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Read the case notes below and complete the writing task which follows
Time allowed: 40 minutes
Today's Date
25/07/12
Notes
Vamuya Obeki was admitted through the Children's Emergency Department for
acute meningoencephalitis as a result of a complication following mumps.
Patient History
Address: 32 Sexton St, Ekibin
Phone: (07) 38485555
Date of Birth: 23 May 2008
Admitted: 15th July 2012
Gender: Male
Discharged: 25th July 2012
Country of birth: Sudan
Diagnosis: acute meningoencephalitis
Social History
Parents: Miri & Abdullah Obeki, refugees, arrived in Australia in 2011.
Employment: Abdullah: Golden Circle pineapple factory, shift worker
Miri: housewife
Accommodation: Recently moved to rental accommodation
GP: No family doctor
Sibling: 2 year old brother, Saeed
Language: Dinka, Arabic
Interpreter needs: Abdullah understands spoken English but has limited written
skills. Miri has limited understanding of English. Abdullah attends English classes.
Medical History
Parents state that both children had some kind of vaccination at birth but the
vaccination record has been lost. Parents unaware of vaccine for Mumps.
Discharge Plan
Appears to have fully recovered from mumps and acute meningoencephalitis.
Will need advice on recommended vaccines for both children.
Will need neurological check-up.
Writing Task
Using the information in the case notes, write a letter to The Director,
Community Child Health Service, 41 Jones Street, Ekibin, requesting follow-up of
this family.
In your answer:
The body of the letter should not be more than 200 words
The body of the letter should not be more than 200 words
Read the case notes below and complete the writing task which follows.
Time allowed: 40 minutes
Today's date
10/07/12
Notes
Betty Olsen is a resident at the Golden Pond Retirement Village. She needs
urgent admission to hospital. You are the night nurse looking after her.
Patient Details
Address: Golden Pond Retirement Village
83 Waterford Rd, Annerley, 4101
Phone: (07) 3441 3257
Date of Birth: 29/01/1929
Marital Status: Widowed
Country of birth: Australia
Social History
Moved to a retirement village following the death of husband in December 2010.
Next of kin: Son, Nicholas Olsen,
53 Palmer Street, Warwick 4370
Ph (07) 4693 6552.
Retired triple certificate nurse - was the matron of a small country hospital for 15
years. Very aware of and interest in health issues. Likes to discuss and be kept
fully informed of any changes to her medication or treatment.
Normally alert and orientated. Enjoys bridge, bingo and reading.
Medical History
Hypothyroidism since 2000
Hypertension since 2006
Glaucoma since 2007
Allergic to penicillin
Prescription Medications
Karvea 150mg 1 daily
Oroxine 0.1mg 1 daily am
Timoptol Eye Drops 0.5% 1drop each eye am & pm
Normison 10 mg as required
Non prescription Medication
Golden Glow Glucosamine Tablet - 1 with breakfast for arthritis
Vitamin C Complex Sustained Release 1 with breakfast
Mobility / Aids
Independent with walking stick. Arthritis in hands. Wears glasses
Continence: Requires continence pad
Recent Nursing Notes
16/05/12
Flu vaccination
29/06/12
Complaining of indigestion following evening meal. Settled with Mylanta
07/07/12
Unable to sleep aches in shoulder. Settled following 2 Panadol and 1 Normison
09/07/12
Requested Mylanta for indigestion,Panadol for shoulder pain slept poorly
10/07/12 am
Tired and feeling generally weak. BP 180/95. Confined to bed. GP called and will
visit 11/7/12 after surgery.
10/07/12 pm
Didnt eat evening meal. Says felt slightly nauseous. Trouble sleeping,
complaining of shoulder and neck pain. BP 175/95 Given 1 Normison 2 Panadol at
10pm
Rechecked 10.45pm Distressed, pale and sweaty, complaining of persistent
chest pain,
BP 190/100. Ambulance called and patient transferred.
Writing Task
Write a letter for the admitting doctor of the Spirit Hospital Emergency
Department. Give the recent history of events and also the patients past
medical history and condition.
