CASE NOTES 1

OCCUPATIONAL ENGLISH TEST

WRITING SUB-TEST: Nursing
TIME ALLOWED: READING TIME: 5 MINUTES |
WRITING TIME: 40 MINUTES
Read the case notes below and complete the
writing task which follows.
NOTES
You are a Nurse Practitioner at the Medical
Center Brisbane.
Patient Details:
Name: Sarah Marshall
DOB: August 14, 1941
Address: 45 Birdwood Road, Carina Heights
QLD
Phone: 07 86734214
Next of kin: George Simmons (adopted son)
Social History:
Retired Professor; Widow, one adopted son
24 year old student; Husband died 2009.
Lives with her son in a one-storey house, son
is often unavailable to care for patient due to
school and work
Oxygen readily accessible at home at via nasal
cannula at 2-4L as needed
Medical History:
Height: 160cm Wt: 65kg
Occasional alcoholic beverage drinker,
consumes 1-2 bottles of beer/week
Smoker, 10-15 sticks/day for 35 years
No previous or surgical procedures
Diagnosed with COPD in 2006, maintained on
Ipratropium bromide
inhaler, 1 puff, Budesonide
+ Formoterol, 2 puffs BID and Prednisone 40
mg taken as a single daily dose for acute
attacks
Diabetic since 2002, Metformin 500mg
BID, Glipizide 5mg OD
Hypertensive since 2002, Losartan 40mg
OD
2016 Patient underwent routine colonoscopy,
multiple polyps found. Admitted at Medical
Center Brisbane on August 11, 2016 for Colon
polypectomy on August 13, 2016
Post-op complications at the recovery room,
experienced respiratory distress, Arterial
Blood Gas revealed
Metabolic acidosis. Transferred to ICU and
moved to regular ward on August 15, 2016
Hooked to oxygen support at 3-5L NP as
needed
Patient uncooperative at times and requires
encouragement to take medications
Difficulty in sitting and cannot walk around
the room
Pain meds given as prn: Paracetamol 1g IV and
Endone 2.5mg PRN for intolerable pain On
laxative, Senna, OD at bedtime
Was on folly catheter now with adult diaper
due to incontinence
Stable vital signs at regular ward 02 sat at 96-
97% at 2-3L.Wean if able to tolerate 1L.
Moderate post op pain, wound with no
exudates
Medical Records
Aug 17, 2016
Patient hesitant to ambulate around her
room.
Prefers to walk with assistance.
Unable to tolerate O2 at 1L. O2 sat at 98% at
2L.
Anxious during wound dressing.
Minimal pain at the incision site. Encouraged
sitting, standing and walking inside her room.
Poor appetite. Constipation, resolves with
laxative.
August 19, 2016
Patient walks around her room with walker.
Can walk along the hospital corridors
But requires increase to 3L O2 after walking.
O2 sat at 98% at rest. Less uneasy during
dressing change.
Improved appetite.
August 22, 2016
Patient can walk with a cane. Can tolerate O2
at 1L, O2 sat 98%. Minimal pain at incision
site. Regular bowel movement. Still requires
adult diapers for incontinence. Eager to go
home. Discharge will be facilitated once O2
availability at home is confirmed.
August 23. 2016
Patient is for discharge. Home medications
and instructions given in the presence of her
son.
Need for transition care program explained.
Continue dressing change at home.
Advised to monitor O2 consumption. Follow
up check-up scheduled on August 30. 2016.
WRITING TASK
Given the patient’s current situation, you
need to write a formal letter to the Nursing
Director, Jane Hall of Southern Valley
Community Transition
Care Program, 64 Gladstone Road, Highgate
Hill Qld 4101. Discuss the need of the patient’s
continuity of care at home.
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.
CASE NOTES 2

OCCUPATIONAL ENGLISH TEST

WRITING SUB-TEST: Nursing
TIME ALLOWED: READING TIME: 5 MINUTES |
WRITING TIME: 40 MINUTES
Read the case notes below and complete the
writing task which follows.
NOTES:
Shannon Warne, 23, is a university student
who was involved in a car accident three
months previously. He has been in the Royal
Adelaide Hospital for three months and is
ready to be transferred to the Hampstead
Rehabilitation Centre.
Name: Shannon Warne
Age: 23 years
Admitted: April 6, 2007 Discharged: June 14,
2007
Diagnosis:
Broken neck and fractured pelvis. Probable
permanent neurological damage affecting
mobility, speech and memory areas
Social background:
Single. 3rd year architectural studies student
at Adelaide University. Was living in flat but
now needs long term rehabilitation. Parents
living and willing to care for him; may
eventually return home
Currently eligible for disability pension.
Nursing management and progress:
Has made good progress but will need high
level care for some time
Recently started using a wheelchair
Needs daily physiotherapy, hydrotherapy 2x a
week and speech therapy 3x a week Was
suffering bed sores but improving with
increased mobility
Frequent headaches Nurofen 200g max 4x a
day
Discharge plan:
Depression needs to be treated with activities
and interests; likes reading & writing
Contact university for possible continuation of
studies externally
Needs contact with people his own age –
community access?
No special dietary requirements
Writing task:
Write a letter to Su Yin Lee, Sister in Charge,
Hampstead Rehabilitation Centre, 695
Hampstead Road, Greenacres 5029.
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.
CASE NOTES 3

