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    324 views3 pages

    Oet Grandcoaching

    Uploaded by

    Bal Avenido

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 3

    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: CEVAS Hospital

    Patient Details:

    Name: Martin Espinosa Age: 62

    Admission Date: 13 October 2009

    Discharge Date: 24 October 2009

    Diagnosis: Attempted suicide – overdose of Mogodol

    Past Medical History: Heavy smoker (40 cigarettes/day)


    Acute Bronchitis (multiple episodes)
    Underweight – 66kg, BMI 18
    Psoriasis

    Social History: Retired 2 years ago (book keeper with Holden Car
    Company
    Lives with wife, Joan, and adult son in housing trust
    Maisonette in Elizabeth.
    Wife works at Coles, son unemployed
    2 married daughters and 5 grandchildren.
    Regular social drinker

    Depression related to gambling


    addiction began \gambling 2 years ago
    Has lost a lot of money including superannuation
    funds and is in debt.
    Wife and family previously unaware of addiction – very
    angry but also upset about suicide attempt
    Patient remorseful and ashamed
    Wants to overcome addiction
    Used to be a keen lawn bowls player Has lost friends as result of gambling

    Nursing Management:

    Assessment :Weak, fatigue and depressed

    Anti-depressants prescribed – Lovan 200g

    Serotonin and noradrenaline reuptake inhibitors (SNRIs)

    Duloxetine 200g (Cymbalta), venlafaxine (Effexor) 200g and


    Serotonin and Noradrenaline reuptake inhibitors

    (SNRIs) venlafaxine (Effexor) 200g and Desvenlafaxine


    (Pristiq) 200g

    BP 130/95 mmHg Mercury


    Diagnosed with Type II diabetes.
    Diabetes education regarding diet and oral medications Wheelchair
    use
    Psoriasis on Torso ( thoracic segment of the trunk) and scalp –
    Diprosone OV cream 2x/day, Ionil T
    Shampoo
    Poor appetite Physically unfit

    Discharge Plan:

    o Encouragement to maintain anti-depressant medication routine as


     the SSRI is established.
    o Mrs Wilson will help with supervision
    o Monthly follow-up appointments with psychologist Dr Brian Murphy,
    Lyall McEwen Hospital
    o Social worker appointment to be made for gambling addiction
    therapy
    o Strong encouragement and assistance to join Gambling Addiction
    Action Group, Elizabeth Community Centre
    o Contact with Quitline needs to be encouraged
    o Wheel chair required for another week.
    o Frame advised
     Maintain psoriasis treatment
     DiproSone® 0.05 % w/w Cream OV cream 2x/day
    Betamethasone (as dipropionate)

     Ionil T MG217 3% Coal Tar Formula Shampoo


    (eradicating scalp buildup and irritation)

    o Maintenance of low GI diet for diabetes – involvement of wife


    necessary
    o Encouragement in social sporting activities eg lawn bowls?

    Writing Task

    Using the information in the notes, write a letter to the social worker, Ms Jennifer
    Adams, at the Alabang Community Health Centre, 125 Munno Parra Avenue,
    Elizabeth, 5098 requesting follow- up care. Stress that Mr Wilson’s case needs
    urgent attention.

    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.

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