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OET Nursing Writing Task: Patient Care

Mrs. Angie Cummins, a 64-year-old widow, suffered a left-side ischemic stroke in 2017 and has been admitted to the hospital since May 15, 2019. She has a history of hypertension, dyslipidemia, and mild depression since her husband passed away. She has been making good physical progress but still experiences aphasia, apraxia, and some weakness on her right side. The letter is to inform the nursing home manager of her medical history and care needs, including monitoring her medications and BP, screening for diabetes, continuing physical and language therapy, and encouraging social activities.

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494 views2 pages

OET Nursing Writing Task: Patient Care

Mrs. Angie Cummins, a 64-year-old widow, suffered a left-side ischemic stroke in 2017 and has been admitted to the hospital since May 15, 2019. She has a history of hypertension, dyslipidemia, and mild depression since her husband passed away. She has been making good physical progress but still experiences aphasia, apraxia, and some weakness on her right side. The letter is to inform the nursing home manager of her medical history and care needs, including monitoring her medications and BP, screening for diabetes, continuing physical and language therapy, and encouraging social activities.

Uploaded by

Ashly George
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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OCCUPATIONAL ENGLISH TEST

WRITING SUB-TEST: NURSING


TIME ALLOWED: READING TIME: 5 MINUTES
WRITING TIME: 40 MINUTES

Read the case notes and complete the writing task which follows.
Notes:
Mrs Angie Cummins a 64-year-old, is a patient in the medical ward of which you are Charge Nurse.
Hospital: Southeilia Hospital, South Perth WA 7689, Australia
Admission date: 15 May 2019
Discharge date: 09 June 2019
Diagnosis: Left-side ischemic stroke, MCA (middle cerebral artery)
Ongoing hypertension (BP 175/100 mm kg)
Dyslipidemia

Patient details
Name: Angie Cummins (Mrs), female, 64 years old
Marital status: Widow - husband dec. 10mths
Residence: Nursing home, South Perth
Next of kin: Susan (30, married, living overseas)
Social background: Retired accountant (accounts)
Now pensioner status
Mild depression since husband died
Hobbies: reading, painting, listening to music
Little contact with daughter - difficult relationship

Medical history 2017 - Left-side ischemic stroke, MCA territory


2016 - Dyslipidemia (LDL: 180 mg/dL)
20112- Diagnosed with hypertension - Enalapril
2003 - Vitreous detachment in left eye
2001 - Surgery on ankle fracture
No allergies
Never smoked
Family history of diabetes
Medications:
Treated immediately on admission with TPA (tissue plasminogen activator) and
supplemental oxygen
15 May: commenced on dipyridamole (200 mg b.d)
Aspirin (75mg o.d)
Enalapril (25 mg o.d)
Metoprolol (50 mg b.d)
Atorvastatin (40 mg b.d / at night): LDL goal 70mg/dl
Anti-coagulant (Dabigatran: 75 mg b.d)

Medical progress:
Remaining aphasia and apraxia
Upper extremely weakness
Some muscle weakness in right arm (patient left-handed)
Some difficulty in dressing, showering & toileting due to upper extremity
weakness
Current BMI = 30 (gradual weight loss of 3kg)

Nursing management:
Regular physiotherapy – stretching & strengthening exercises
Screening for swallowing deficits – non observed
Nutrition assessment: Mediterranean – type diet recommended
Language therapy for aphasia and apraxia

Assessment: Good physical progress overall


Neurology consultation due: 22 may

Discharge plan: Monitor medications


Monitor BP (goal <145/90 mmHg)
Screen for diabetes
Dietician advice: reduce BMI
Lower cholesterol (goal LDL <70 mg/dl)
Continue physio & language therapy
Screen for depression
Encourage leisure & social activities

Writing Task:

Using the information in the case notes, write a letter to Mr Dzouza Handy, Manager of South Perth
Nursing Home, South Perth Road VIC 4567,Australia who will be responsible for Mrs
Cummins’scontinued care at the Care Home.

The body of the letter should be approximately 180-200 word

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