Purpose is very important in the first and last paragraphs of an OET letter. Many candidates present the less important purpose and confuse the recipient of the letter.
- Suppose Mr John is a patient who is at the terminal stage of cancer.
- His doctors have concluded that he will not survive 50 to 60 days.
- He is, therefore, being sent to a palliative care hospice for a pain-free, dignified life till death.
- Today he fell down and wounded his elbow for which he has been treated.
Now, what is the purpose?
- Transfer to palliative care?
Certainly his fall and subsequent injury is NOT the main purpose but his cancer-related information and the kind of arrangement to be made at the care center.
Proceed to the Cases below and pick the correct Purpose:
You are the charge nurse on the hospital ward where Mr. Gabriel Okara has recently had his operation. Using the information provided in the case notes, write a referral letter to the Community Nurse Head at Care Well Hospital, Birmingham, who will be attending to Mr. Alfred Billy, at his home, following his discharge.
- Home care
Write a letter to Ms Marcia Devonport, West End Physiotherapy Centre, on behalf of Mrs Elizabeth Dawson requesting a home visit to provide advice and assistance with improving her husband’s mobility.
- Home visit to monitor medication
- Transfer to another facility
Write a letter of referral to Brunswick Family Care Clinic, requesting monitoring and ongoing care be arranged for Mrs Brampton. Community Nurse to make sure Mrs Brampton continues her cessation of smoking – with the help of Nicotine patches and Zyban.
Plan: Monitor urine – monitor blood sugar levels with glucometer – Needs to be educated re Diabetes and importance of special diet – Needs to attend formal diabetic education program (daytime classes at Hospital) – Increase Daonil from 15 to 20mg per day – Needs vision checked every two to three months – Needs to lose weight – has increased 3.5kg in last 6 months – Suggest a suitable exercise program ? Swimming. (This patient has been in your care for the past 10 years. During the past 8 years Mrs Williams has developed diabetes. It is not well controlled. You are now referring her on to a Public Health Nurse to take over the management of this patient)
- Manage the patient at her / his facility
- Manage the patient at the sender’s facility