{"text":"NHS Confidential: Personal data about a patient \nSalbutamol easyhaler \nSalbutamol nebuliser 2.5mg \nTrimbow inhaler 175\/5\/9 BD \nSummary of Appointment: . \nPain: |ntermtttent pain across chest walt, upper abdomen, does sound cardiac \u2014 eased by \ndihydrocodeine, often accompanied by SOB. Takes 3-4 doses 30mg codeine daily \nNausea and vomiting: i \nNo issues i \nBreathlessness: \n$a02 at best 94% on air, still smoking so can't have oxygen. Feels it would help, minimal cough \nand sputum. Manages to care for himself independently. \nEating and drinking: \nreduced appetite, feels food gets stuck at times. Had normal endoscopy recently, takes ensures. \nOngoing weight loss, no obvious sign of malignancy on CT scans \nMouth: ! \nDry mouth , no sign of thrush \nBowels and Bladder: \nGets constipated \u2014 takes laxido as needed \nMobility: \nWalks unaided, limited to short distances , keen to stay independent and aclive, \nPsychosocial\/lemotional: \nHenry knows his disease is progressing, wishes to be resuscitated and aithough keen to avoid \nacute admissions would consider any treatment available. He has quite a busy life and has \nworkshop nearby that he gathers and spends time with his friends. \nFuture Care Planning: \n* Ongoing NLC \u2014 may discharge if stable \nAiming to stay out of hospital \nCommunity Respiratory Team if needed - he can self refer \nRescue pack - steroids and antibiotics. \u2014 please supply \nPPC and PPD home, for resus at his wish \n* 0 s 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