OCCUPATIONAL ENGLISH TEST

WRITING SUB-TEST: Nursing
TIME ALLOWED: READING TIME: 5 MINUTES |
WRITING TIME: 40 MINUTES
Read the case notes below and complete the
writing task which follows.
NOTES:
You are a Maternal and Child Health Nurse
working at the Romaville Community Child
Health Service.
Today’s date: 15 January 2012
Patient History:
Baby boy: Dylan Charles
DOB: 04/12/11
Born: Romaville Maternity Hospital
First baby of Raymond and Sylvia Charles
Address: 19 Mayfield St, Romaville Discharged
8/12/11
Family History:
Mother: Aged 24 First Child
Father: Aged 25 Soldier Currently away from
home on duty
Birth History:
Normal vaginal birth at term
Birth weight: 3400gm
Apgar score at 5 min: 9
No antenatal or postnatal complications
15/01/12 Subjective
Silvia and baby attended for routine 6 week
check-up. Silvia says she is concerned about
constipation: once every three days, hard
stool. Mother is asking about stool softener or
prune juice for baby.
Breast fed for first three weeks after birth. •
Baby became unsettled during summer
heatwave in December.
Silvia got sick and had a fever for a few days.
Mother-in-law (Mary Charles) came to visit
and advised changing baby to formula feeds.
Mary advised extra powder in formula feeds
to improve weight gain.
Silvia worried she does not have enough
breast milk and now gives extra formula feeds
as well as breast feeding. Dylan difficult to
bottle feed.
Silvia wishes to breast feed properly as she
believes it would be the best thing for her son.
Mary Charles plans to stay with the family for
at least a further month to help with baby.
Tensions developing between mother and
mother-in-law over what is best feeding
method for Dylan.
Objective:
Reflexes normal
Slightly lethargic
No abdominal tenderness
Heart Rate: 174
Respirations: 56
Temperature: 37.1
Weight: 4200gms
3 wet nappies in last 24 hours
Urine dark Assessment:
Mild constipation and dehydration Plan:
Increase breast feeds
Refer to breast feeding support service
Check formula is correctly prepared
If continuing formula feeds, advise to
supplement with water (boiled and cooled)
Advise on keeping baby cool in hot weather
Return for review in 48 hours.
Writing Task:
Please write a referral letter to the Lactation
Consultant at the Breast Feeding Support
Centre, 68 Main Street, Romaville.
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.
CASE NOTES 4

OCCUPATIONAL ENGLISH TEST

WRITING SUB-TEST: Nursing
TIME ALLOWED: READING TIME: 5 MINUTES |
WRITING TIME: 40 MINUTES
Read the case notes below and complete the
writing task which follows.
NOTES:
Ms Nicole Smith is an 18 year old woman who
has just given birth to her first child at the
Spirit Mothers’ Hospital in Brisbane. You are
the nurse looking after her.
Patient Details
Address: Flat 4, Matthews Street, West End
4101
Phone: (07) 3441 3257
Date of Birth: 4 September 1991
Admitted: 9th September 2009
Discharged: 13th September 2009
Marital Status: Single
Country of birth: Australia
Social Background
Nicole is single and has had no contact with
father of child for six months.
She does not know His current address.
No family members in Brisbane. Parents and
sister live in Rockhampton. Does not currently
have contact with them.
Lives in a rental share flat with one other
woman.
Currently receives sole parent benefits.
Feels very isolated and insecure.
Doubts her ability to be a good mother and
has talked about offering the baby for
adoption.
Medical History
General health good
Had appendicectomy at 15 years
Non-smoker
No alcohol or illicit drug use.
No drug or other allergies
Obstetric History
First pregnancy
Attended for first antenatal visit at 16 weeks
gestation.
8 antenatal visits in total.
No antenatal complications.
Birth details
Presented to hospital at 1900hrs on 9th
September
Contracting 1:10mins
1st stage of labour: 16 hrs
Mode of delivery: Emergency Caesarean
Section
Reason: Foetal distress and failure to
progress.
Baby Details
DOB: 10th September 2009
Time: 1120hrs
Sex: Male
Weight: 4.4 kg
Apgar Score: 6 at 1 min, 9 at 5 mins
Resuscitation: O2 only for few minutes
Postnatal Progress
Maternal post-partum haemorrhage of
800mls
Blood loss now minimal
Wound: Clean and dry
Haemoglobin on 12/09/08: 90 g/L
Started on Fefol (Iron supplement) and
Vitamin C
Started breast feeding but not confident.
Prefers to change to bottle feeding.
Not confident in bathing and caring for baby
Baby weight at discharge: 4.1 kg
Feeding well
No jaundice
Writing Task
Using the information in the case notes, write
a letter to The Director, Community Child
Health Service, 41 Vulture Street, West End,
Brisbane 4101 requesting a home visit to
provide advice And assistance for Nicole and
her baby.
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.
CASE NOTES 5

