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OET Case Notes – Michael Angelo

Read this case notes and find the PPRRAADDWK.

OCCUPATIONAL ENGLISH TEST

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

Read the case notes and complete the writing task which follows

NOTES

You are a nurse-in-charge in a mental health home. One of your patients, Mr Michael Angelo, is moving to another mental health home to be nearer to family.

Today’s Date : 20/05/2020

PATIENT DETAILS:

  • Name: Mr Michael Angelo
  • DOB : 28/09/1951 (68 years)
  • Address : Annville Mental Health Home, 19 Persian street, Ireland

SOCIAL BACKGROUND:

  • Widower
  • Cousin 50 km away (Mr Peter Jablonsky)
  • Migrated from Norway
  • Likes music and movies
  • Lack of friends; Lack of socialization

MEDICAL HISTORY

  • 2009: Bipolar Affective disorder
  • 2010 : Viral Fever
  • 2013: Relapse of BPAD
  • 2016: Gastritis
  • 2019 : relapse of BPAD

Medication

  • Lithium 5mg,
  • Alprax 0.25 mg

Presenting Complaints

  • Insomnia (24×7)
  • Suicidal thoughts
  • Multiple delusions and aggressive behaviour

Treatment Record

10/05/2020

  • Admitted from acute care,
  • Resistive behaviour (argues/yells/shouts, pulls away everything when staffs attempt to guide)
  • Refuses self care
  • Multiple delusions

Management:

  • Psychiatrist reference
  • Antipsychotic medication – clozapine
  • self care assistance; bed bath/shower (as needed)
  • Behavioral therapy

15/05/2020

  • Psychiatric review
  • Advice : reinforce positive behavior
  • Cognitive behavioral therapy
  • Needs to continue Alprax 0.5 mg Night

18/05/2020

  • Generally Calm,
  • Sleeps well
  • Active during day
  • Wishes to go home

19/05/2020

  • Assisted self care
  • Co-operative for care
  • Active, eats well
  • No signs of depression/mania
  • Plan : Medication to be continue for 7 days
  • Follow up visit with psychiatrist after 7 days
  • Promote behavioral therapy
  • Cousin visits today: – wishes to take him to a facility near family.

WRITING TASK

Using the information given in the case notes, write a letter of transfer of care to the patient’s new mental health home. In your letter, briefly outline Mr Angelo’s History and on-going management. Address your letter to Ms Emily Clarke, Senior Nurse, Targets Mental home, Regent Street, Ireland.

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.

LETTER FOR COMPLETION

20 May, 2020

Ms Emily Clarke
Senior Nurse
Target Street
Ireland

Dear Ms Clarke,

Re: Mr Michael Angelo, 68 years

Mr Michael Angelo (P) requires (R) continuation of care and assistance (P) following his initial treatment. He has been showing signs of improvement in his mental health (D1) and is being transferred today (D2).

On 10 May, 2020, Mr Angelo was admitted with the complaints of sleeplessness, suicidal ideation, multiple delusion and aggressive behaviour. On observation, he also exhibited resistive behaviour and refusal for self-care. Consequently, cognitive behavioural therapy, assistance in self-care were commenced along with advice for reinforcing positive energy. Tab Clozapine along with Tab Alprax 0.5 at night has been re-started. As a result, currently his condition is stable and is able to sleep, not showing any signs of mania or depression, and is co-operative for self-care.

Mr Angelo has had bipolar affective disorder since 2009. Since then, he had relapse of the same multiple times in 2013 and 2019 and he has been taking Lithium 5mg and Alprax 0.25 mg.

A widower, Mr Angelo’s cousin has expressed his willingness to shift him to a nearby facility.

Following transfer, …………………………. …………………….. ………………………… ………………… …………… ……………… ………………….. ……………………… ………………….. ………………………. ………………….. …………………………. ………………… ………………. …… …………. ……………………. …………….. ……………………… (Complete this paragraph in the comment box below)

Please contact me for further information.

Yours sincerely,
Registered Nurse.

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11 Comments

  1. Following transfer, please continue medication for 7 days and follow up consultation with psychiatrist after 7 days. Motivate him for behavioral therapy and help him for self care activities. Presently, he is co operative for care, eats well, no signs of depression or mania.

  2. Following transfer adviced to take prescribed medications for 7 days and after seven days psychiatrist visit should be done. Along with that behavior therapy is needed to maintain his mental stability. Kindly provide a mental health support.
    All the relavant documents are enclosed; please feel free for further enquries contact me

  3. Mr Michael Angelo requires continuing care for behavioural therapy and assistance in self care as he is recovering from multiple mental disorders. He is being transferred today.

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