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    Writing Task 4 Jake Peterson

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    Manaoag Pangasinan
    Jake Peterson has a history of intermittent hair loss and associated depression and anxiety dating back 5 years. His symptoms worsened in the past year despite alternative treatments. He is now transitioning to university and requests support from the university health center to monitor his condition and provide special exam accommodations given his extreme test anxiety. The referring nurse asks the university nurse to assist Jake in his transition and independent living.

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    Writing Task 4 Jake Peterson

    Uploaded by

    Manaoag Pangasinan
    5K views3 pages
    Jake Peterson has a history of intermittent hair loss and associated depression and anxiety dating back 5 years. His symptoms worsened in the past year despite alternative treatments. He is now transitioning to university and requests support from the university health center to monitor his condition and provide special exam accommodations given his extreme test anxiety. The referring nurse asks the university nurse to assist Jake in his transition and independent living.

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    Jake Peterson has a history of intermittent hair loss and associated depression and anxiety dating back 5 years. His symptoms worsened in the past year despite alternative treatments. He is now transitioning to university and requests support from the university health center to monitor his condition and provide special exam accommodations given his extreme test anxiety. The referring nurse asks the university nurse to assist Jake in his transition and independent living.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    5K views3 pages

    Writing Task 4 Jake Peterson

    Uploaded by

    Manaoag Pangasinan
    Jake Peterson has a history of intermittent hair loss and associated depression and anxiety dating back 5 years. His symptoms worsened in the past year despite alternative treatments. He is now transitioning to university and requests support from the university health center to monitor his condition and provide special exam accommodations given his extreme test anxiety. The referring nurse asks the university nurse to assist Jake in his transition and independent living.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    Jake Peterson has a history of intermittent hair loss and mental health issues since he was 13 years old. He has tried various treatments including steroid creams and homeopathy, but his condition has worsened in recent years with increased anxiety, weight loss, alcohol consumption, and issues maintaining relationships and participating in activities.

    Jake Peterson first presented with hair loss 5 years ago following a bullying incident. He was prescribed steroid creams but later discontinued them. He has experienced personality changes, aggression, sleep issues, and recurring anxiety and hair loss in the past year.

    Jake Peterson tried steroid creams prescribed by a trichologist initially but discontinued them later. Last year he tried homeopathic treatments which were ineffective and his physical and mental health deteriorated further.

    Occupational English Test

    WRITING SUB-TEST: NURSING


    TIME ALLOWED: READING TIME: 5 MINUTES
    WRITING TIME: 40 MINUTES

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

    Notes:

    Assume that today's date is 30 August 2019.

    You are a nurse at a boarding school. Jake Peterson is a male student at your school and has come to you
    complaining of hair loss and associated depression.

    PATIENT DETAILS:
    Name: Jake Peterson
    DOB: 17 Mar 2001 (18 y.o.)
    Address: School: Holly House School, Brenkridge

    Social background:
    Student at boarding school for past 8 yrs
    Parents work & live abroad
    Father (male-pattern baldness – onset in 50s)
    Mother (depression – onset in 40s)
    Non-smoker; 20 units alcohol/wk
    Karate black belt; champion swimmer

    Presenting complaint:
    Alopecia – hair loss from 13 y.o.; intermittent cycles (loss and regrowth); aetiology not confirmed –
    various possibilities
    ?Depression

    TREATMENT SUMMARY:

    Mar 2014 School clinic – presented with hair loss in patches; anxiety
    ?onset – school bullying incident, Pt said ‘not a major thing’
    Referral to trichology specialist

    May 2014 Trichologist: no aetiology established; possibly exacerbated by stress


    Prescribed steroid cream (betamethasone dipropionate 0.05% cream 1-2x/day for
    3mths)
    Personality changes, aggression + sleep loss
    Medication discontinued

    2014 - 2018 No further hair loss; intermittent hair regrowth


    Dec 2018 Return of anxiety and pronounced hair loss
    General health check – Ô6kg over last 2mths
    Recommended to see doctor re hair loss, anxiety, weight loss. Student reluctant, asked
    about natural remedies, e.g. homeopathy. Discussion re efficacy, student still keen to try

    Feb 2019 No results + cost implications of homeopathic treatment (kalium carbonicum and silicea)Ò
    student Ódistress and low mood
    Problems forming/maintaining peer relationships
    Affecting sports participation

    Mar 2019 Referred to school counsellor – did not attend

    May 2019 Check-up: Ó alcohol consumption, min 28 units/wk

    June - July 2019


    Exam time – extreme anxiety (necessary to arrange separate exam room) – Óhair loss

    30 Aug 2019 Student concerned about transition to university shortly and independent living
    Letter to university medical practice:
    • monitor
    • organise special exam arrangements

    Writing Task:

    Using the information given in the case notes, write a letter to Mrs Kullan, a university practice nurse. In your letter,
    briefly outline Jake Peterson’s history and your concerns. Address your letter to Monica Kullan, Senior Nurse
    Practitioner, University of Marchbank Health Centre, Hillsdunne Rd, Marchbank.
    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.
    30 August 2019

    Ms. Monica Kullan


    Senior Nurse Practitioner
    University of Marchbank Health Centre
    Hillsdunne Rd
    Marchbank

    Re: Jake Peterson, 18 years-old

    Dear Ms. Kullan,

    Jake Peterson, who has been suffering from intermittent cycles of alopecia, requests your
    assistance and support as he transitions from high school to your university.

    He first presented in the clinic 5 years ago with complaints of intermittent cycles of hair loss
    in patches and regrowth following a bullying incident. A referral to a trichologist was made
    and he was prescribed steroid creams for three months for which he discontinued later on.
    He has shown personality changes, aggression, and sleep deprivation since then.

    He returned a year ago with a recurrence of his anxiety and worsening hair loss. He was
    recommended to see a doctor but preferred homeopathic treatment for which was
    ineffective and had worsening physical and mental health. He also had issues with
    maintaining a relationship and participation in sports activities. He also consumes at least 20
    units of alcohol per week. During the exam, he was sent to a separate room due to extreme
    anxiety.

    With this, it would be greatly appreciated if you could assist him in transitioning to your
    university and independent living. He also requires monitoring of his condition and please
    organize special exam arrangements as necessary.

    Should you have any concerns, please do not hesitate to contact me.

    Nurse.

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