Referral letter I am writing to request continuity of care and management of Mrs XXX. She is due for discharge today. Regarding Mrs XXX social and medical history, she lives with her husband and performs regular exercise. She consumes alcohol occasionally and avoids dairy products. The patient has a history of osteoporosis, hyperlipidemia, hypertension, coronary artery disease, right shoulder tendonitis and she underwent percutaneous trans coronary angioplasty in 2009.The patient has a family history of cancer and depression. She is on Simvastatin, Aspirin, Furosemide, Alendronate, Calcium and vitamin E medications. On 28/06/2017 Mrs XXX was admitted to the hospital and diagnosed with left neck of femur fracture. Subsequently, she had undergone left hemi-arthroplasty. Post operatively, she was managed with pain medication, intra venous fluid and antibiotics. During hospitalization, the patient was complained hip and back pain which was managed with hydrocodone and acetaminophen. The patient’s diuretic medications discontinued due to the complaints of hypotension and dizziness. She was commenced on physiotherapy sessions and assistance was provided for her daily activities. The patient has been complaining constipation since surgery. Therefore, she was commenced on Docusate 100mg daily and advised her to ambulate with a walker. It would be appreciated if you could assist Mrs XXX to complete her daily activities. Please monitor her physio sessions, medication intake and surgical site dressing. Please note, her staples to be removed on day 14 and her left lower extremity weight bearing is decreased to 30% for the next six weeks. The patient’s discharge medications are Hydrocodone 5mg, acetaminophen 325mg, Famotidine 20mg, Docusate100mg and Alendronate 10mg.