Welcome to Day 11. Today we are going to see the parts of an OET Letter.
Let me introduce an OET letter. It has the following parts/paragraphs:
- Address lines
- Subject OR Ref:
- Admission history
- Medical History
- Patient’s past medical history + family history
- Patient’s present condition
- Medicine management (for the future)
- Patient’s social history
- Closing and Thanking
- Writer’s details
1. Address Lines
Community Child Health Service
41 Jones Street – Ekibin.
Ms Edith Mehbooba
Mind It Care & Service
Park Road, Adelaide
Mr Ivan Stallone
Date refers to the day when the letter is written. If no discharge date is given, directly or indirectly, you can write the date of the exam. If discharge date is not given but admission date is available, make calculations since the admission date by adding the days the patient was in the hospital.
- 25 July, 2009
- 30th March, 2018
- Better to avoid “01/03/2019” style.
We write subject when the letter is addressed to the patient’s relatives/mother/husband / wife, etc. We write “Ref:” when the letter is addressed to a doctor / nurse / other medical professional
- Ref: Master Mugabe Obeki, DOB: 23 May, 2005.
- Re: Mr Oliver Ghosh, 28 years.
- Subject: Regarding your wife’s discharge and follow up care.
- Subject: Information about the spread and prevention of tape worm infestation.
- Dear Miss Amelia (If Amelia is a child or a girl below 18 years)
- Dear Dr Smith
- Dear Mr Sainuddhin
Introduction includes the purpose of writing the letter, something about the patient and about when the patient is discharged. They vary for each kind of letters.
- I am writing to request follow-up care for Master Vamuga and his family from your facility. He is due to be discharged today.
- May I bring to your kind attention the brief case-history and discharge plans of Ms Dona who has been admitted here for her treatment for abdominal pains.
- I am writing to request an emergency admission for Mrs Olsen who requires further support and management from your facility. She is presented with us since December 2007.
- I am writing this letter to request follow up care for Mr John who is recuperating after a prolonged cardiac instability and two subsequent surgeries. The patient is being discharged in a week’s time.
- This is in connection with the discharge of Ms Venora Arizona, a patient for the last fifteen days who has undergone multiple surgeries. She is ready to be discharged in two days.
- All parents are informed of a sudden outbreak of dengue fever and subsequent body pain that is rampant in the city. As many of our students have been diagnosed positive by our resident doctor, parents are advised to follow the instructions given below.
6. Admission History
Admission history includes when the patient was admitted, why, about the patient’s symptoms and vital signs, what initial assessments were done, and about the diagnosis.
- Master Vamuga was admitted to the Children’s Emergency Department on 15 July, 2009 with acute meningoencephalitis as a complication of mumps.
- Ms Thompson was admitted to our hospital three days ago after she had fallen on rocks and injured her leg and foot. In addition to this, she underwent routine blood investigations and wound-swab to check for infection and hydrosol dressing for minimising exudation.
- Ms. Tracy was presented to the hospital on 19 September 2009. During admission, she was suffering from severe pain and tingling sensation because of the damaged nerve fibres in the spinal cord. Consequently, she developed loss of movement along with bladder and bowel incontinence. Sadly, her body balance and walking ability also impaired.
7. Medical History
Medical history is the main player. You score maximum marks here. It is an elaboration of the admission history including tests after the diagnosis and Medication.
- Worthy to note / It is worth noting that, the patient has had diabetes for the past two years and got admitted in the hospital due to high blood pressure in 1992.
- It was quite unfortunate that Ms Joseph and her husband had to meet with an accident on a road that has the reputation of zero accidents for a decade.
8. Diagnosis and Treatment
- Presently Ms Tracy is recovering well and she can walk with the help of her daughter. Except for her irregular back-pain, the patient is doing well.
9. Nursing Management
- At present, she is recovering well and her vital signs are all within normal limits. She is being assisted for activities of daily living and her wound site is being kept clean and dry as well.
10. Social History
The patient’s social history includes where he lives, alone or in family, about his wife/ daughter, divorced, financial issues, income, ability to manage his daily activities.
- Master Vamuga lives with his parents in a rental house. His father, Mr Abdullah Obeki is an employee at Golden Circle pineapple factory and his mother, Mrs Miri, is a housewife. They are refugees arrived in Australia from Sudan in 2008 and have one more 2 year old child. In addition, they know only Dinka and Arabic. Now, Mr Obeki attends English classes and understands spoken English. However, he has limited writing skill as they require a language interpreter.Master Vamuga’s parents state that both 9 had some kind of vaccination at birth but the vaccination records has been lost.
- Looking at the patient’s social environment, Ms.Tracy is a widow and lives with her daughter.
- Ms Narayan has been on a strict lifestyle to control her addiction to alcohol but for some unknown reasons, she has not been able to make any headway.
- Mr John is an alcoholic and a chain smoker for the last fifteen years after his untimely retirement from the army where he had served as a captain. Mr John was a difficult man in the army and was a nuisance among his peers..
11. Request to the Addressee
This is the writer’s request to the receiver. As the patient cannot manage alone, he needs the assistance of a nurse, or, as the patient is not improving, he/she needs to be referred to a doctor
- Kindly provide education to his parents regarding mumps vaccination schedules and recommended vaccines for both children. Encourage them to do his neurological check up. Currently, he is stable and ready for discharge.His address is enclosed along with this.
- In view of the above circumstances, it would be greatly beneficial if you could arrange someone who can help this family. Kindly help her for meeting hygienic needs as she is being affected with loss of bowel and bladder control. Your special attention is brought to the point that you will have to do the needful to assist her in order to improve her mobility.
- You are most welcome to ring me any time in case at any point of time you require any additional query pertaining to the information of the patient.
- For the above reasons, you are requested to arrange Mr John’s further care as he is moving to home in a week.
- I have all the reasons to believe that you will need to contact me several times to make fresh inquiries about Mr John because this tough man will pop up with new issues for people who are around him. Please feel free to contact me at any time of the night or contact one of our day staff on the number you have recieved in the last mail.
- I reckon that you will be having further queries about the patient or his past history not furnished in this letter… In that case I will be most obliged to provide you with speedy information.
- If you have further queries, please do not hesitate to contact me.
- I look forward to your kindness that would warmly accept Ms Joseph into your reputed palliative care.
12. Closing Lines
- Yours Sincerely,
- Charge Nurse