Writing Part 1
Writing Part 1
Read the case notes and complete the writing task which follows.
Notes:
You are an occupational therapist in Newtown. You have assessed and prepared a treatment plan with this patient on
referral from Dr Carol Smith.
PATIENT DETAILS:
Name: Melissa Godfrey (Ms)
DOB: 15/03/1972
Address: Flat 5, 18 Pine Street, Centreville
Case Notes
Medical History: Ms G has been off work (3 mths) with ongoing stress, anxiety & depression resulting from inability
to ‘switch off’ after work. This caused absenteeism & tardiness, frequent sick leave, friction with
colleagues, mistakes in work (picked up by clerk; no long-term repercussions with clients).
Response to stress: short temper, lethargy, overeating (unhealthy diet).
Has had some counselling – achieved limited success. Still struggling to deal with stress & anxiety,
but now wishes to return to work.
Occupational Performance:
Self Care: Independent
Domestic: Independent but not cooking much; eating a lot of takeaway food.
Leisure: Has worked long hours in past. Few hobbies. Watches TV, occasionally meets friends for drinks.
Ms G used to play guitar; likes reading, but has had little time; enjoys cycling, but not since splitting
permanently last year with husband of 6 yrs. Has been on dates several times but has no steady
relationship currently.
Since moving to Newtown, away from her usual support networks in Centreville, Ms G less involved
with leisure activities.