OCCUPATIONAL ENGLISH TEST

WRITING SUB-TEST: Nursing
TIME ALLOWED: READING TIME: 5 MINUTES |
WRITING TIME: 40 MINUTES
Read the case notes below and complete the
writing task which follows.
NOTES:
Mrs Pamela Viduka is a72 years old patient in
your care. She is now ready for discharge. She
has just undergo a mitral valve replacement.
Name: Mrs Pamela Viduka
Age: 72 years
Admitted 18/11/2008
Diagnosis: Valvular heart disease (Mitral valve
prolapse)
Reason for admission: fainting, light-
headedness, chest pain
Social history:
Lives with daughter, no longer drives, Widow,
enjoys reading/ doing crosswords, chatty,
friendly, smokers for 55 years.
Medical history:
Chronic bronchitis
Hypertension (150/100)
Chest infections since retirement 12 years ago
18/11/08 admitted
Valve replacement
Antibiotics/anti coagulant therapy
Analgesics
Prescribed Warfarin BID
19/11/08
Patient put on low salt diet
Wear contact lenses
Showering /dressing with help of nurses
Slowly recovering from analgesics
Able to walk/ stand-short periods of time
20/11/08
Recovered from analgesia
Showering and dressing with help of nurses
Pt educated about causes/
preventions of infections
21/11/08
Pt advised to quit smoking/ given tips incl
using patches
Pt was seen by dietician re low salt diet
Able to walk for longer periods of times with
walking stick
22/11/08
Pt recovery well
Can now shower/ dress independently
Still using walking stick/ frame
Pt advised of discharge on 24/11/08
Vital signs unremarkable
24/11/08
Pt told of discharge plan?
Discharged
Discharge plan:
Needs to rest
Requires home help- to be visited by district
nurse
Patient to monitor medication usage
Regular follow-up examinations
INR- to be checked on regular basis
Avoid invasive surgical or diagnostic
procedures until prophylactic antibiotics are
given
Auscultatory assessment of heart Current
medication:
Warfarin (anti coagulation therapy)
Salpetrol 3 puff daily Mirax 25 mg daily
Writing task:
Using the information in the case note, write a
letter of referral to Maxine Mullins (district
nurse), who will provide follow up care in this
case. Ms Maxine Mullins, 45 Finders Lane,
Melbourne, 300 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.
CASE NOTES 6

OCCUPATIONAL ENGLISH TEST

WRITING SUB-TEST: Nursing
TIME ALLOWED: READING TIME: 5 MINUTES |
WRITING TIME: 40 MINUTES
Read the case notes below and complete the
writing task which follows.
NOTES:
You are a ward nurse in the cardiac unit of
Greenville Public Hospital. Your patient, Ms
Martin, is due to be discharged tomorrow.
Patient: Ms Margaret Helen Martin
Address: 23 Third Avenue, Greenville
Age: 81 years old (DOB: 23 July 1935)
Admission date: 15 July 2017 Social/ family
background:
Never married, no children
Lives in own house in Greenville
Financially independent
Three siblings (all unwell) and five nieces/
nephews living in greater Greenville area
Contact with family intermittent
No longer drives
Has “meals on wheels” (meal delivery service
for elderly) - Mon-Fri (lunch and dinner)
orders meals for weekends
Diagnosis: Coronary Artery disease (CAD),
angina
Treatment: Angioplasty (repeat- first 2008)
Discharge date: 16 July 2017, pending
cardiologist’s report.
Medical information:
Coeliac disease
Angioplasty 2008
Anxious about health – tends to focus on
health problems
Coronary artery disease - saprin, clopidogrel
(Plavix)
HTN metoprolol (Betaloc), Ramipril (Tritace)
Hypercholesterolemia (8.3) atorvastatin
(Lipitor)
Overweight (BMI 29.5)
Sedentary (orders groceries over phone to be
delivered, neighbour walks dog)
Family history of coronary heart disease
(mother, 2 of 3 brothers)
Hearing loss wears hearing aid
Nursing management and progress during
hospital stay:
Routine post-op recovery
Tolerating light diet and fluids
Bruising at catheter insertion site, no signs of
infection/ bleeding noted post procedure
Pt anxious about return home, not sure
whether she well cope
Discharge Plan: Dietary
Low-calorie, high-protein, low-cholesterol,
gluten-free diet (supervised by dietician,
referred by Dr)
Frequent small meals or snacks o Drink plenty
of fluids Physiotherapy
Daily light exercise (eg., 15 minute walk,
exercise plan monitored by physiotherapist)
No heavy lifting for 12 weeks
Other
Monitor would site for bruising or infection o
Monitor adherence to medication regime o
Arrange regular family visits to monitor
progress
Anticipated needs of pt:
Need home visits from community health/
district nurse- monitor adherence to
postoperative medication, exercise, dietary
regime
Regular monitoring by DR., dietician,
physiotherapist
? Danger of social isolation (infrequent family
support)
Writing Task:
Using the information in the case notes,
writing a letter to the Nursing- in- Charge of
the district Nursing Service outlining Ms
Martin’s situation and anticipated needs
following her return home tomorrow. Address
the letter to Nurse- in- Charge, District Nursing
Service, Greenville Community Health Care
Centre, 88 Highton Road, Greenville.
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.
CASE NOTES 7

