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Dietician Referral Ms Smith

- Ms. Julia Smith is a 68-year-old resident at a dementia care facility who recently choked on food. - She has a history of diabetes, heart disease, stroke, dementia, osteoarthritis, and weight gain. - The nurse is writing to request the dietician urgently assess Ms. Smith's swallowing and nutrition due to her medical conditions and choking incident, which indicate high risk of aspiration.

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Prasoon Premraj
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3K views3 pages

Dietician Referral Ms Smith

- Ms. Julia Smith is a 68-year-old resident at a dementia care facility who recently choked on food. - She has a history of diabetes, heart disease, stroke, dementia, osteoarthritis, and weight gain. - The nurse is writing to request the dietician urgently assess Ms. Smith's swallowing and nutrition due to her medical conditions and choking incident, which indicate high risk of aspiration.

Uploaded by

Prasoon Premraj
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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OCCUPATIONAL ENGLISH TEST

WRITING SUB-TEST: NURSING

14
TIME ALLOWED : READING TIME : 5 MINUTES
WRITING TIME : 40 MINUTES
Read the case notes below and complete the writing task which follows.

NOTES:

Today’s Date: 15/10/19


Patient Details
Name: Ms Julia Smith
DOB:06/11/1951
New resident of Dementia Specific Unit, Westside Aged Care Facility
Single
Under the Australian Guardianship and Administration Council protection
Medical History
Ischemic heart disease (IHD) since 2012, takes Nitroglycerine patch, daily
Stroke May 2018, after stroke - unsteady gait
In 2018 - diagnosed with severe dementia - able to understand simple
instructions only, confused and disorientated
Diabetes mellitus (type 2) since 2007 – on a diabetic diet
Osteoarthritis of both knees 20 yrs. Voltaren Gel to both knees BD
Weight gain 10kg over the last 5 months, current weight 106kg (BMI of
30)
Chronic constipation,takes Laxatives PRN
No allergies to medication or food
No teeth – has entire upper or lower dentures, sometimes refuses to wear
dentures due to confusion and disorientation
Increased appetite– usually eats full portion of offered meals x 3 times
daily and, also,goes into other residents’ rooms and eats their food as
bananas, biscuits or lollies facebook.com/HonorsGroup
OCCUPATIONAL ENGLISH TEST
WRITING SUB-TEST: NURSING

Social History
no friends
lack of interests, but likes colouring and watching TV
emotional dependence on nursing staff
non-smoker, no use of alcohol or illegal drugs
Recent Nursing Notes
09/09/19
Chest infection Keflex 500mg QID x 7 days
20/09/19
Occasional cough & episodes of SOB with ↑ RR

21/09/19
Sporadic throat clearing after eating yoghurt
14/10/19
1700 hrs
Episode of choking on a piece of food (? food not chewed properly). She
suddenly turned blue, grabbed the throat with both hands and coughed.
The piece of solid food was removed.
1710 hrs
Nursing assessment after treatment
 Pulse 110 BPM
 BP 120/70 mmHg
 RR – 22/min
 T– 37.1 ° C
 BSL – 6.0 mmol/L
1800 hrs
facebook.com/HonorsGroup

 No complaints.
 Pulse – 88 BPM
 BP – 115/70 mmHg
 RR – 16/min
 T-37.0 ° C.
 Skin: normal colour
OCCUPATIONAL ENGLISH TEST
WRITING SUB-TEST: NURSING

 Hospital visit not required

WRITING TASK:
You are a Registered Nurse at the Dementia Specific Unit. Using the
information in the case notes, write a letter to Dietician, at Department of
Nutrition and Dietetics, Spirit Hospital, Prayertown NSW 2175. In your
letter explain relevant social and medical history and request the dietician
to visit and assess Ms Smith’s swallowing function and nutritional status
urgently due to a high risk of aspiration.
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.

facebook.com/HonorsGroup

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