Sunday 17 March 2013

Something I have written for Consultant

Day to Day Differences in Imogen

Imogen can no longer:

  • Get down to floor or get up from floor alone
  • Cannot get up onto chair/sofa unaided
  • She falls regularly due to imbalance
  • She can no longer jump
  • she can no longer run, due to imbalance she falls and cannot get up unaided.
Imogen's Medication:
  • Naproxen 2.5ml Twice Daily
  • Omeprazole 20mg per day
  • Latulose Syrup 10ml twice daily
  • Junior Disprol 2 tablets when necessary
Imogen's Attitude and Behaviour:
  • Imogen has gone from a child who never cried to a child who cries regularly about anything.
  • She is often tired and lethargic and does not want to do anything. She has started napping in the day time again. She hasn't done this since she was about 18 months old.
  • She no longer eats properly, she picks at her food and rarely finishes a meal.
Joints Affected:
  • Right Ankle, Knee and Finger
  • Left ankle, knee, wrist
  • Swelling and heat present in above joints
  • Query stiffness in both hips and elbows
  • Movement is affected in all joints mentioned
Issues:
  • Imogen hates disposable Omeprazole. Possibility of trying liquid form? We have tried many different ways of giving it, but to no avail.
  • Naproxen seems to be offering little to no relief from pain or inflammation. Swelling has not gone down since original flare (2/2/13) Have been supplementing Naproxen with Paracetamol but still not a great deal of relief given
  • Brufen made Imogen sick and now Naproxen has given her constipation
  • Eyes seem red and she seems to rub them a lot. Still no appointment from Opthamology.
  • Ankles are now turning inwards when she walks. Worried about long term damage to her bones as she has been in flare so long. Any plans to scan to check?

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