In your answer:
The body of the letter should not be more than 200 words
DOB: 09/02/1951
Single
Medical History
Ischemic heart disease (IHD) since 2005, takes Nitroglycerine patch, daily
Weight gain 10 kg over the last 5 months, current weight 106kg (BMI of
30)
Social History
No friends
26/02/12
27/02/12
20/03/12
1700 hrs
1710 hrs
BP 120/70 mmHg
RR 22/min
T 37.1 C
1800 hrs
No complaints
Pulse 88 BPM
BP 115/70 mmHg
RR 16/min
T- 37.0 C
WRITING TASK
You are a Registered Nurse at the Dementia Specific Unit. Using the information
in the case notes, write a letter to Dietician, at Department of Nutrition and
Dietetics, Spirit Hospital, Prayertown, NSW 2175. In your letter explain relevant
social and medical histories and request the dietician to visit and assess Ms.
Sharmans swallowing function and nutritional status urgently due to a high risk
of aspiration.
You are Lee Wong a registered nurse in the Coronary Care Unit, St Andrews
Hospital Brisbane. Bill ORiley is a patient in your care.
Patient Details
Name: Bill ORiley
DOB 12 January 1959
Address 9476 Old Dam Road, Goondiwindi QLD 4390
Next of Kin Brother, Ernie ORiley 72 Burke St, Cunnamulla QLD 4490
Admitted 2 September 2012
Diagnosis Obstructive coronary artery disease
Operation Coronary artery bipass grafts (x 4) on 4th September 2011
Social History
Never married
Lives alone in own home just outside Goondiwindi
Fencing contractor
Medical History
Smokes 20 cigarettes/day
Alcohol: 2 x 300ml bottles beer / day
Ht 170cm Wt 99kg
Usual diet: sausages, deep fried chips, eggs, MacDonalds
Allergic reaction to nuts
Nursing Management and Progress
Routine post operative recovery
Advised to cease smoking, reduce alcohol
Low fat diet
Walking well
Wounds healing well
Routine visit from Social Worker
Discharge Plan
Returning Home to Goondiwindi
Appointment made for follow up visit to local GP Dr. Avril Jensen 2pm 15/9/12
Local physiotherapist to continue rehabilitation exercise program
Writing Task
Mr. ORiley has requested advice on low fat dietary guidelines and healthy simple
recipes. Write a letter to the Community Information Section of the Heart
Foundation, Gregory Terrace, Brisbane on the patient's behalf. Use the relevant
case notes to explain Mr. ORileys situation and the information he needs.
Include Medical History, Body Mass Index and lifestyle. Information should be
sent to his home address.
In your answer:
The body of the letter should not be more than 200 words
Todays Date
07/03/2012
Patient Details
Alison Cooper
Year 5 student
DOB: 14/6/2002
Height:138cm
Weight:40 kg Overweight for her age
Eczema outbreaks on hands and mild asthma has ventolin inhaler
No other significant illnesses
Youngest in her class
Social History
Father died in motor accident 18 months ago.
Lives with mother, a bank manager, working full time
Middle child- brother, Simon, aged 7 and sister, Lisa, aged 12
Paternal grandmother lives near school - provides after school and holiday care looks after children if unwell
School Medical Record
Regular absences from school dating back to time of fathers death
Year 2: 3 days
Year 3: 4 days
Year 4: 10 days
Year 5: 8 days in first term
School Health Centre Records
2012
February 8: Complained of headache. Gave paracetemol, rested and returned to
class. Noted eczema on hands red and weepy - has ointment at home.
February 16: Complained of stomach ache. Called grandmother for pick up.
February 22: Complained of aching legs. Called grandmother for pick up.
March 4: Complained of headache. Gave parcetemol, rested 1 hour, still had
headache. Called grandmother for pickup.
March 6: Feeling nauseous - eczema on hands red and weepy. Called
grandmother for pick up.
2011
February 15: Complained of toothache. Called grandmother for pick up.
April 4: Complained of headache. Gave paracetemol - rested 1 hour.
May 14: Headache, eczema on hands red and weepy, rested 1 hour not better
called
grandmother for pick up.
July 25: Feeling nauseous. Called grandmother for pick up.
