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John Simpsons

The document outlines the case notes of Mr. John Simpsons, a 78-year-old patient who underwent a left total hip replacement due to worsening osteoarthritis. It includes details about his medical history, nursing management, and discharge instructions, emphasizing the need for continued monitoring and care. The writing task requires composing a letter to the senior nurse at his nursing home regarding his ongoing care post-discharge.

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Rithu Santhosh
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55 views3 pages

John Simpsons

The document outlines the case notes of Mr. John Simpsons, a 78-year-old patient who underwent a left total hip replacement due to worsening osteoarthritis. It includes details about his medical history, nursing management, and discharge instructions, emphasizing the need for continued monitoring and care. The writing task requires composing a letter to the senior nurse at his nursing home regarding his ongoing care post-discharge.

Uploaded by

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

WRITING SUB-TEST: Nursing


TIME: READING: 5 MINUTES
WRITING : 40 MINUTES

Read the case notes below and complete the writing task which follows.

Notes:

Mr John Simpsons is a 78-year old patient on the ward of a hospital where you are a
charge nurse.

PATIENT DETAILS:

Marital status – Married

Admission date- 3 October 2019

Discharge date – 7 October 2019

Reason of Admission: (3/10/19)Left Total Hip Replacement(THR) – elective surgery


Worsening Osteoarthritis(OA)- difficulty mobilising and climbing stairs

Social background:

Lives at Parker Nursing Home (PNH) (4years)


No children
Employed as an engineer until retirement-aged 65
New-aged pensioner
Hobby: Chess
Sister, Sarah Peter(66), visits regularly; very supportive -plays chess with John on her visits
No signs of dementia observed
Oet2.com
Medical background:

2018- Osteoarthritis requiring total hip replacement surgery


1991- Hypertension (ongoing management)
1985 – Colles fracture, ORIF

Medications:
Aspirin 100 Mg mane (recommended post-operatively)
Ramipril 5mg mane
Panadeine Forte (paracetamol 550mg/codeine 30 mg) 2 qid prn

Nursing management and progress:

Daily dressings surgery incision site


Range of motion, stretching and strengthening exercises
Occupational therapy
Staples to be removed in two weeks (21/10)
Also, follow-up FBE and UEC tests at Fortis Hospital Clinic

Assessment:

Good mobility post-operation


Weight-bearing with use of wheelie-walker walks length of the ward without difficulty
Postoperative disorientation re time and place during recovery, possibly related with
anaesthetic
Continued observation recommended
Dropped Hb postoperatively(to 72 g/dL) requiring transfusion of 3 units packed red blood
cells; Hb stable (112 g/dL) on discharge- ongoing monitoring required for anaemia

Oet2.com
Discharge schedule:

Monitor medications
Preserve skin integrity
Continue exercise routine
Equipment required: wheelie walker, wedge pillow, toilet raiser. Hospital to provide a walker
and pillow. Hospital social worker organised 2- week hire of raiser from a local medical
supplier

Writing task:

Using the information, write a letter to Ms Angelina Hawker, Senior Nurse at Parker Nursing
Home, 28, Hilly Road, who will be responsible for Mr Simpsons continued care at the
Nursing Home.

In your answer:

● Expand the relevant notes into complete sentences


● Do not use note form
● Use letter format

The body of the letter should be approximately 180–200 words.

OET2.com

Oet2.com

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