Patient: Grace Okafor (57 years old)

Shift Summary: Patient remained stable throughout the visit. Vital signs monitored and recorded. Blood pressure: 130/85 mmHg (within acceptable range for hypertensive patient). Blood glucose levels checked and documented.

Medications Administered: Morning doses of Metformin and Lisinopril taken as prescribed at 08:00hrs. Patient showed good compliance with medication regimen.

Observations: Patient appeared alert and oriented. Mobility remains good with minimal assistance required. Appetite normal – completed breakfast meal. No signs of distress or complications noted.

Safety Concerns: Continue to monitor for signs of hypoglycemia or hypertensive episodes. Ensure Penicillin allergy is clearly communicated to all medical personnel.

Next Caregiver Notes: Please continue blood pressure monitoring every 4 hours. Encourage light physical activity as tolerated. Next medication doses due at 20:00hrs. Family contact (Chinedu) was updated on patient’s condition.

Follow-up Required: Kidney function assessment recommended within 2 weeks due to Lisinopril therapy.