August 16: Slight fever. Called grandmother for pick-up.
September 22: Feeling unwell. Eczema irritating. Called grandmother for pick up.
October 23: Complained of stomach ache. Rested 1 hour, returned to class.
The body of the letter should not be more than 200 words.
You are Grace Jones, a qualified nursing sister working in Ward C25, Princess
Alexandra Hospital. Contact Ph. 07 3897 7642. Annette MacNamara is a patient
in your care. Read the case notes below and complete the writing task which
follows.
Name: Annette MacNamara
Address: Unit 15, 86 Smart St, West End
Phone: (07) 3379 5926
Date of Birth: 14 June 1939
Social Background
Single Age Pensioner - Recently moved to a small flat in new suburb. House she
rented for 10 years was sold. Feels increasingly lonely and isolated - rarely sees
neighbours transport problems make it impossible to continue to attend bowls
and bridge clubs. Next to kin, Niece Stella Attois Ph 075 5984 7216 lives and
works in Southport - generally visits once a fortnight.
Medical History
Date of admission: 20-05-2012
Date of Discharge 22-05-2012 provided no complications and home assistance
arranged.
Admitted to hospital following fall. Slipped and fell while descending stairs to put
out garbage.
X-ray revealed fractured right wrist Laceration to left hand caused by broken
glass. Stitches required- Severe bruising of right shoulder and lower back.
Medications
Karvea 150mg daily am history of high blood pressure now controlled
Normison 10mg-1 nightly for insomnia when required.
Pain relief 2 Panadol 4 hourly while pain persists.
Discharge plan
Organise daily visits from Blue Nursing Service to assist with showering and to
dress hand wound.
Social Worker to organise Meals on Wheels and physiotherapy.
(niece will visit at weekend to help with housework and shopping)
Stitches to be removed and situation to be reviewed at Out Patient Department
appointment - 10.30 am 31-05-12
WRITING TASK
Using the information in the case notes, write a letter to the Director, Blue
Nursing Service, 207 Sydney Street, West End.
Read the case notes below and complete the writing task which follows:
Todays date: 9/7/12
Patient Details
Jim Middleton aged 84 was admitted to your ward following surgery for a left
inguinal hernia. His doctor has advised he can be discharged within 48hrs if there
are no complications following the surgery. Jim reports some pain on movement
but has recovered well from the surgery and is keen to return home.
Name: Jim Middleton
Date of Birth: 3 July 1928
Admitted: 7 July 2012
Planned Discharge Date: 9 July 2012
Diagnosis: Left inguinal hernia
Medical History
Hypertension diagnosed 2002
Medication Atacand 4mg daily
Family History
Married 50 years to wife Olga DOB 8/2/36 one son living in USA
Jim is Second World War veteran served two years in Borneo Prison of War 16
months.
Own their own home with large garden which they maintain without assistance.
Very independent and proud that they have never applied for a pension or home
assistance. Have always managed quite well on their income from a number of
investments.
Olga told you she is worried as income from these investments has recently been
significantly reduced due to severe stock market falls. She is concerned Jim will
not be able to continue to maintain their garden and they will not be able to
afford a gardener or any other help at this time.
Transport is also a problem as Olga does not drive. Not close to any reliable
public transport so will have to rely on taxis. Olga thinks they may now be
eligible to receive a pension and other assistance from the Department of
Veteran Affairs but doesnt know how to find out - doesnt want to worry Jim.
Olga is in good general health but becoming increasingly deaf - finds phone
conversations difficult. She would appreciate a home visit. You agree to enquire
on her behalf. Their address is 22 Alexander Street, Belmont, Brisbane 4153
Phone (O7) 6946 5173
Discharge Plan
Must avoid any heavy lifting
Should not drive for at least six weeks
Light exercise only
May take 2 Panadol six hourly for pain
Appointment made to see surgeon for post operation check at 10am on 11
August
Contact Department of Veterans Affairs re eligibility for pension and home help
WRITING TASK
Using the information in the case notes, write a letter to The Director,
Department of Veterans Affairs, GPO Box 777 Brisbane 4001. In your letter,
explain why you are writing and the assistance they are seeking.