TASK 7 Name : Kim Morley Age : 36
Admitted : 10 November 2008 Discharged : 11 November 2008
Reason for admission Mino RTA after falling asleep at the wheel-Diagnosis OSA
HISTORY: Loud snoring, excessive daytime sleepiness; depression; father had OSA; obese 150 kgs- no weight reduction techniques successful over last 5 years. No history of asthma, emphysema or chronic cough suffered from gout two years ago and psoriasis: alcohol 3-4 glasses daily, usually wine; up to four coffees/day; no medications; Divorced, 2 children; builder owns own business; smoker- 1 pk/day 15 years; had malaria 1998, appendix out 1990. No allergies.
Examination: Sleep study (overnight/daytime split night polysmnography) confirmed OSA, face mask used claustrophobia and discomfort so nasal trumpets used. EEG, EOG, chin and leg EMG EKG airflow, thoracic and abdominal recorded. Pt. given Ambien for test.
Discharge Plan: Avoid sedatives, hypnotics and narcotics unless sleep apnoea treated No operation of heavy machinery or driving unless sleep apnoea treated See dietitian re: weight loss plant, healthy diet, exercise
Use heated humidifier in bedroom
Give up Smoking – Given info about Quit program Cut down alcohol and caffeine. Use nasal decongestant
See sleep disorder specialist for a CPAP machine.
Writing Task: Using the information in the case notes. Write a letter of referral to the sleep disorder specialist, Mrs. Ton wisdom, 23 Wellman St. Camberwell, 330
Submit your OET letters for correction: (for a minimal fee)
https://goltc.in/oet-writing-correction/