OCCUPATIONAL ENGLISH TEST

WRITING SUB-TEST: Nursing
TIME ALLOWED: READING TIME: 5 MINUTES |
WRITING TIME: 40 MINUTES
Read the case notes below and complete the
writing task which follows.
NOTES:
You are a community nurse working in the
Department of Public Health and Awareness
camp, in Melbourne, Australia.
Background:
Ebola is an infectious fetal disease marked by
fever and sever internal bleeding spread
through contact with infected body fluids by a
filo virus (Ebola virus),whose normal host
species is unknown.
The spread of Ebola and its fatality has
threatened Australian cities and the
government has started awareness campaigns
to for the safety of local people.
Ebola—case contacts:
Any person having been exposed to a suspect,
probably or confirmed case of Ebola in at least
one of the following ways.
Has slept in the same household with a case
Has had direct physical contact with the case
(alive or dead) during the illness
Has had direct physical contact with the
(dead) case at the funeral
Has touched his/her body or body fluids
during the illness
Has touched his/her clothes or linens
Has been breastfed by the patient (baby)
Provided that this exposure has taken place
less than 21 days before the identification as a
contact by surveillance teams.
Contact of dead or sick animals:
Any person having been exposed to a sick or
dead animal in at least one of the following
ways:
Has had direct physical contact with the
animal
Has had direct contact with the animal’s blood
or body fluids
Has eaten raw bush-meat
Ebola
Laboratory contacts:
Any person having been exposed to biological
material in a laboratory in at least one of the
following ways:
has had direct contact with specimens
collected from suspected Ebola patients
has had direct contact with specimens
collected from suspected Ebola animal cases
Provided that this exposure has taken place
less than 21 days before the identification as a
contact by surveillance teams
Writing Task:
Using the information given above, write a
letter to Mr. Jerome Ray, Social Worker,
Peaceway Suburban Health Clinic to conduct
an awareness class for a group of Melbourne
residents many of whom work with the airline
industry 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.
CASE NOTES 8

OCCUPATIONAL ENGLISH TEST

WRITING SUB-TEST: Nursing
TIME ALLOWED: READING TIME: 5 MINUTES |
WRITING TIME: 40 MINUTES
Read the case notes below and complete the
writing task which follows.
NOTES:
Ms. Amy Vineyard is a patient in your care at
the St Kilda Women’s Refuge Centre. She is 6
weeks pregnant with her first child. She
presented two days ago, requesting help for
her substance abuse problems. She reports a
desire to reduce or cease her alcohol
consumption and a desire to reduce a cease
her drug use. No desire has been indicated to
decrease or stop cigarette use. She now
wishes to be discharged but will require
ongoing support throughout her pregnancy.
Name: Ms. Amy Vineyard
Age:21
Admission: 6/1/09
Diagnosis: pregnant substance abuse
Discharge: 8/1/09
Plan:
Community mental Health Nursing required
daily next 2 weeks minimum.
Pt wishes to continue living with a friend on
her sofa.
Psychiatric support needed for depression.
Methadone program Alcoholics Anonymous
meetings
1 Trimester Ultrasound at 2 weeks;
maternal health clinic appointment
needed.
Reason for admission:
Pt. self admitted due to concern about
pregnancy. Confirmed pregnancy test the days
before (5/1/09)
Reported pain in lower back
weight loss (6kg over 2 months)
some memory loss
tingling in feet, difficulty sleeping, excessive
worry and hallucinations
feeling depressed-history of depression
no pain in hips or joints
no decrease in appetite
no double vision
Treatment
pt. monitored and blood tests for HIV/AIDS
and STDs
counselled re nutrition and pregnancy
counseled re HIV/AIDS and STDs risk
discussed possibility of rehabilitation clinic for
‘driving out’ – drying out Counselling has been
recommended for appropriate nutrition
during pregnancy, in addition to the possibility
of attending a rehab clinic to address her
alcohol and drug issues Lifestyle:
Nicotine daily 30-40 cigarettes
started smoking at 15 y. o.
Drugs used cannabis, amphetamines, cocaine,
heroin started all above at 16 y. o.
injects heroin, occasionally shares infecting
equipment
Alcohol units/day max. units/day- 15
started drinking at 16 y. o.
lives with a friend, Sophie, on her sofa.
no contact with parents
History: IN THE OPENING OF THE LETTER
Suicidal thoughts, self-harm in past.
Never seen a psychiatrist
Writing Task
Using the notes, write a letter about Ms.
Vineyard’s situation and history to new
community health nurse. Address your letter
to Ms. Lucy Wan, Registered Nurse,
Community Health Centre, St Kilda.
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.
CASE NOTES 9

