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OET Letter Writing – Step 1 Case Notes Reading with “PPRRAADDWK”

Case Notes is the question paper of your OET Writing Test. While a case notes includes a lot of relevant information about the patient, it also includes a lot of “irrelevant” information that you should not include in the letter.

What is PPRRAADWK? Well, it is another method to “look” for the information.

What are they? Promise that you will read this page till the end!

  • P1 Who is the Patient?
  • P2 What is the main Purpose?
  • R1 Who is the Recipient?
  • R2 What are the Requests?
  • A1 What was the Admitting condition?
  • A2 What was the Admission Date?
  • D1 What is the Discharge Date
  • D2 What is the Discharge Condition?
  • W Who is the Writer?
  • K – Is the patient Known to the recipient?

So, where should we start?

  1. Read the “Notes” at the starting of the case notes
  2. In the next few lines, read about the patient’s name, age and admission date.
  3. Read further and read “presenting complaints, vitals, diagnosis, treatment and some past medical history.
  4. Do not waste time reading the social elements because in most letters we needn’t include social details.
  5. Now see what the patient’s present condition is. Tests being conducted? Diagnosed? Recovering? recovered?
  6. Now you need see the purpose writing this letter. What do you want the recipient do for the patient? You can see this in the “Writing Task” area and further in the “Discharge Plan” area.
  7. The Discharge Plan area will have a lot of information but you have to be careful. You should select only those “plans” that the “recipient” can provide for this patient’s current condition.

What’s next?

Now, let’s read this case notes and mark the “PPRRAADWKs” in it. Remember, you will have to mark PPRRAADWK on your case notes on the day of your examination.

CASE NOTES

OCCUPATIONAL ENGLISH TEST

WRITING SUB-TEST: Nursing
TIME ALLOWED:

READING TIME: 5 MINUTES
WRITING TIME: 40 MINUTES

Read the case notes below and complete the writing task which follows.

NOTES:

You are a registered nurse in the Cardiology Unit at St Luke’s hospital, Adelaide. Ms. Kylie Weiss is a patient in your care.

Today’s date: 09/07/2017

Name: Ms. Kylie Weiss
D.O.B.: 21/05/1952

Address: 8758, Pulteney Street, Adelaide, SA, 5000

Date of admission: 07/07/2017

Presenting Complaint:

BIBA (Brought in by ambulance)
2-hour history of intermittent discomfort jaw;
Heaviness in both forearms; constant discomfort.

IV access in ambulance, 10 mg IV Morphine on route, Aspirin 300 mg chewed, Glytrin spray x 3 ECG showing ST elevation.

Diagnosis: Myocardial Infarction

Medical History:

  • Weight: 85 kilograms, Height: 170 cm – Overweight (BMI-29)
  • Ex-smoker – (stopped 1994)
  • Mild osteoarthritis
  • Mild asthma – no exacerbations within last 5 years
  • Dyslipidemia (not treated)
  • Medications: NIL
  • Occupation: Works as taxi driver, mixed shifts
  • Dietary Habits: Eats fast food- fries, hamburgers, doughnuts, ice cream, non-drinker.

Family History:

  • Brother – Coronary artery bypass grafting (CABG) at 70 years
  • Sister MI (Myocardial Infarction) at 60 years, Mother-angina

Social History:

  • Marital status: Married, with one daughter
  • Husband – Peter Weiss, 67 years, retired, aged pensioner

Treatment

  • Emergency Angioplasty
  • ST Segment elevation on ECG –
  • Direct stenting to proximal LAD
  • Echocardiogram – Ejection fraction 35%
  • Pain/Discomfort – managed
  • Fasting Bloods (Lipids, Diabetes, TnI (proteins troponin), CBC (complete blood count) Cholesterol levels) checked.
  • Nil further pain / discomfort,
  • Cardiac status stable
  • Seemed confused re. diagnosis,
  • Reality of near-death experience
  • Educated re event, MI diagnosis and modifications to risk factors (Cholesterol, wt. loss)
  • R/v by Physiotherapist – cardiac exercise program provided
  • R/v by dietician – diet for weight loss & reduced cholesterol levels
  • Concerned about being unable to manage home on her husband’s pension – S/W input required

09/07/2017 Preparing for discharge

Discharge medications:

  • Atorvastatin 40 mg OD, Metoprolol 23.75 mg OD
  • Cilazapril 0.5 mg OD, Aspirin 100 mg OD, Ticagrelor 90 mg BD
  • Glytrin spray prn for chest pain

Discharge plan:

  • Refer to Cardiac Rehabilitation Nurse Specialist…
  • Compliance with risk factor management (wt. loss, low cholesterol diet), medications, re-education re MI and its management.
  • No driving for 6 weeks.

WRITING TASK

Using the information given in the case notes, write a referral letter to Ms. Nina Gill, Cardiac Rehabilitation Nurse Specialist, Cardiac Rehabilitation Clinic, 41, Jones St, Adelaide outlining important information.

In your answer:

  • Expand the relevant case notes
  • into complete sentences.
  • Do not use note form.
  • Use correct letter format.

The body of the letter should be approximately 200 words.

Let’s “PPRRAADDWK” first! Have another look!

  • P1 Who is the Patient?
  • P2 What is the main Purpose?
  • R1 Who is the Recipient?
  • R2 What are the Requests?
  • A1 What was the Admitting condition?
  • A2 What was the Admission Date?
  • D1 What is the Discharge Date
  • D2 What is the Discharge Condition?
  • W Who is the Writer?
  • K – Is the patient Known to the recipient?

Check your score now!

  • Question of

    Who is the patient?

    • A woman suspected for myocardial infarction
    • A woman with myocardial infarction
    • A woman with high BP
  • Question of

    P2 What is the main Purpose?

    • Advise the patient not to drive
    • Advise the patient to reduce weight
    • Refer to Cardiac Rehabilitation
  • Question of

    R1 Who is the Recipient?

    • Rehabilitation Nurse Specialist
    • Cardiac Rehabilitation Nurse Specialist
    • Cardiac Rehabilitation Nurse
  • Question of

    R2 What is NOT one of the Requests? (Plan)

    • Check the patient’s compliance with risk factor management.
    • Weight loss programs
    • Reduce cholesterol
    • Administer medications
    • Re-education regarding MI and its management
    • Make sure the patient does not drive for 6 months
  • Question of

    A1 What was NOT one of the Admitting conditions?

    • 4 hour history of intermittent discomfort in the jaw;
    • Heaviness in both forearms;
    • ST elevation
  • Question of

    A2 What was the Admission Date?

    • Yesterday (as per the discharge day)
    • Day before yesterday (as per the discharge day)
    • Today (as per the discharge day)
  • Question of

    D1 What is the Discharge Date?

    • Today (As per the case notes)
    • Tomorrow (As per the case notes)
    • Already discharged
  • Question of

    D2 What is the Discharge Condition?

    • Post Diagnosis
    • Post Angioplasty
    • Post Rehabilitation
  • Question of

    W Who is the Writer?

    • Registered nurse in the Cardiology Unit
    • Registered nurse in the Pulmonary Unit
    • Registered nurse in the Rehabilitation Clinic
  • Question of

    K Is the patient Known to the recipient?

    • Yes
    • No

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Written by Biju John

Love for English begins with understanding its unknown rules. Biju John lives on the internet, teaching OET, IELTS and PTE. More than a million students have thanked him from their heart.

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