OET WRITING SUB-TEST: NURSING TIME ALLOWED: READING TIME: 5 MINUTES WRITING TIME: 40 MINUTES ‘Mr Drew Coombs is an 82-year-old patient in the geriatrics ward of Westfield Hospital, at which you are the Nurse Unit Manager. Patient details Date of birth: 24/07/1932 Discharge date: 24/05/2014 Diagnosis: fractured R T9, T10, T11 secondary to fall Social background: + lives in 3-storey house in Parramatta with wife (Lisa - 80 years old) «vascular dementia; unable to self-care since 2011 «wife assists with bathing, eating, food preparation ‘© ambulates with stick © daughter (lives in Canberra) * retired professor of geology Medical background: ‘¢ small-vessel disease and vascular dementia since 2008 © hypertension since 2005 © diabetes mellitus type 2 since 2003 © BPH since 2000 * colorectal surgery in 1996 Medications: ‘* metformin 1000 mg BID © aspirin 81 mg OD © Duodart 0.5 mg OD Management and progress: ‘* slipped and fell on R side while using toilet at home © BIBA Westfield ED (wife called ambulance) + Rside pain worse on movement; self-medicated at home with Panadol © CXR > new fractures RT9, T10, T11 © managed with analgesics and immobilisation © became agitated at night; required sedation (responded to quetiapine) HEMI © re sr nee sos 0 wom nonin coes wrig e© physio > decreased mobility, switched to wheelie walker, 2-person assist for stairs (not for stairs at home, will stay in basement) * OT modifications refused by family Assessment: '* cognition baseline, pain well-controlled ‘discharge home Discharge plan: ‘© family has agreed to weekly home visits from a community nurse ‘* vitals, BSL, postural BP (hold Duodart as necessary), medication compliance ‘+ monitor caregiver fatigue ‘+ monitor progression of dementia * refer to hospital if not coping Writing Task Using the information given in the case notes, write a letter to Mr Rob Goulburn, a community nurse at 14 Kebab Street, Westfield, who will undertake regular home visits after Mr Coombs is discharged. Inyour 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. DIE 6 oe re rene cies wn epsom Wn hae