Occupational English Test: WRITING SUB-TEST: NURSING

TIME ALLOWED:            READING TIME: 5 MINUTES

WRITING TIME:             40 MINUTES

You are a Surgical Nurse in a post-operative ward. Your patient is ready for discharge today after CABG surgery.

Date:29/05/2021

Patient Details

Name: Mr Darwish Woods

Age: 77 years

Diagnosis: Coronary artery bypass graft

Family History

Married, carer for his wife (registered blind)

Daughter, married with children and lives overseas

Hobbles: Reading, cooking daily

Past History

Hypertension since 2011 (perindopril 1tab/daily)

High cholesterol since 2009 (atorvastatin 1 tab/dally)

Arthritis since 2007 (paracetamol 1 gm daily 4times

CAD (ECG, stress test, angiogram

Surgery: off pump CABG

23/05/2021

Admitted to hospital and underwent surgery on 24/05/2021 (graft from left leg)

Admitted in ICU for 24 hours

Administered IV antibiotics , analgesics and antithrombolytic agents

Chest tube insitu, drainage 20ml

Temp-37. 7C, PR-78/mt, RR-22/mt, Spo2-100°/o, BP-130/80 mm of Hg

Dressing in graft site

Provided elastic stockings and elevated leg for 24 hours

25/05/2021

Transferred to ward

Chest tube removed, wounds WNL

Complaints of pain over the chest and shoulder (administered Brufen)

Daily physiotherapy (deep breathing exercises, walking 4-5 mts 4times per day)

Exercise data sheet provided

Temp-37C, PR- 84/mt, RR-18/mt, BP-120/76 mm of Hg

29/05/2021

Ready for discharge (planned transfer to rehabilitation unit for 3 weeks) Follow up appointment:07/06/2021

Discharge instructions:

•          Assess wound over the chest and graft site

•          Dressing over the wound 2/weekly until sutures removed

•          Sutures removal after 2 weeks

•          Continue deep breathing exercises, walking 4-5 mts increase gradually

•          Avoid heavy lifting

•          Arrange carer and meals before discharge to home

WRITING TASK:

Using the information in the case notes, write a transfer letter to Ms Smith Brown, head of nursing, rehabilitation centre. Address this letter to Ms Brown, Head of Nursing, Brisbane OLD, Australia 4001.

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.

View sample answer by Lifestyle Training Centre

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