Case Notes 5.2 Ms Demi Brooke

Occupation English Test: Writing

TIME ALLOWED:

READING: 5 MINUTES
WRITING: 40 MINUTES

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

Notes:

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.