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    Oet Trial 28

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    sandhyakrishnan
    Mr. Robert Jones, a 68-year-old lawyer, was admitted to the Royal Adelaide Hospital on October 1, 2011 with a chronic cough, hoarseness, and difficulty breathing upon exertion. He was diagnosed with stage 4 squamous cell carcinoma of the left lung based on a CT scan. As a heavy smoker of 1-1.5 packs per day for 40 years, he had a history of hypertension, frequent bronchitis, and now inoperable liver and spine metastases. Despite chemotherapy and radiotherapy, his cancer progressed to terminal stages. He wishes to be discharged home to palliative care under the Royal District Nursing Service

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    Oet Trial 28

    Uploaded by

    sandhyakrishnan
    124 views4 pages
    Mr. Robert Jones, a 68-year-old lawyer, was admitted to the Royal Adelaide Hospital on October 1, 2011 with a chronic cough, hoarseness, and difficulty breathing upon exertion. He was diagnosed with stage 4 squamous cell carcinoma of the left lung based on a CT scan. As a heavy smoker of 1-1.5 packs per day for 40 years, he had a history of hypertension, frequent bronchitis, and now inoperable liver and spine metastases. Despite chemotherapy and radiotherapy, his cancer progressed to terminal stages. He wishes to be discharged home to palliative care under the Royal District Nursing Service

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    Mr. Robert Jones, a 68-year-old lawyer, was admitted to the Royal Adelaide Hospital on October 1, 2011 with a chronic cough, hoarseness, and difficulty breathing upon exertion. He was diagnosed with stage 4 squamous cell carcinoma of the left lung based on a CT scan. As a heavy smoker of 1-1.5 packs per day for 40 years, he had a history of hypertension, frequent bronchitis, and now inoperable liver and spine metastases. Despite chemotherapy and radiotherapy, his cancer progressed to terminal stages. He wishes to be discharged home to palliative care under the Royal District Nursing Service

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    124 views4 pages

    Oet Trial 28

    Uploaded by

    sandhyakrishnan
    Mr. Robert Jones, a 68-year-old lawyer, was admitted to the Royal Adelaide Hospital on October 1, 2011 with a chronic cough, hoarseness, and difficulty breathing upon exertion. He was diagnosed with stage 4 squamous cell carcinoma of the left lung based on a CT scan. As a heavy smoker of 1-1.5 packs per day for 40 years, he had a history of hypertension, frequent bronchitis, and now inoperable liver and spine metastases. Despite chemotherapy and radiotherapy, his cancer progressed to terminal stages. He wishes to be discharged home to palliative care under the Royal District Nursing Service

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    Download as PDF, TXT or read online from Scribd
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    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

    Hospital: The Royal Adelaide Hospital


    Patient Details: Name: Mr Robert
    DOB: 02/06/52
    Marital Status: Married
    Next to kin: Wife
    Admission Date: 1 October 2011
    Discharge Date: 26 November 2011
    Reason for admission: Chronic cough, hoarseness, difficulty
    breathing upon exertion
    Diagnosis: Squamous Cell Carcinoma of left lung
    confirmed by CT scan
    Past Medical History: HT diagnosed June 2008
    Frequent episodes of bronchitis
    Heavy smoker-40 years (1-1 ½ pack/day)
    Non- drinker
    Social History: Lawyer
    Supportive wife
    2 married daughters in regular contact. One
    is 6 months pregnant
    Medical Progress: Resection of the lung
    Chemotherapy and radiotherapy
    Ineffective treatment: metastases in liver
    and spine
    Cancer in terminal stages-Mr Jones wishes
    to return home
    Nursing Management: Fluid management
    Oxygen therapy
    Patient comfortable
    Pain management: Morphine sulfate 40mg 4 hourly / 20mg
    dose as needed.
    Discharge Plan: Monitor pain status
    Manage symptoms
    Check need for assistance with mobility /
    bathing
    Daughters want father to stay in hospital for
    further treatment
    - provide family with emotional support

    Writing Task
    Using the information given in the case notes, write a letter to Marry
    Watson, Palliative Care Manager, Royal District Nursing Service (RDNS)
    about the patient.
    In your answer:
    • expand the relevant case notes into complete sentences
    • do not use note form
    • use letter format
    The body of the letter should be approximately 180-200 words.
    Answe r
    Answer

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