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ENGLISHTEST
WRITING hq* ulo*-r
Mr GeraldBakeris a 79-year-old_patient
. on thewardof a hospitalin which you are *
'----
ChargeNurse.
PatientDetails:
Marital Status: ^U{gysr(syears)
AdmissionDate: 3 September
2010(City Hospital)
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Diagnosis: Le{ Tota!Hip-Replacement
(THR)
Ongoinghigh bloodpr€ssure
SocialBackground: Livesat GrcywallsNursingHome(GNH) (4 yean)
No children
Employddasa radioengineeruntil retirementaged65
Now aged-pensioner
Hobbies:chess,hamradiooperator
Si+teq0awn-il{ason-(66 iye*":-""
- playschesswith Mr Bakeron her visits
No sgs of dementiaobserved
Medical Background: 2008- Osteoarthritisrequiringtotal hip replacementsurgery
1989- Hypertension
(ongoingmanagement)
1985- Collesfracture,ORIF X
Medications: mane(recommenced post-operarively)
@*.l00mg
339!Btil 5mg mane
PanlderleForte(co-codamol)2 qid prn
Nursing Managementand Progrcxxl:
daily dressingssurgeryincisionsite
Rangeof motion,shetchingandstrengthening
exercises
Occupationaltherapy
4r9, follgy;upFBt ag lJEC--tppJ$ crinic
at-giH:rpspltar
Assessment: Goodmobility post-operation
walkslength
with useof wheelie-walkcr;
Weight-bearing
of wardwithoutdifficulty
disorientionre timeandplaceduringrecovery,
. Post-operative
-'/ - continuedobservation
possiblyrelatingto anaesthetic
necommended
DroppedHb post-operatively (to 72) requiringtransfusionof 3
units packedrcd bloodcells;Hb stable(l l2) on discharge-
ongoingmonitoringrequircdfor anaemia
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DischargePlan: Monitor medications(Panadelrfe
Forte)
r/ --
skin-iftegriry-
i heserv-e
\
\ontinue exerciseIIggTT
----_____.-:--: -
...,'
Equipmentrequired:wheelie-walker, redgepillow, toilet
ralser
Hospitalto providewalkerand low. Hospitalsocialworker
organised2-wk hire of raiser om localmedicalsupplier.
Writing task:
Using the informationin the casenotes,write a letterto Ms SamanthaBruin, Senior '..,..r
Nurseat GreywallsNursingHome,27 StationRoad"Greywalls,who will be
responsiblefor Mr Baker'scontinuedcareat the NursingHome.
In your answer:
. expandthe relevantnotesinto completesentences
. do not usenoteform
. useletterformat
The body of the lettershouldbe approximately180-200words.
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eU A'vrxo-,
Ms SamanthaBruin
SeniorNurse
GreywallsNursing Home
27 StationRoad
Greywalls
(Ioday's date)
Re: Mr GeraldBaker, aged79
Dear Ms Bruin
Mr Baker is being dischargedfrom City Hospitalback into your [Link]
underwenta left total hip [Link] hasgoodmobility and canwalk alongthe
ward using a wheelie-walkerwithout difficulty.
Mr Bakerwas recommencedon'100mgAspirin daily [Link] additionto
his usualtreatmentfor hypertension,he requirespain relief (PanadeineForte,max 8
tablets/day)and daily [Link] is to undergoa seriesof range-of-motion,
stretchingand strengtheningexercises,and occupationaltherapy,to ensurea full
[Link] are sendinga walker and wedgepillow with the [Link] social 1i'!a
' '\
worker hasorganisedhire of a toilet raiserfor two weeks.
During post-operativerecoveryMr Baker [Link] thereis no record
of dementia,this may relateto the anaesthetic;continuedobservationis nevertheless
[Link] sistermay be ableto [Link] Baker's haemoglobindropped
[Link] wastransfusedthreeunits of packedred blood cells,without
complication,andhis Hb on dischargeis stable(l l2). Pleasemonitor for signsof
anaemia.
Mr Bakerwill havehis staplesremovedat City HospitalClinic on 2l September.
Follow-upbloodtests(IIEC, FBE) will alsobe conducted.
Pleasecontactme with any queries.
Yours sincerely
ChargeNurse
fua, rtte Bruin
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