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    Lena Popovich Oet Nurses Letter

    Uploaded by

    Jithu P James
    oet nurses writing new

    Copyright:

    © All Rights Reserved
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    Lena Popovich Oet Nurses Letter

    Uploaded by

    Jithu P James
    45 views3 pages
    oet nurses writing new

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    lena popovich oet nurses letter

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    oet nurses writing new

    Copyright:

    © All Rights Reserved
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    Download as pdf or txt
    45 views3 pages

    Lena Popovich Oet Nurses Letter

    Uploaded by

    Jithu P James
    oet nurses writing new

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    OCCUPATIONAL ENGLISG 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:

    Assume that today's date is 8 January 2020. You are a nurse in the Stroke Unit of Central Hospital,
    responsible for the care of Lena Popovich who was admitted 3 weeks ago after a stroke. She is now
    ready to be discharged and you will refer her to Ms Linda Walter, Nurse Manager at Community
    Rehabilitation Centre, for post-stroke care.

    You have had a brief phone conversation today with Ms Walter..

    Discharge summary

    Name: Mrs Lena Popovich

    DOB: 14 February 1958 (59 y.o.)

    Address: 55 Treeview Street, Milestone

    Admission: 25 December 2019

    Diagnosis: Left-sided stroke

    Social background: Retired teacher, married. Likes gardening & painting. Married son lives nearby, visits

    regularly. Pt expecting first grandchild in 6 weeks.

    Medication:

     Perindopril arginine/indapamide (Coversyl plus) 4mg/1.25mg daily


     Aspirin 100mg daily
     Temazepam (Temazepam-Apo) 10mg nocte
     Escitalopram oxalate (Loxalate) 5mg daily
     Metformin hydrochloride (Sandoz) 500mg 2x/day

    Reason for admission:

    Patient delivered to hospital by husband: 25 Dec 2021: R upper and lower limbs

    sudden weakness, slurred speech, confusion.


    Previous history:

    14 January 2017 BP 160/90-hypertension diagnosed by local GP; prescribed Coversyl plus

    5 August 2018 Pt reports insomnia, fatigue, feeling low, stressed since retiring in 2019

    Mild depression; prescribed Temazepam-Apo 10mg nocte, escitalopram oxalate (Loxalate) 5mg daily

    Current history:

    25 December 2019

    Presentation: Pt delivered to hospital by husband

     Signs of expressive aphasia (non-fluent speech)


     R upper and lower limb weakness, numbness
     Blood glucose level (BGL):13mmol/L (high), BP: 180/120 (high), temp: 37.3°C (normal)
     Dizziness

    Treatment:

     Thrombolysis-heparin infusion, continued with antihypertensive Coversyl plus


    4mg/1.25mg daily and anti-depressants: Temazepam-Apo 10mg nocte, Loxalate 5mg
    daily
     Initial BGL management with sub-cutaneous insulin, commenced on metformin
    (Sandoz) 500mg 2x/day
     Aspirin 100mg/day commenced
     Motorskills exercise, walking with mobility aid

    8 January 2020 Persisting signs of mild expressive aphasia, insomnia, headache, mild R upper and lower

    limb weakness, anxiety.

    HbA1c: 5.5% (normal), BP: 100/75, temp: 36.9°C (normal)

    Concerns: Unstable BGL, expressive aphasia, ↑ stress

    Discharge plan: Refer to Nurse Manager of Community Rehab Centre, Linda Walter. As previously

    discussed on the phone:

     Suggest physio, occupational & speech therapy


     Mobility training-encourage to use walker
     Emphasise risk of depression. Consider psychological counselling
     Ensure BGL monitored and investigate if needed
    Writing Task:

    Using the information given in the case notes, write a letter of referral to Ms Walter, Nurse Manager of

    Community Rehab Centre. In your letter, briefly outline Ms Popovich's history and your concerns.
    Address the letter to Ms Linda Walter, Nurse Manager, Community Rehab Centre, Greenfield.

    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.

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