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    Occupational English Test: Writing Sub-Test: Nursing Time Allowed: Reading Time: 5 Minutes Writing Time: 40 Minutes

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    Anit Xing
    Mrs. Jasmine Thompson is being discharged home after a right total shoulder replacement surgery. She requires assistance from an in-home nursing service for 4 weeks. The 75-year-old widow will be cared for by her daughter at home for 1 month. She needs help with activities of daily living, wound care for her shoulder, exercises as directed by her physiotherapy, and medication administration. A referral letter is being written to the in-home nursing service requesting appropriate care for Mrs. Thompson during her recovery at home.

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    Occupational English Test: Writing Sub-Test: Nursing Time Allowed: Reading Time: 5 Minutes Writing Time: 40 Minutes

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    Anit Xing
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    Mrs. Jasmine Thompson is being discharged home after a right total shoulder replacement surgery. She requires assistance from an in-home nursing service for 4 weeks. The 75-year-old widow will be cared for by her daughter at home for 1 month. She needs help with activities of daily living, wound care for her shoulder, exercises as directed by her physiotherapy, and medication administration. A referral letter is being written to the in-home nursing service requesting appropriate care for Mrs. Thompson during her recovery at home.

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    Jasmine Thompson

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    Mrs. Jasmine Thompson is being discharged home after a right total shoulder replacement surgery. She requires assistance from an in-home nursing service for 4 weeks. The 75-year-old widow will be cared for by her daughter at home for 1 month. She needs help with activities of daily living, wound care for her shoulder, exercises as directed by her physiotherapy, and medication administration. A referral letter is being written to the in-home nursing service requesting appropriate care for Mrs. Thompson during her recovery at home.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    124 views2 pages

    Occupational English Test: Writing Sub-Test: Nursing Time Allowed: Reading Time: 5 Minutes Writing Time: 40 Minutes

    Uploaded by

    Anit Xing
    Mrs. Jasmine Thompson is being discharged home after a right total shoulder replacement surgery. She requires assistance from an in-home nursing service for 4 weeks. The 75-year-old widow will be cared for by her daughter at home for 1 month. She needs help with activities of daily living, wound care for her shoulder, exercises as directed by her physiotherapy, and medication administration. A referral letter is being written to the in-home nursing service requesting appropriate care for Mrs. Thompson during her recovery at home.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    OCCUPATIONAL ENGLISH TEST

    WRITING SUB-TEST: NURSING

    TIME ALLOWED: READING TIME: 5 MINUTES


    WRITING TIME: 40 MINUTES

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

    Notes:
    You are a Registered Nurse preparing Mrs Jasmine Thompson’s discharge. Mrs Thompson has had a right total shoulder
    replacement. She is to be discharged home today with assistance from ‘In-Home Nursing Service’.
    Patient: Mrs Jasmine Thompson
    Address: 73 White Road, Bayview
    DOB: 01.07.1942
    Age: 75

    Social/Family background:
    Lives in single-storey house with large garden
    Utilises cleaning services once a month
    Widow. 1 daughter – lives in Bayview. 1 son – married with 2 children, lives in Stillwater.
    Daughter will stay with mother for 1 month post-surgery

    Medical history: R humerus fracture – 1997


    Osteoarthritis – R shoulder which has not responded to conservative treatment
    Chronic R shoulder pain – movement and ability to carry out activities of daily
    living (ADL)

    Current medications:
    Voltaren 50mg daily (ceased 14 days pre-operatively)
    Panadeine Forte (codeine/paracetamol) 30/500mg x 2, 6hrly p.r.n.

    Admission diagnosis:
    R shoulder osteoarthritis

    Medical treatment record:


    11.07.17 R Total shoulder replacement (TSR)

    Medical progress: 7VZ[VW9ZOV\SKLY?YH`ZòJVUÄYTWVZP[PVUVM;:9


    7VZ[VWL_LYJPZLYLNPTLòJVTWSPHU[^P[OWO`ZPV[OLYHW`
    7VZ[VWISVVKZò^P[OPUUVYTHSSPTP[Z
    Post-op pain management – analgesia, cold compress R shoulder
    R shoulder wound – clean & dry, drain site – clean & dry

    15.07.17 7SHUMVYKPZJOHYNLOVTL^P[OKH\NO[LY[VKH`òOVTLU\YZL[VHZZPZ[H[OVTL

    20 www.occupationalenglishtest.org
    176 PRACTICE  TEST  3
    Nursing management:
    Observations – T, P, R, BP (all within normal range)
    Neurovascular observations – colour, warmth, movement, sensation
    Oral analgesia
    Wound care and observations
    Cold compress/shoulder-brace 4 hours per day
    ADL assistance as required

    Physiotherapy management:
    Exercises as per TSR protocol – Neck range of movement exercises
    Elbow and hand ROM exercises
    Pendular shoulder exercises
    *Y`VJ\ɈJVSKJVTWYLZZOV\YZWLYKH`
    Discharge education
    Follow-up physiotherapy outpatients appointments
    Referral to community hydrotherapy

    Discharge plan:  ࠮ 7H[PLU[KPZJOHYNLLK\JH[PVU¶7VZ[;:9!


    ࠮ 9HYTZSPUNMVY^LLRZ
    ࠮ :[YPJ[S`UVSPM[PUNMVY^LLRZ
    ࠮ 7O`ZPV[OLYHW`V\[WH[PLU[Z_WLY^LLRWS\ZO`KYV[OLYHW`_WLY^LLR
    ࠮ 
     KH`ZWVZ[VWòZ[HWSLZYLTV]HSMVSSV^\WHWWVPU[TLU[PU6Y[OVWHLKPJ1VPU[9LWSHJLTLU[
    Outpatient Department
    ࠮ 6
     Y[OVWHLKPJ1VPU[9LWSHJLTLU[5\YZL:WLJPHSPZ[JVU[HJ[HISLI`JHSSPUNOVZWP[HS
    Mon-Fri for any concerns
    ࠮ 9
     LMLYYHS[Vº0U/VTL5\YZPUN:LY]PJL»òHZZPZ[^P[OZOV^LYPUNHKTPUPZ[YH[PVUVM
    LMWH (Clexane) subcutaneous for 4 days as DVT (deep vein thrombosis) prophylaxis

    Writing Task:

    Using the information given in the case notes, write a letter of referral to Ms Roberts, a home nurse, informing her of the
    patient’s situation and requesting appropriate care. Address the letter to Ms Nita Roberts, In-Home Nursing Service, 79
    Beachside Street, Bayview.

    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.

    www.occupationalenglishtest.org 21

    PRACTICE  TEST  3 177

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