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Occupational English Test Time Allowed: Reading Time: 5 Minutes Writing Time: 40 Minutes

Ms Anda Leo is being transferred to Fiona Stanley Hospital for a colostomy scheduled on March 8th, 2019. She has been diagnosed with colon cancer after tests revealed a 6cm mass. Her medical history includes appendectomy, a broken left leg, and arthritis. Her diet includes red meat and alcohol. Her pre-op care plan is to do rectal washouts for three days, take purgatives as needed, follow a low-residue diet, and only drink clear fluids before the procedure. The charge nurse will discuss home care with her and nothing will be consumed after midnight on the 8th.

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72 views

Occupational English Test Time Allowed: Reading Time: 5 Minutes Writing Time: 40 Minutes

Ms Anda Leo is being transferred to Fiona Stanley Hospital for a colostomy scheduled on March 8th, 2019. She has been diagnosed with colon cancer after tests revealed a 6cm mass. Her medical history includes appendectomy, a broken left leg, and arthritis. Her diet includes red meat and alcohol. Her pre-op care plan is to do rectal washouts for three days, take purgatives as needed, follow a low-residue diet, and only drink clear fluids before the procedure. The charge nurse will discuss home care with her and nothing will be consumed after midnight on the 8th.

Uploaded by

ajeesha benny
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

TIME ALLOWED: READING TIME: 5 MINUTES


WRITING TIME: 40 MINUTES

You are a Registered Nurse at Lime Medical Centre. Ms Anda Leo is a patient in your care
who is being transferred to Fiona Stanley Hospital today for a colostomy scheduled on
08/03/2019.

Patient’s name: Ms Andy leo


Today’s date: 05/03/2019
DOB: 10/06/1974
Marital status: Married
Social background: Lives with husband – very supportive
two daughters – lives interstate
Two-sisters – lives nearby
Retired schoolteacher (English)
Hobbies: playing badminton, watching movies
Likes socializing, playing chess
Sedentary lifestyle – Overweight since 30’s

Medical background: appendectomy – 2004


# left leg – 2008
Pneumonia – 2016
Arthritis in hands – uses Voltaran

Diet: Read meat, processed meat


Fast food
Alcohol (Vodka, wine) – 4-5 days/wk.
Ex-smoker – quit 13 years ago

Nursing notes:

20/01/2019 Visit to GP, 2 – 3 bleeding from rectum rectal


Exam= definitely palpable mass
Fast track referral for suspected colorectal cancer

10/02/2019 6 cm mass on left lateral wall of rectum likely to be carcinoma


–
Referred for colonoscopy
13/02/2019 colonoscopy – biopsies large bowel mucosa taken
17/02/2019 CT & Local staging of primary tumour with MRI

20/02/2019 Review of histology – colonoscopy report


Diagnosis – Colon cancer
R/v by colorectal and general surgery consultant
CT -no evidence of metastatic cancer
Recommended colostomy
Pt. advised of diagnosis and surgery

05/03/2019 Identified
Needs/problem: Prepare for colostomy
Eating and drinking . potential problems of dehydration due to
above
Anxious about probs of stoma om home and social life. Involve
family members in care

Objectives: minimize risk of post-op, wound infection from bowel contents


Allow surgeons clear access to operation site i.e free from faces
Complete pre-op. Care schedule.
Encourage patient to voice concerns

Plan: Rectal wash-out before bedtime for three days (daily)


Purgatives as desired
Low-residue light diet 05/03/2019
Fluids only including soup and ice cream 06/03/2019
Clear fluid 07/03/2019
Charge Nurse to see the patient to discuss practical problems at
home
Nil by mouth from 00.00 hours 08/03/2019
Standard pre-op procedure
Ensure variety of acceptable drinks

Using the information given in the case notes, write letter to Ms Kerry Colith, Charge Nurse,
Fiona Stanley Hospital, 11 Robin Warren , Murdoch WR 6780 , Australia outlining relevant
findings and patient care plan to prepare Ms Leo for the surgery.

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