OCCUPATIONAL ENGLISH TEST

WRITING SUB-TEST: Nursing
TIME ALLOWED: READING TIME: 5 MINUTES |
WRITING TIME: 40 MINUTES
Read the case notes below and complete the
writing task which follows.
NOTES:
Today's Date
31/03/17
You are a school nurse at Toohey Hill Primary
School and recently there has been an
outbreak of threadworms at the school. In
response to this
situation write a general letter of advice to the
parents outlining common symptoms,
identification, occurrence, treatment and
medication and hygiene relating to
threadworms.
Signs and Symptoms
Intense itchy feeling around the anus
Restless sleep
Teeth grinding while asleep
Irritability
Loss of appetite
Occasionally slight stomach pains associated
with gastrointestinal upsets
Can cause urinary tract infections
NB. Many people with threadworms show no
symptoms
Identification
Resemble fine pieces of cotton thread up to
1.5cm long.
Appear on the outside surface of faeces
Active during the night
Occurrence
Common in warm weather – despite good
sanitation
Crowded living conditions promote the spread
of worms between family members
Children 5-14 most susceptible - adults can be
infected by eggs spread around in
home/school environment
Outbreaks noted at schools / day cares.
Treatment
Vermox or Combantrin-1 available from
pharmacists. Consult doctor or pharmacist
first
Not suitable for pregnant women or children
under two.
Only works on adult worms present in the
intestine when medicine taken.
Treat whole family at same time to minimize
risk of reinfestation
Recommend treat everyone again two weeks
after initial treatment if reinfestation
suspected
Hygiene
Morning shower or bath to remove eggs laid
during night
Ensure everyone always uses own towel and
facecloth.
During treatment change night
clothes/underwear of infected person daily.
Vacuum carpets often, especially bedrooms,
to remove dust.
Change bed-sheets frequently, especially first
7 to 10 days after start of treatment.
Keep nails of infected people short to reduce
chance of eggs being stored there.
Wash hands thoroughly after using bathroom
and before meals
Keep toilet and bathroom area clean.
Writing Task
Using the information provided, write a letter
addressed to “Parents of students at Toohey
Hill Primary School” providing information on
threadworm and its treatment.
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.
CASE NOTES 11

OCCUPATIONAL ENGLISH TEST

WRITING SUB-TEST: Nursing
TIME ALLOWED: READING TIME: 5 MINUTES |
WRITING TIME: 40 MINUTES
Read the case notes below and complete the
writing task which follows.
NOTES:
You are a nurse with the Blue Skies Home
Nursing Centre. You visited this patient at
home today for the first time following a
referral from the Mater Public Hospital. He
was discharged from hospital on 17.3.08.
Name: Henry O’Keefe
Address: 12 Donaldson Street, Greenslopes
4121
Phone: (07) 3941 2267
Date of Birth: 2 February 1925
Admitted: 14.3.08
Diagnosis: Malignant Melanoma Left Shoulder
Medical History
Large lesion successfully removed 14.3.08.
Discharged 17.3.08
Needs assistance with showering and to dress
wound prior to removal of sutures at Mater
Public Hospital on 24.3.08
Family History
Married aged pensioner. Lives in housing
commission home with wife Dorothy also an
aged pensioner. No children
18.3.08. 1st Home visit
Showered patient. Wound dressed – healing
satisfactory no sign of infection Balance a little
shaky - complaining of increased arthritic
pains in hands and legs.
Currently taking Glucosamine & Chondroitin
Supplement recommended by GP. Pain
relieved with 2 Panadol 3 times daily.
Confused about why he had operation.
Dorothy concerned about future. Tells you she
will be 83 in August. Says Henry has not been
himself since the surgery. Keeps forgetting
things. She finds it difficult to manage the
house and garden. Neighbours are helping
with shopping. Kitchen and bathroom
disordered - trouble finding clean towels –
dishes piled in sink, bed unmade.
19.3.08
Henry showered and wound dressed. Still a
little unbalanced. Rests most of the day. Does
not remember being showered yesterday.
House still disorganised, washing piled up in
bathroom. Dorothy says she would be lost
without help from neighbours who also
appear to be cooking meals for the couple.
Concerns: Provided there are not
complications with the wound healing, your
role in providing nursing care ends when
sutures are removed on 24 March. You
consider that Jim and Dorothy need to be
assessed for further on-going assistance in
managing the house and garden and with
shopping and the preparation of cooking.
Plan: Request a home visit by the Aged Care
Assessment Team as soon as possible to fully
assess their needs and to arrange for
appropriate further assistance to be provided.
Writing Task
Using the information in the case notes, write
a letter to The Director, Aged Care Assessment
Team, Brisbane South Region, 78 Masterson
St. Acacia Ridge, Brisbane 4110. Explain why
you are writing and what types of assistance
may be required.
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.
CASE NOTES 12

