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 Case Notes
Patient:
Amir Akbari
Age:
41
Marital status:
Married
Religion & ethnicity:
Moslem & Iranian
Admission Date:
6 March 2011, Prince Charles Hospital Randwick
Discharge Date:
22nd April 2011
Diagnosis:
Guillain-Barre Syndrome
Family/Psychosocial:
*Lives in rented house with Iranian wife & 2 kids (3 & 4) *PhD students; pt & wife speak good English *↓ support network in Australia *Children in university childcare 2/7; nil extra days available at centre at present *Pt works at service station 3/7 *Pt has PTSD issues 2⁰war trauma in mid 80’s – prone to depression and anxiety related to this.
Medical History and Medications *Otherwise physically healthy prior to onset of GBS *Medication information to be forwarded by doctor
Management and Progress during Hospitalisation:
*Rapid deterioration and recovery *Required ventilation in ICU 3/7 March 20—22nd *At peak of GBS couldn’t move limbs independently *Now ↓ muscle tone/strength and needs light assistance with ADLs but can walk slowly with walking frame *Went for regular plasmapharesis and had a total of 5/7 worth of IV gammagloblulin *Daily physio program including self exercises *Now becoming depressed about his prospects * Wife not coping with financial, study and childcare pressures
Discharge Plan:
*Continue physio program and encourage pt. to do his own limb exercises too *Discuss with your team re ? need for psych assessment re ? depression *Ensure your S/W is aware of the family and wife’s pressures and provides follow up *Halal diet *Pt oxygenation very stable on R/A now but observe for any ↓ in respiratory status or ↑ in neurological signs
Writing task You are the Charge Nurse on the neurological ward where Amir Akbari has stayed for most of his hospital admission. Using information provided in the case notes, write a letter of referral to the Charge Nurse at Prince Henry Rehabilitation Centre, Malabar Bay where he will be transferred to for rehabilitation after discharge from your ward.
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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