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9 - Andrew O' Connor

Mr. Andrew O'Connor, a 74-year-old retired baker, suffered a stroke and is being discharged home after a 4-month hospital stay for right-side paralysis. He requires assistance with daily tasks. His wife Mary, 71, has angina and lives with Mr. O'Connor in their family home. The district nurse will visit twice daily after discharge to assist Mr. O'Connor and monitor his and his wife's health and coping at home.

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Jesa Formaran
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100% found this document useful (3 votes)
5K views3 pages

9 - Andrew O' Connor

Mr. Andrew O'Connor, a 74-year-old retired baker, suffered a stroke and is being discharged home after a 4-month hospital stay for right-side paralysis. He requires assistance with daily tasks. His wife Mary, 71, has angina and lives with Mr. O'Connor in their family home. The district nurse will visit twice daily after discharge to assist Mr. O'Connor and monitor his and his wife's health and coping at home.

Uploaded by

Jesa Formaran
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


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

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

Notes:

You are the Charge Nurse at the North West Rehabilitation Hospital overseeing Mr.
O’Connor.

Patient Details
Name: Mr Andrew O’Connor

Age: 74 years

Date: 19 March 2010

Marital Status: Married

Religion: Catholic
Admission
Date: 2 December 2009
Discharge
Date: 22 March 2010
L CVA right side hemiplegia
Diagnosis: (stroke) (paralysis)
Social/Family History:
Retired baker
71 yr old wife, Mary, has angina
2 married children, do not live nearby
Lives in 3-bedroomed family home in Lake Park
Prior to stroke recreational activities included fishing & golf

Medical History and Medications:


See Dr’s notes (to be forwarded)

Management and Progress during Hospital Stay:


Slow progress despite intensive physiotherapy and occupational therapy
Still requires assistance with dressing, toileting, getting in & out of bed
Mobilises slowly with frame. Can feed himself
Mood swings (angry / tearful / happy)
Family meeting held 09/03/10. Advised nursing home placement. Family
refused
OT home assessment 11/03/10. Modifications carried out including
hand rails in bathroom & toilet & bed rails
Discharge Plan: Attendance at day hospital 3 times / wk
District nurse to visit twice daily to:
a)Assist with transferring in & out of bed & grooming & hygiene needs
b)Monitor medications
c) Monitor how Pt coping at home; note also, wife’s health
d)Re-refer to hospital if necessary

Writing task:

You are the Charge Nurse on the hospital ward where Mr O’Connor has resided during his
hospital stay. Using the information given in the case notes, write a letter of referral to the District
Nurse at the District Nursing Centre, Lake Park, who will be attending to Mr O’Connor after his
discharge.

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 word

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