CASE NOTES:
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Ms Jane Graham
Occupational Therapist
Newtown Occupational Therapy
10 Johnston Street
Newtown
30 August 2019
Dear Ms Graham,
Re: Mr Barry Jones, DOB: 11 June 1973
Mr Jones, who has been recuperating after an accidental back injury sustained at workplace, requires workplace assessment and appropriate suggestions for performing professional activities.
Mr Jones works as a forklift driver in a large warehouse, which demands prolonged sitting and lifting heavy objects infrequently.
In May 2019, Mr Jones initially presented with a severe lower back strain sustained while lifting a heavy box off the floor at work. Consequently, a referral to the physiotherapist was provided in addition to granting a medical leave for a period of 30 days .
On the subsequent visits, excellent progress has been noticed. In spite of very stiff movements, compliance to physiotherapy sessions has been observed. Regular daily ambulation for almost 30 minutes has been possible despite the activity being quite tiring. Slightly stronger pain medication dosage has been prescribed and refraining from work for another 30 days has been extended on two subsequent occasions. Not only sheer boredom but also lack of enthusiasm have been notified.
Having considered the aforementioned circumstances, performing only suitable activities and taking regular periodic short intervals during the working hours are recommended besides workplace assessment, which would be profoundly beneficial for Mr Jones for the resumption of professional responsibilities.
In case, any additional information is deemed extremely relevant, please do not hesitate to contact me.
Yours sincerely,
Registered Nurse
Newtown Medical Clinic
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