OCCUPATIONAL ENGLISH TEST

WRITING SUB-TEST: Nursing
TIME ALLOWED: READING TIME: 5 MINUTES |
WRITING TIME: 40 MINUTES
Read the case notes below and complete the
writing task which follows.
NOTES:
You are the school nurse at a Toohey Point
Primary State School
Today’s Date 07/03/2010
Patient Details
Alison Cooper
Year 5 student
DOB: 14/6/2000
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 father’s death Year 2: 3 days
Year 3: 4 days
Year 4: 10 days
Year 5: 8 days in first term
School Health Centre Records
2010
February 8: Complained of headache. Gave
paracetamol, 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
paracetamol, 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. 2009 February 15: Complained of
toothache. Called grandmother for pick up.
April 4: Complained of headache. Gave
paracetamol - 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.
November 27: Complained of headache. Gave
paracetamol, rested 30 minutes.
Social History
Alison started school well but since Grade 3
has had trouble concentrating – rarely
participates in class activities unless
encouraged. Avoids sporting activities –
standard of her school work is declining. Has
few friends and is often teased by her
classmates. Embarrassed about hands which
don’t seem to be responding well to ointment
suggested by chemist.
Mother was contacted by class teacher
regarding these issues. Says Alison is also
becoming withdrawn at home. Alison was
very close to her father – often talks to her
about him and cries because she misses him.
Seeks comfort in food like chips and cakes
after school.
Plan
Refer her to the school psychologist to find
out whether Alison has underlying grief
related or other psychological problems.
Writing Task
Using the information in the case notes, write
a letter to refer this girl to the school
psychologist, Barnaby Webster, to assess her.
Outline the purpose of the referral. Provide
details of significant factors which will assist
the psychologist to make this assessment.
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.
CASE NOTES 13

OCCUPATIONAL ENGLISH TEST

WRITING SUB-TEST: Nursing
TIME ALLOWED: READING TIME: 5 MINUTES |
WRITING TIME: 40 MINUTES
Read the case notes below and complete the
writing task which follows.
NOTES:
Today’s date: 21/05/09
You are Grace Jones, a qualified nursing sister
working in Ward C25, Princess Alexandra
Hospital. Contact Ph. 07 3897 7642.
Annette Mac Namara is a patient in your care.
Read the case notes below and complete the
writing task which follows.
Name: Annette Mac Namara
Address: Unit 15, 86 Smart St, West End
Phone: (07) 3379 5926
Date of Birth: 14 June 1936
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: 20-05-2009
Date of Discharge 22-05-2009 – provided no
complications and home assistance arranged.
Admitted to hospital following fall. Slipped
and fell while descending stairs to put out
garbage. Xray 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
3105-09
Writing Task
Using the information in the case notes, write
a letter to the Director, Blue Nursing Service,
207 Sydney Street, West End.
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.
 OET CASE NOTES (NURSING) PAGE -

CASE NOTES 14

OCCUPATIONAL ENGLISH TEST

WRITING SUB-TEST: Nursing
TIME ALLOWED: READING TIME: 5 MINUTES |
WRITING TIME: 40 MINUTES
Read the case notes below and complete the
writing task which follows.
NOTES:
Today’s date: 9/7/08
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 1924
 OET CASE NOTES (NURSING) PAGE -

Admitted: 7 July 2008

Planned Discharge Date: 9 July 2008
Diagnosis: Left inguinal hernia
Medical History
Hypertension diagnosed 1998
Medication Atacand 4mg daily
Family History
Married 50 years to wife Olga DOB 8.2.32 –
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.
 OET CASE NOTES (NURSING) PAGE -

