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#GMC NW 66 Cassandra Kinser Case Notes Lip Laceration Referral Letter Writing Nursing Oet

Miss Cassandra Kinser was admitted to the hospital for a lip laceration, abdominal pain, and burning urination. She was diagnosed with a urinary tract infection and treated with antibiotics. Upon discharge, she was referred to her general practitioner and the sexual health clinic for follow-up.

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Harram Sajjad
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186 views2 pages

#GMC NW 66 Cassandra Kinser Case Notes Lip Laceration Referral Letter Writing Nursing Oet

Miss Cassandra Kinser was admitted to the hospital for a lip laceration, abdominal pain, and burning urination. She was diagnosed with a urinary tract infection and treated with antibiotics. Upon discharge, she was referred to her general practitioner and the sexual health clinic for follow-up.

Uploaded by

Harram Sajjad
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
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:

Miss Cassandra Kinser, a 32-year-old, is a patient in the medical ward in which


you work.

Hospital: St. Vincent’s Hospital, 390 Victoria Street,


Darlinghurst

Patient details

Name: Cassandra Kinser (Miss)

Marital status: Single

Residence: Cabramatta

Next of kin: unknown

Admission date: 17 January, 2016

Discharge date: 17 January, 2016

Admission diagnosis: Lip laceration (alleged assault by boyfriend / did not


seek medical care)
Abdominal pain
Burning with urination last several days
May have STD
Denies vomiting / diarrhea
Sexually active, does not use protection

Social background: Smoker (chain)


Alcoholism
Denies illicit drugs
Past medical history: History of schizophrenia

Diagnosis: 1. Lip laceration


2. Urinary tract infection (UTI)

Medical progress: CONSTITUTIONAL: Denies fever, chills, dizziness,


weakness
CARDIOVASCULAR: Denies chest pain / palpitations
RESPIRATORY: Denies shortness of breath / cough
All other review of systems negative

Nursing management: For lip: Cipro 500 mg orally twice daily x 6 days
Clindamycin 300 mg orally 4 x daily x 10 days
Peridex mouthwash 10 mL swish and spit after meals
and before bed
Oxycodone one orally every 4 hours.
UTI: follow up with GP

Assessment: Discharged home good condition

Discharge plan: Appointment made at sexual health clinic.


Follow up with GP. Monitor antibiotics. Urine appears
infected. Treat for UTI.

WRITING TASK:

Using the information given in the case notes, write a referral letter to Miss
Kinser’s General Practitioner Travis Wrenn at Punt Road Medical Clinic, 172
Punt Road, Mosman, 2088 for further medical evaluation.
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.

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