This case notes will be used for writing today’s letters for correction. Before you proceed to writing this letter on the writing page, please read this case notes and answer the questions that below:
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.
Name: Mr Christopher Fort
Age: 49 years
Married, lives with wife and 2 children
Admission date: 20/2/2020 (with chest pain, radiating to shoulder, difficulty breathing – 2 days along with generalized weakness, nausea , dizziness)
ECG – ST elevation
Dx – Myocardial infarction
Twice clipping done
Hypertension – 8 years, on tab Nicardia 5 mg once daily
Diabetic – 9 years, Human mixtrad Bd
Heavy drinker and smoker (10 years)
Eats oily foods, sugary creams
Nursing Management and progress:
Pulse: 72 b/m
Blood pressure:150/100 mm of hg
Pan 40 mg BD for one month
Aspirin 325 mg one month
Statix 40 mg of one month
Paraffin 10 mg of one month
Presence of clots in the left side of the coronary artery.
Percutaneous transluminal coronary angioplasty done.
No complications. Blood pressure and blood sugar under control. Recommended by dietitian: Avoid oily foods and carbohydrates. Increase green leafy veggies, fruits and vegetables, fluid intake. He is ready to be discharged after the consultation with consultant.
Kindly schedule a follow up with Fbs, FLP, reports on 3/3/2020.
Blood pressure and blood sugar monitoring
Encourage daily Exercise
Avoid strenuous exercise for two weeks.
Using the given information, write a letter to the district nurse requesting home visits to ensure medication compliance and dietary restrictions.
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.
Now take this Case Notes Analysis and proceed to Letter Writing
Who is the patient?
A pre-PTCA patient
A patient who needs advice on PTCA
A post PTCA patient
Who is the recipient?
What is the purpose?
What is the admission / discharge status?
Being discharged after consultation
Discharge not planned
Is the patient known to the recipient?
What is the least relevant information?