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Allison Watson

The patient, Allison Watson, a 6-year old girl, was admitted to the hospital after nearly drowning. She required CPR and mechanical ventilation initially but stabilized over time. While responsive to commands and communicating better, she still has some speech issues and needs further neurological testing. The letter refers Allison to a neurologist for additional tests to check for any delayed cognitive or speech effects from her near-drowning incident.

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0% found this document useful (1 vote)
801 views3 pages

Allison Watson

The patient, Allison Watson, a 6-year old girl, was admitted to the hospital after nearly drowning. She required CPR and mechanical ventilation initially but stabilized over time. While responsive to commands and communicating better, she still has some speech issues and needs further neurological testing. The letter refers Allison to a neurologist for additional tests to check for any delayed cognitive or speech effects from her near-drowning incident.

Uploaded by

TARUN
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
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ms

ose s only . Offi cial OET e~a


: · This is a moc k exa m writ ten for edu cati ona l purp se trea t this
Plea se note ical kno wled ge. Plea
ess iona ls with exte nsiv e med
are writ ten by med ical prof enti c exa mpl e of the real OET exa m.
as an auth
task as a lear ning tool , NOT

TE ST
O C C U PA TI O N A L EN G LI SH
WR ITI NG SU B-T ES T: NU RS ING

TIM E AL LO WE D:
RE AD ING TIM E: 5 MIN UT ES
WR ITI NG TIM E: 40 MIN UT ES

'\
plet e the writ ing task whi ch follo ws.
Rea d the cas e note s belo w and com

No tes :
d of whi ch you are Cha r~e Nurs~.
_ Allis on Wa tson , a 6-ye ar-o ld, is a pati ent in the med ical war
Miss
Adm itted afte r nea r dro wni ng.

h Stre et, We stm ond


Hos pita l: We stm ond Pub lic Hos pita l, 22 Hig

Pat ien t det ails

Nam e: Alli son Wa tson


Ag e: 6 yea rs
Nex t of kin: Ma rge Wa tso n (mo the r)
Ad mis sio n dat e:
21 Feb rua ry 201 6
3 Ma rch 201 6
Dis cha rge dat e: in inju ry
Nea r drowning, potential hypoxic bra
Dia gno sis : )
Live s with mo the r and fath er (Tim
Fam ily:

Me dic al his tor yan d medications:


Chicken pox (3yo)
Fractured collar bone (4yo)
Mil d ast hm a

Primary scho"ol student (grade 1)


Social background:
Enjoys sport (soccer, athletics)

holiday with father.


Fell into fresh water lake while on fishing
Background:
Found 15-20 minutes later face down.
basic life support started
Paramedics arrived 10 minutes later,
On admission to ED: cyanotic,
1'>

' pulseless,
~ apnoeic,
.\ ,, fixed & dilated pupils,
tympanic temp 27.7°C
T
Nu rs in g M an ag em en t an d p rogress:

21 /2 /1 6: CP R Performed
cheal tub ing inserted
Ve nt ila to r & endotra d' t
H ea te d hu mi dif ier r nkets applied
ric ve nt ila t~ /u ~: ~ warmer, preheated bla
Pa ed iat
84 / 36 / 19 / 78 %
Blood Ga s) = 7.04 /
Initial AB G (Art~rial ion achieved
Sp on ta ne ou s circulat

/ 23 / 97%
23 /2 /1 6 AB G = 7.44 / 34 / 94
BP 98 /6 4
°c
Ty m pa ni c te m p 34.8 ne ra l wa rd
fe rre d fro m ICU to ge
Pa tie nt sta ble - tra ns
\

al
25 /2 /1 6 Te m pe ra tu re no rm
e to co m m an d
Un re sp on siv
be d
M ov in g ar ou nd th e tio n
en tila te d fo r IC P pr ot ec
No lo ng er hy pe rv be gu n
nic al ve nt ila tio n
W ea ni ng of f m ec ha

m an ds
Re sp on siv e to co m d sp ee ch
29 /2 /1 6 n po ss ibl e - slu rre
Ba sic co m m un ica tio
m m en ce d
Sp ee ch th er ap y co
tin g
Di ffi cu lty co nc en tra
da ily fo r he ad ac he s
Pa ra ce ta m ol 3x
sp ut um
Co ug hi ng up pi nk
tio n st op pe d
M ec ha ni ca l ve nt ila

ng of speech
oving, still some slurri
Communication impr pears ok
3/3/16 en tra tio n impr ov ing , cognitive function ap for delayed
Conc
am s cl~ ar - need more tests to check
Neurological ex
tion itive effects
pr ob le m s as precau rm an ent speech and cogn
ne d ab ou t pe
Pa re nt s concer
en needed
Pa ra ce ta m ol given wh
Occasional cough
R ea dy for discharge

ac he s
Pa ra ce ta m ol fo r he ad rs en s
Discharge plan: r co ug h, re tu rn to hospital AS AP if wo
M on ito
speech W'3ek
Sp ee ch th er ap y fo r ps yc ho lo gi ca l, vi su al-spatial, IQ) in on e
(neuro
Ne ur ol og is t fo r tests I •

he ad ac he s D r if minor
G P to ch ec k cough, he ad ac he s, co nc en tra tio n . Call
co ug h,
Pa re nt s to m on ito r
if se ve re ef0
issues, bring to ER
r , '"":'"f

Writing Task:

Please choose 1 only (as instructed by your teacher)

A: Using th e information provided in the case notes , write a referral letter to the GP, Dr Anne Si,n ons,
Southern Medical Centre , 15 Eltham Place, Curtai~-

8 : Using the information provided in the case notes , write a letter detailing the post-dischar ge q:ire
required for the patient to the patient's mother, Mrs Marge Watson, 34 View Rd, Tenningway~
1

C: Using the information provided in the case notes, write a referral letter to the neurologist, Dr Frank
Rivers , Head Neurologist at Western Neurology Group , 95 Fitzroy St, Green Valley.

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 approximate ly 180-200 words.

Please note: It's not common for a nurse to write a letter to a Neurologi st in the rET
exam . However, adapting your w riting to suit the needs of different profession s s a
useful learning tool.
"

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