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  • Occupational English Test: Writing Sub-Test: Nursing Time Allowed: Reading Time: 5 Minutes Writing Time: 40 Minutes

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    Mr. Gerald Baker, a 79-year-old patient, is being discharged from the hospital back to Greywalls Nursing Home following a left total hip replacement. The letter informs the nursing home senior nurse of Mr. Baker's medical history, treatment plan including medications and exercises, and recommends continued monitoring of his mobility, orientation, and hemoglobin levels. Discharge supplies including a walker and pillow are being sent with Mr. Baker, and his staples will be removed and blood tests followed up on at the hospital clinic later in September.

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    Writing Nurses15

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    Mr. Gerald Baker, a 79-year-old patient, is being discharged from the hospital back to Greywalls Nursing Home following a left total hip replacement. The letter informs the nursing home senior nurse of Mr. Baker's medical history, treatment plan including medications and exercises, and recommends continued monitoring of his mobility, orientation, and hemoglobin levels. Discharge supplies including a walker and pillow are being sent with Mr. Baker, and his staples will be removed and blood tests followed up on at the hospital clinic later in September.

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    Occupational English Test: Writing Sub-Test: Nursing Time Allowed: Reading Time: 5 Minutes Writing Time: 40 Minutes

    Uploaded by

    jamnas tt
    Mr. Gerald Baker, a 79-year-old patient, is being discharged from the hospital back to Greywalls Nursing Home following a left total hip replacement. The letter informs the nursing home senior nurse of Mr. Baker's medical history, treatment plan including medications and exercises, and recommends continued monitoring of his mobility, orientation, and hemoglobin levels. Discharge supplies including a walker and pillow are being sent with Mr. Baker, and his staples will be removed and blood tests followed up on at the hospital clinic later in September.

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    of 3

    OCCUPATIONAL ENGLISH 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:

    Mr Gerald Baker is a 79-year-old patient on the ward of a hospital in which you are Charge Nurse.

    Patient Details:

    Marital Status: Widower (8 years)

    Admission Date: 3 September 2010 (City Hospital)

    Discharge Date: 7 September 2010

    Diagnosis: Left Total Hip Replacement (THR)

    Ongoing high blood pressure

    Social Background: Lives at Greywalls Nursing Home (GNH) (4 years)

    No children

    Employed as a radio engineer until retirement aged 65

    Now aged-pensioner

    Hobbies: chess, ham radio operator

    Sister, Dawn Mason (66), visits regularly; v supportive

    – plays chess with Mr Baker on her visits

    No signs of dementia observed

    Medical Background: 2008 – Osteoarthritis requiring total hip replacement surgery

    1989 – Hypertension (ongoing management)

    1985 – Colles fracture, ORIF

    TURN OVER 2
    Medications: Aspirin 100mg mane (recommenced post-operatively)

    Ramipril 5mg mane

    Panadeine Forte (co-codamol) 2 qid prn

    Nursing Management and Progress:

    daily dressings surgery incision site

    Range of motion, stretching and strengthening exercises

    Occupational therapy

    Staples to be removed in two wks (21/9)

    Also, follow-up FBE and UEC tests at City Hospital Clinic

    Assessment: Good mobility post-operation

       :HLJKWEHDULQJZLWKXVHRIZKHHOLHZDONHUZDONVOHQJWKRIZDUGZLWKRXWGLIÛFXOW\

    Post-operative disoriention re time and place during recovery, possibly relating to


    anaesthetic – continued observation recommended

    Dropped Hb post-operatively (to 72) requiring transfusion of 3 units packed red


    blood cells; Hb stable (112) on discharge – ongoing monitoring required for anaemia

    Discharge Plan: Monitor medications (Panadeine Forte)

    Preserve skin integrity

    Continue exercise program

    Equipment required: wheelie-walker, wedge pillow, toilet raiser. Hospital to provide


    walker and pillow. Hospital social worker organised 2-wk hire of raiser from local
    medical supplier.

    Writing task:

    Using the information in the case notes, write a letter to Ms Samantha Bruin, Senior Nurse at Greywalls Nursing Home,
    27 Station Road, Greywalls, who will be responsible for Mr Baker’s continued care at the Nursing Home.

    In your answer:
    ฀ ฀ ฀ ฀ ฀ ฀ ฀
    ฀ ฀not use note form
    ฀ ฀ ฀ ฀
    ฀ ฀ ฀ ฀ ฀ ฀ ฀ ฀ ฀

    3
    OCCUPATIONAL ENGLISH TEST
    WRITING SUB-TEST: NURSING
    SAMPLE RESPONSE: LETTER

    Ms Samantha Bruin
    Senior Nurse
    Greywalls Nursing Home
    27 Station Road
    Greywalls

    (TodayÕs date)

    Re: Mr Gerald Baker, aged 79

    Dear Ms Bruin

    Mr Baker is being discharged from City Hospital back into your care today. He underwent a left total hip
    UHSODFHPHQW+HKDVJRRGPRELOLW\DQGFDQZDONDORQJWKHZDUGXVLQJDZKHHOLHZDONHUZLWKRXWGLIÛFXOW\

    Mr Baker was recommenced on 100mg Aspirin daily post-operatively. In addition to his usual treatment
    for hypertension, he requires pain relief (Panadeine Forte, max 8 tablets/day) and daily dressing changes.
    He is to undergo a series of range-of-motion, stretching and strengthening exercises, and occupational
    therapy, to ensure a full recovery. We are sending a walker and wedge pillow with the patient. Our social
    worker has organised hire of a toilet raiser for two weeks.

    During post-operative recovery Mr Baker appeared disoriented. As there is no record of dementia, this
    may relate to the anaesthetic; continued observation is nevertheless recommended. His sister may be
    able to comment. Mr Baker’s haemoglobin dropped post-operatively. He was transfused three units of
    packed red blood cells, without complication, and his Hb on discharge is stable (112). Please monitor for
    signs of anaemia.

    Mr Baker will have his staples removed at City Hospital Clinic on 21 September. Follow-up blood tests
    (UEC, FBE) will also be conducted.

    Please contact me with any queries.

    Yours sincerely

    Charge Nurse

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