John Travolta – Case Notes

OCCUPATIONAL ENGLISH TEST

WRITING SUBTEST : NURSING
TIME ALLOWED : 45 MINUTES
READING TIME : 05 MINUTES
WRITING TIME : 40 MINUTES

Read the case notes and complete the writing task which follows

NOTES

Mr John Travolta is a 69-year-old patient on the ward of a hospital in which you are Charge Nurse.

• Patient Details
• Marital Status: Single
• Admission Date: 19/05/2020
• Discharge Date: 23/05/2020
• Diagnosis: Right Hip Fracture

Social Background:

• Lives alone. Employed as a civil engineer until retirement aged 65
• aged-pensioner
• Cousin Mr Luke- supportive – visits regularly
• ambulatory – use of a cane

Medical Background:

• 2009 – Hypertension (ongoing management)
• 1985 – Colles fracture, ORIF
• 1983- Appendicitis – operated.

Medication:

• Ramipril 5mg OD

Complaints

• 19/05/2020
• Brought to emergency department after slipping on the ice
• reports right hip pain, inability to bear weight
• Physical examination of the right leg – positive log roll test and pain with range of motion
• X-ray – displaced subcapital femoral neck fracture of the right hip
• Surgery – unipolar hemiarthroplasty (19/05/2020)

20/05/2020

• Hemodynamically stable.
• Physiotherapy therapy started.
• Weight-bearing exercises as tolerated
• Medications : low-molecular-weight heparin and analgesics
• Nutritional supplements – surgery to improve protein levels and caloric intake

22/05/2020

• Tolerates physiotherapy
• Improvement in mobilization
• Able to walk short distances with walker

23/05/2020

• Interdisciplinary care program – discharge planning, rehabilitation, and posthospital services
• Progress discussed with cousin.
• Wishes to continue physiotherapy at home.
• Wound dressing done. No SSI.

Discharge Plan

• Preserve skin integrity
• Continue exercise program
• Wound monitoring
• Education regarding importance of physiotherapy and good nutrition
• Report if there any complications
• Follow up after 3 weeks

WRITING TASK

Using the information given in the case notes, write a letter Mr Travolta’s GP, Dr Jules Winfield, St Peaks
hospital, Brisbane, Australia. In your letter, briefly outline the patient’s clinical condition and progress.

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.