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 doesn’t
know how to find out - doesn’t 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
 OET CASE NOTES (NURSING) PAGE -

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.
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.
CASE NOTES 15

OCCUPATIONAL ENGLISH TEST

WRITING SUB-TEST: Nursing
TIME ALLOWED: READING TIME: 5 MINUTES |
WRITING TIME: 40 MINUTES
Read the case notes below and complete the
writing task which follows.
NOTES:
Today’s date: 12/07/11
You are Sonya Matthews, a registered nurse
at the Spirit Hospital. Robyn Harwood is a
patient in your care. Read the case notes
below and complete the writing task which
follows.
Patient Details
Name: Robyn Harwood
Address: 8 Peach St, New
Farm Phone: (07) 3397 2695
Date of Birth: 4 February 1950
Social Background
Marital status: Widow. No children. Lives
alone
Next of kin: Megan Mack (Niece)
Niece lives with husband in Sydney who works
as software engineer for Google Australia.
Sister died recently. No other relatives.
Medical History
Diabetes Mellitus Type 2
Metformin 500mg mane
Diagnosis
Right partial rotator cuff tear Presented to
Spirit hospital with pain and weakness in the
right shoulder, especially when lifting arm
overhead.
Descending stairs at home and slipped, falling
onto outstretched arm. X-ray and MRI showed
a partial rotator cuff tear.
Orthopaedic surgeon discussed surgery.
Patient prefers to try non-surgical treatment.
Date of admission: 30-06-2011
Date of discharge: 12-07-2011
Treatment
Ibuprofen orally QID
Cortisone injections
Daily physiotherapy

Nursing Care Needs

Needs blood glucose level monitoring 4 hourly
May be elevated because of cortisone
Needs assistance with shower and housework
Orthopaedic review on 01/08/11.
WRITING TASK
Using the information in the case notes, write
a letter to the Nursing Director Ms. Jenny
Attard of the Community Home Care Agency,
requesting visits from the home care nurse.
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.
CASE NOTES 16

OCCUPATIONAL ENGLISH TEST

WRITING SUB-TEST: Nursing
TIME ALLOWED: READING TIME: 5 MINUTES |
WRITING TIME: 40 MINUTES
Read the case notes below and complete the
writing task which follows.
NOTES:
You are a nurse at North Romand Infant
Welfare Centre.
You visited this patient at home today for the
first time, after a referral from the maternity
hospital.
Name: Guy Hoang Chueng
Date of Birth: 17.05.53
Gender: Female
Occupation: Home duties
Personal History
Recently migrated (1/1991) with husband and
3 children (survivors of 6 pregnancies) from
Vietnam to Australia
Family Background
Husband works in factory: setting up small
Import business:
English at night school.
Children (boy 13, boy 11, girl 7) all at school;
working hard to adjust. Strong family
commitment to
school/work/study/business/Increasing
financial stability/learning English: may not
provide necessary assistance to overcome
operation and manage new baby.
No other family in Australia.
Medical History
No operations/illnesses
6 normal pregnancies previously, birth weight
approx. 2.8 kg.
10/7/1992
Incoordinate contractions and inadequate
outlet-
Caesarean section
Birthweight 4 kg (probably result of recently
improved diet/antenatal care).
? Circumstances not understood by patient;
language barrier / poss. Cultural differences.
20/7/1992
Mother sutures removed: suture lines healed.
Baby: no jaundice; breast feeding satisfactory,
normal weight gain.
Mother and child discharged from hospital.
27/7/1992
1st home visit
Most time since operation depressed and in
bed
(reasons unclear, but suspect due to
circumstances of operation).
Physically well. Apparent resistance to medical
intervention in hospital (language barrier).
Requirements
? Understanding of reasons for Caesarean
section.
? Home help.
Plan
Refer to social worker; arrange management
plan.
Writing Task
Using the information in the case notes, write
a letter of referral to Hoa Tran,
who is a Cambodian social worker with
Romans
Council
Introduce Mrs Chueng and explain why you
are referring her to the social worker. Discuss
reasons for her depression and explain how
you think Mrs Tran can help.
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.
CASE NOTES 17

