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Consult And Referral Request

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Question 1: Write up a consult request and include all key elements.

Answer: Consult Request

Referring Ms. Perez

Physician: Ms. Wilson

Referring code: FNP-C, APRN, MSN

Reason: Consultation regarding eczema unresponsive for the last six months

Here, Ms. Perez has been referred for accessing better care for her eczema as she had been suffering from last 6 months. Ms. Wilson needs to consult and focus on her current condition regarding skin patches and unresponsiveness of her skin disease. It has been neglected for a while, as she needs proper medication regarding treatment goal including controlling itch, healing skin, preventing flares and infections (Gieler et al., 2017). The right treatment can relieve the symptoms to help skin healing. She has been observed with dry and itchy skin and rashes on her face and elbows. As the disease is getting intense, chances to heal would be reduced. She is referred, as she needs to be taken care for her current symptoms while establishing medication plan and care plan to overcome the disease and reducing the intensity of the symptoms. She had atopic disease that needs special care and attention to focus on delivering special needs of eczema disease.

It can be recommended that corticosteroid creams, ointments and foams can be used as best treatment process for this disease. OTC hydrocortisone can be used for ensuring right treatment and care plan (Klokol et al., 2018). As it is considered as combination of genetic and environmental factors, entire healing is not possible all the time. NSAID ointment can be used to moderate forms of non-steroids and anti-inflammatory substances. Ms. Perez has been observed with early symptoms while it is needed to involve daily care plan to evaluate the consultation requirements in her medication care plan. Ms. Wilson needs to consult for dealing with this condition. It is considered to develop and enhance the specific symptoms that are observed in eczema. It is important to know the symptoms and basic considerations while referring any patient. With an efficient and expert care team, it is needed to help right treatment process. Cultivating care team is needed to provide her with effective medication and support to patient. It is important to recognize the stressful situations and conditions before initiating treatment process and helping the physicians or specialists (Klokol et al., 2018).

Family medical history and patient's medical care should be considered to treat and prescribe the remedies and oral and injectable medications with biologic and phototherapy drugs. It should be developed as per requirement of biologic drugs and OTC remedies (Peters, 2019). It has been considered to differ and consider the current medication policy and treatment evaluation and recommendations towards the care plan for responding in medication. Eczema symptoms are focused for different medication treatment and responses towards establishing proper plan. Ms. Wilson can recommend the patient with biologic and psychological treatment including lifestyle control and other control. It can be implemented to focus on delivering eczema treatment proper care plan (Gieler et al., 2017). Care plan can be established by considering current conditions of her and will be referred further. Further plan can be helpful to conduct and ensure treatment process for her.

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Question 2: Write up a referral request and include all key elements.

Answer: Referral Request

[30/05/19]

Re : [Ms Perez] Letter of referral request

Dear Dr. [Dr. Owens]

I am referring [Ms Perez] for the treatment of eczema as she has been suffering from this disease and she is having dry, sensitive skin, problem of itching, rough patches of skin, crusting and swelling. She has been suffering from this disease for so many years and she got no improvement in the last 6 months as she was under a reputed dermatologist and she had taken various kinds of precautions as she stopped using soaps and detergents, solvents and many other things what was responsible for her this problem.

Eczema is a normal disease that most of the people living in varied climatic condition or due to water issues(Gieler et al., 2017). The skin becomes itchy and there is a red patch on the skin. It is the sign of the occurrence of Eczema and it would result in the redding of the skin with many other issues. Some of the symptoms of eczema that Ms Perez faced was dry sensitive skins, bad itching, dark coloured patches, red inflamed skins, oozing, and areas of swelling (Drucker et al., 2017). These were available for being sighted in the patient that resulted in raising many other infections on the skin of the patient. These major issues resulted in the alignment of the major setback for the effective treatment works.

I am aware that you are experent in treating various skin diseases such as pustpules, hives, warts, cold sore, fungal nail infection, candidiasis, and athlete's foot. The correct treatment can assuage the manifestations to help skin recuperating. She has been seen with dry and irritated skin, rashes all over, and elbows. As the infection is getting extraordinary, opportunities to recuperate would be decreased. She is responsible as she should be taken consideration for her ebb and flow side effects while setting up medicine plan and care intend to beat the infection and lessening the force of the manifestations. She had atopic infection that requirements unique consideration and regard for spotlight on conveying extraordinary needs of dermatitis ailment. Hence, I opted her for referring to you for making sure that her treatment can be done effectively.

The needs proper skin disease intervention is required for the alignment and management of the successful and deployed for the management of the innovative successive and managed performance. The easing of the works would be deployed for ensuring the skin department for aligning the information management. It is important to focus on establishing effective care plan by ensuring treatment regimen that will work for her to overcome the disease condition.

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