"Hi, it's Sharon."

"Hi, Sharon."

"Today, during my visit with Mr. Blejnar, his breathing and restlessness are worse than his norm. He lives with advanced chronic obstructive pulmonary disease, heart failure, hypertension and dementia. He is sitting up in bed. He has a cool cloth and a fan. He denies any pain. His wife is also concerned. Could a nurse visit today?"

"Thank you for the update. I will arrange for the nurse to come later today; in the meantime, I will arrange for the community paramedic to come by."

"Thank you, I will let Mr. and Mrs. Blejnar know the community paramedic is on their way."