OET WRITING SUB-TEST: NURSING TIME ALLOWED: READING TIME: 5 MINUTES WRITING TIME: 40 MINUTES Ms Olivia Merriman is an 88-year-old patient in the geriatrics ward of Concordia Hospital, at which you are the Nursing Unit Manager. Patient details Date of birth: 18/11/1926 Marital status: widowed ‘Admission date: 25/04/2014 Discharge date: 23/05/2014 Diagnosis on admission: urosepsis Diagnosis on discharge: deconditioning, pressure ulcers on both heels Social background: ‘+ lives alone; apartment in Strathfield ‘* husband passed away 16 years ago ‘* two sons; David lives in Burwood and visits occasionally; Andrew lives in Hornsby ‘© meals-on-wheels © 4-wheel walker ‘+ independent with ADLs; David helps with cleaning and household chores relies on Andrew for financial management Medical background: * triple CABG in 1999 * hypertension since 1999 © atrial fibrillation since 2003, + peripheral vascular disease since 2007 * chronic back pain Medications: © warfarin ‘© aspirin 81 mg OD ‘© clopidogrel! 75 mg OD ‘© atorvastatin 40 mg OD ‘© bisoprolol 5 mg OD + Norspan patch 10 mg weekly * Panadol 500 mg QID * gabapentin 300 mg OD HEY 6 ee re Sons a won cae Wh NeManagement and progress: ‘+ BIBA Concordia ED * David was visiting, noticed patient was “not herself” * Confused, disoriented x3, low-grade fever * urine culture positive for E. Coli, Dx of delirium secondary to UTI ties * hydration, ant * infection cleared, mental state and cognition normal © deconditioning due to prolonged immobility and anorexia (extremely fussy eater) ‘© pressure sores on both heels -> aggressive wound care © seen by physio -> mobility deemed to have returned to baseline * seen by OT -> no modifications needed Assessment: * independent with ADLs, independent mobility with 4-wheel walker © lacking confidence about returning to home Discharge plan: * home visits for at least two weeks dally dressing change for pressure sores (monitor progress) ‘+ encourage exercise (recommended by physio) encourage eating Writing Task Using the information given in the case notes, write a letter to Ms Amanda MacGrath, a community nurse at 25 Yogurt Street, Strathfield, who will care for Ms Merriman after she returns home. In your answer, - Expand the relevant case notes into complete sentences = DO NOT use point form - Use letter format The body of the letter should be approximately 180-200 words. DIME ae pn ess Sts 0:4 we neyogsgeaos com Wing Ne