OET Letter
OET Letter
Read the case notes below and complete the writing task which follows
NOTES
Mr. George Chien, a 54- year – old, is a patient in the medical ward in which you work
Patient Details
Name: George Chien (Mr.)
Residence: Temlestowe
Next of kin: Thomas (26, single, lives in Taiwan) Susan (22, single, lives at home, student)
Admission diagnosis
Osteoarthritis
Status post right total knee surgery
Impaired mobility and self – care activities
Postoperative anemia
Moderate swelling of right knee w. fluid build up
Social background
Accountant
Moderate social drinker
Non – smoker
Enjoys watching soccer, reading
Medical background
Right knee: progressive, severe pain
Right total knee surgery
Postoperative anemia
Severe difficulty with mobility (right lower extremity)
Medical progress
Upon admission, moderate anemia
Discomfort of skin on the back – history of shingles
Moderate swelling around knee – treated with ice packs incision well healed clean,
dry
Arixtra prescribed during hospitalization, discontinued just prior to discharge
Nursing management
Supervised level for bed mobility/ modified independent level for functional
transfers.
Can ambulate < 100 meters with front – wheele walker
Limited range of motion of knee
Patient at supervised level for eating, grooming, bathing
Minimal assistance level for lower body dressing
Eager to go home
Prescription painkillers and thyroid support 60mg daily and multiple supplements
Assessment
Medically stable
Discharge plan
Patient discharged to home w. family assistance
Regular diet as tolerated
Needs acute, comprehensive rehabilitation
Patient has front – wheel walker
WRITING TASK
Using the information given in the case notes, write a referral letter to Ms Loretta Pasquale,
who is a physiotherapist at the Templestowe District Medical Clinic, 43 Anderson Street,
Templestowe, regarding Mr. Chien’s physiotherapy needs
In your answer