dying from terminal lung cancer. He has not opened his bowels for the last 5 days and is now suffering with abdominal pain and distension.AlexSmithWakefield Out of Hours CentreTelephone Advice
Clinician: Joanna Beadle Nurse Practitioner
Consultation Time: 01-Aug-07 22:50 – 22:55HistoryThe patient is bed bound and dying from terminal lung cancer with painful bony secondaries. He is on high doses of slow release oral opiates but has not been given any laxatives.The patient last had his bowels open over 5 days ago and is now in considerable discomfort from constipation.DiagnosesAcute Constipation.ManagementTreatmentFurther advice from Doctor.Telephone Consultation
Clinician: James Brown, General Practitioner
Consultation Time: 01-Aug-07 22:55 – 23:03HistoryConfirmed previous history taken.ManagementTreatmentOral laxitives.MedicationSodium citrate microenema 5ml once, supplied to Lisa Walton (District Nurse)Lactulose 15ml Three times daily, supplied to Lisa Walton (District Nurse)Final OutcomeAppointments and SerivcesPassed to district nursing team to administer enema.