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Case Notes 5.2 Ms Demi Brooke

Occupation English Test: Writing



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


You are a nurse working at Plena Night Hospital, Belmont, Fitzroy North. The following patient is under your care.

Today’s Date: 10/10/2023

Patient Details

  • Name: Ms Demi Brooke
  • Age: 32 years
  • Marital Status: Not Married (Lives with George Harrison (National Geographic Photographer).
  • Admission Date: 10/10/2023

Social Background

  • Marine Photographer
  • Not admitted to a hospital in the whole life;
  • Emotionally not stable (Dx bipolar disorder (at 23) but not taking treatment.
  • Smokes occasionally. “When smokes, the room explodes with smoke” (Reports husband)
  • Teetotaller (20 years)

04 – 05 pm, 9/10/2023

  • Stung by poisonous box jellyfish while photographing at a fishing area near Run Cliff.
  • Fishermen rushed for help. Visible tentacles were carefully plucked using tweezers (not very clean).
  • Affected skin was soaked in extreme hot water (120 to 140 F). Mild scalding occurred.
  • Returned home (Patient averse to hospitalization).
  • Had a hot shower for 30 minutes.
  • Hydrocortisone cream applied twice at night.

10/10/2023, 03.00 AM

  • Husband drove her to Plena Night Hospital, Belmont, Fitzroy North.
  • HR 140; BP 120/139 RR: 29.
  • Pain Management continued.

03.50 AM

  • Breathing difficulty.
  • Chest and stomach pain, high blood pressure, pricking pain near the heart.
  • Discussed the progress with the patient’s GP (who suspects a more complex condition called Irukandji syndrome)
  • Asked to transfer the patient to Neighbourhood Hospital.
  • The patient transferred at 4.15 AM to Neighbourhood Hospital.

Writing Task

Using the information in the case notes, write a referral letter to Dr Charan Koghar, Emergency Doctor, Neighbourhood Hospital, Belmont Road, Fitzroy North, requesting investigation and management for Ms Brooke.

In your answer:

  • Expand the relevant case notes into complete sentences
  • Do not use note form
  • Use correct letter format

The body of your letter should be approximately 200 words.

What do you think?

Written by English Melon

Biju John, author of ByeBle and Maclins, is an English Language Trainer. He has also authored his educational Fiction. All these titles are available on Amazon and Google. You can contact his office on WhatsApp / Telegram number +917510923061

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