Booklet 16

Sara Hamilton

OCCUPATIONAL ENGLISH TEST

WRITING SUB-TEST: Nursing
READING TIME: 5 MINUTES | WRITING TIME: 40 MINUTES

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

NOTES

Today’s Date: 20/08/2022

Ms Sarah Hamilton is Dr Leona Augustine’s patient and you are in charge of her patients at King Wales’ Mother and Child Hospital, Perth. Sarah was discharged three days after her C-Section (her third baby)

Subject: Regarding Sarah’s care after discharge

Patient Details

  • Ms Sarah Hamilton, 34 years, 69 kg (58 kg before 7 months)
  • 1292, Hamilton Arcade, South Coast, Perth.
  • C-Section on Thursday, 16/08/2022
  • Two other children, 4 and 7 years (both normal vaginal delivery)
  • Police officer (six hours duty). No servant at home.
  • Dressing on. Dissolvable stitches.

Mother-in-Law (52 years)

  • Too eager to look after Sarah
  • Very friendly. Cannot tolerate any harm.
  • Intends to reduce Sarah’s 10 kg body weight.
  • Not allowing Sarah to walk, move, exercise.
  • Hesitant that Sarah consumes medicines (baby’s safety)

New-born Details

  • Male
  • Birthweight: 2900 Gm
  • APGAR score: 7/10 in one minute
  • Breastfed
  • No remarkable conditions.

Information

  • C-Section recovery time – Six weeks
  • Gentle exercise, such as walking (avoid anything that is more than “gentle” until no pain).
  • Avoid driving, carrying anything heavy, doing heavy housework, such as vacuuming.
  • Do not let Sarah carry baby in car seat (lifting pram).
  • Midwife / health visitor to (will) visit at home for the first few weeks to check how mother and baby are getting on. (Already arranged by hospital)
  • Call Dr Augustine on the number provided.

Monitoring

  • Clean and dry wound carefully every day (wear cotton high-waisted pants and loose clothes)
  • Check if Sarah has high temperature, generally unwell (upset stomach, wound becomes red, swollen, painful or has a discharge).
  • Wound will continue to feel sore and bruised (2 to 4 wks).
  • Take pain relief (paracetamol / ibuprofen) for at least 7-10 days) PRN (Regularly and on time)
  • Speak to your midwife / pharmacist / GP (If pain still persists with the painkillers)
  • Medicinal effects do not affect the breastfeeding baby.
  • Avoid codeine or co-codamol.

Getting in and out of bed

  • Roll on to the side, drop legs over the side of the bed, push up sideways into sitting position.
  • Try to stand up as straight as possible.
  • Do the opposite to get back into bed.

C-section Scar Recovery

  • Wound takes six (?) weeks to heal. Scar fades over time.
  • Possible loss of feeling in the wound area (will come back over time).
  • Massage scar to break up the scar tissue and stop any itching. (How to?)
  • Lie on the back
  • Using a non-perfumed cream or lotion, make 20-30 small circular motions with your fingertips over your scar. Repeat two or three x three times a day.

Preventing blood clots

  • Use blood-thinning drug to reduce risk of blood clots.
  • Learn to inject the drug. (Once a day for about a week)

Plan

  • Midwife will visit home to check wound and remove dressing.
  • No removal of stitches or clips (does not hurt but may feel uncomfortable)
  • Appointment will be booked with Dr Leona Augustine for postnatal check six to eight weeks after c-section.

Writing Task

Today Ms Sarah’s husband requested you to advise his mother on how to take care of a post-natal woman because his mother is “too traditional and unscientific.” Write a letter using the information given in the case notes.

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 approximately 180–200 words.