Scribd
Upload
1K views2 pages

Writing 101 2

Mr. Robert England, a 62-year-old retired wine waiter, was recently admitted to the surgical ward after being diagnosed with a large abdominal aortic aneurysm (AAA). He underwent open stent graft surgery and has since made good progress. He is being discharged with aspirin and arrangements for daily home visits from the community nursing service for the first week. The letter recommends lifestyle changes such as a diet low in animal fats and salt, increased fiber, and avoidance of weight-bearing exercise for six weeks. It requests the community nurses monitor his breathing, wound care, vital signs and ensure compliance with follow-up medical advice and review in one month's time.

Uploaded by

Soji
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
1K views2 pages

Writing 101 2

Mr. Robert England, a 62-year-old retired wine waiter, was recently admitted to the surgical ward after being diagnosed with a large abdominal aortic aneurysm (AAA). He underwent open stent graft surgery and has since made good progress. He is being discharged with aspirin and arrangements for daily home visits from the community nursing service for the first week. The letter recommends lifestyle changes such as a diet low in animal fats and salt, increased fiber, and avoidance of weight-bearing exercise for six weeks. It requests the community nurses monitor his breathing, wound care, vital signs and ensure compliance with follow-up medical advice and review in one month's time.

Uploaded by

Soji
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
  • Patient Details: Provides details of a patient scenario including identification, social background, medical history, and family history for a surgical ward setting.
  • Nursing Management: Outlines nursing plans including monitoring requirements, lifestyle changes, and medications for the patient.
  • Writing Task: Instructions to complete a writing task directed to the Community Nursing Service, forming part of an occupational English test scenario.
  • Medical Treatment: Describes scheduled medical treatments the patient will undergo along with dates and critical notes.

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:
Assume that today's date is 27 May 2019.
You are a charge nurse working in the surgical ward of Longford General Hospital. A male patient was admitted to
your unit for open stent graft surgery.

PATIENT DETAILS:

Name: Robert England (Mr)


DOB: 09 Nov 1957 (62
Address: y.o.)76 Laburnum
Next of kin: Close, Longford Wife,
Anna (60 y.o.), no
children

Social background:
Recently retired wine waiter - now works freelance as wine taster
Interests: gardening, cooking, reading, TV, travel
Sedentary lifestyle

Past medical history:

Current BMI 29.5 (overweight – borderline obese)


High-fat, high-salt diet & ‘lots of red meat’
Ex heavy smoker (30 cigs/day) - quit 55 y.o.
Moderate alcohol intake (2 glasses wine/day w. meals)
Hypertension diag. 2017

Family history: Father dec. 57 y.o. - ruptured AAA (abdom. aortic aneurysm)
Mother dec. 83 y.o. - Alzheimer’s

Current medications:
Verapamil (80mg 3x/day) - hypertension

Hospital admission: 19 May 2019


Presenting problem:
Lower back pain, pulsing sensation & generalised abdominal pain
Full blood count/ liver function test – unremarkable
Ultrasound
CT abdomen with contrast → large (7cm) AAA (Abdominal Aortic Aneurysm)

Diagnosis: AAA (Abdominal Aortic Aneurysm)


Need for urgent stent graft surgery
Medical treatment:

20 May 2019 Stent graft surgery (open)


Pt transferred →ICU for 48 hrs post-op

Nursing management:
Indwelling Foley catheter in situ
Wound drain (Redivac) in situ
PCA (patient-controlled analgesia) device in situ
Mepore dressing on surgical site (dissolvable sutures)
Need to observe for DVT risk & check breathing – pt. in upright position
IV antibiotics (Cefazolin 2g pre-op, 1g intra-op)

Assessment: Good progress: vital signs within normal range

27 May 2019 Pt instructed in necessary lifestyle changes:


• ↓intake of alcohol, animal fats, fried foods, salt
• ↑dietary fibre
• Achieve & maintain optimal weight (?referral to dietician)
• No weight-bearing/strenuous exercise (→6 wks.)
• Gentle exercise, gradually ↑
• No driving →4 wks.
Pt discharged w. low-dosage aspirin
Community nurse home visits arranged (1x/day →1 wk.)

Discharge plan: Community nurse to monitor breathing, cleanse & dress wound, check vital signs
Check compliance w. lifestyle advice
NB Review 30 May 2019 in Outpatients Dept.

Plan: Write to Community Nursing Service

Writing Task:
Using the information given in the case notes, write a letter to Mrs Moore, Head of the Community
Nursing Service. In your letter, briefly outline Mr England’s condition, medication and recommended
follow-up care. Address your letter to Mrs Fiona Moore, Head of the Community Nursing
Service, 26 Park Road, Longford.

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.

You might also like