OCCUPATIONAL ENGLISH TEST

WRITING SUB-TEST: Nursing
TIME ALLOWED: READING TIME: 5
MINUTES | WRITING TIME: 40 MINUTES
Read the case notes below and complete the
writing task which follows.
NOTES:
Health Facility: Glenelg Aged Care Home,
Anzac Highway, Glenelg
Patient Details: Alex Maydew, 23, has
neurological injuries as a result of a car
accident 10 months ago.
Past Medical History: NAD
Social History:
Alex was a third year Physical education
student at the University of South
Australia before the accident
Keen mountain climber and surfer
Mother and sister very attentive and caring
Mother is a nurse at Modbury Hospital
Nursing Notes:
4 months in coma at Royal Adelaide
Hospital
4 months in coma at Glenelg Aged Care
Home
Woken from coma 2 months ago with normal
brain function but loss of speech facility
Confined to wheelchair. Improving mobility
with physiotherapy
Depressed to be in an aged care setting
Mother believes that the aged care setting is
slowing his recovery
Able to use a computer - could possibly
resume part-time study
Writing Task
Write to the Director of the Julia Farr
Rehabilitation Centre, 229 Fullarton Road,
5097, requesting a transfer of your patient to
more appropriate care. Mention need for
ongoing speech therapy and physiotherapy,
and possible continuation of online studies 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
CASE NOTES 18

OCCUPATIONAL ENGLISH TEST

WRITING SUB-TEST: Nursing
TIME ALLOWED: READING TIME: 5 MINUTES |
WRITING TIME: 40 MINUTES
Read the case notes below and complete the
writing task which follows.
NOTES:
Hospital: North West Hospital Rehabilitation
Unit
Patient Details: Name Mr Ted Watson
Age: 72 y.
Marital status: widowed -10 yrs
Next of kin: daughter Margaret Alwood ph.
9825
3899
Admission Date: 10 May 2007
Discharge Date: 12 August 2007
Diagnosis: ↓ed mobility - surgical repair
(dynamic hip screw) of # R Neck of Femur (1
May
2007 at Newtown Hospital
Past Medical History:
NB: Medical Alert
Anaphylactic reaction to amoxicillin/penicillin
(antibiotics) 1997
Social History/Supports:
Retired storeman - Ramsay's Ltd
Lives alone- ground floor flat in public housing
Hobbies: quiet reading / listening to 'big band
music/TV sports
All home aids installed by O.T
Very supportive daughter, visits frequently ?
anxious how father will manage when returns
home
Local day centre 2 x wkly
Local council home support visits
Medical Progress Slow due to
Febrile episode - periods of confusion. Caused
by urinary tract infection.
Treated w. trimethoprim (antibiotic), Ural
(urinary alkalizer) and paracetamol
(analgesic)
Now fully resolved.
Onset of large arterial leg ulcer R ankle.
Regular dressings, now ↓ing in size.

Nursing Management:
Vital observations stable, afebrile.
Mobility- V. slow independent ambulation
with pick-up frame
Hygiene: max. assistance with
showering/dressing
Continence: self care with permanent
indwelling catheter.
Skin integrity: DuoDerm (occlusive) dressing
wkly to ulcer.
Psychosocial: alert, reserved.
Discharge Plan:
Continue with all home supports
Community nurse referral-
for hygiene: assistance with
showering/dressing
wound management
urinary catheter change 6-wky
ongoing monitoring and care
WRITING TASK
You are the charge nurse on the hospital ward
where Mr Ted Watson has resided during his
hospital stay. Using the information given in
the case notes, write a letter of referral to the
Community Nurse Supervisor at the
Community Nursing Centre, Newtown, who
will be attending to Mr Watson following his
discharge.
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.
CASE NOTES 19

OCCUPATIONAL ENGLISH TEST

WRITING SUB-TEST: Nursing
TIME ALLOWED: READING TIME: 5 MINUTES |
WRITING TIME: 40 MINUTES
Read the case notes below and complete the
writing task which follows.
NOTES:
Ms Jane Simms is a 46-year-old patient on the
ward of a rehabilitation hospital in which you
are Charge Nurse
Patient Details
Marital Status: Single
Admission Date: 26 July 2008 (South Eastern
Rehabilitation Hospital)
Discharge Date: 16 August 2008
Diagnosis: Progressive Multiple Sclerosis
Social Background:
Lives with unmarried sister in 3-bedroomed
house
Employed as graphic artist until September
2007 Now invalid pensioner.
Medical Background:
Multiple sclerosis diagnosed 20 yrs ago/recent
exacerbation Obesity
↑depression since stopping work Pressure
area-R buttock
Nursing Management and Progress:
Medications previous regime of ACTH and
corticosteroids and recently prescribed
Prothiaden 150mg daily
antidepressant: dosulepin hydrochloride
Daily dressings → R buttock. Now healed
Low calorie diet
Range of motion, stretching and strengthening
exercises
Occupational therapy
Assessment: Good progress all areas
Discharge Plan
Monitor medications (NB Prothiaden)
Preserve skin integrity
Monitor weight
Continue exercise program
Encourage new activities/interests
WRITING TASK
Using the information given in the case notes,
write a letter to Ms Mary Wright, the
Community Nurse at Lakeside Community
Health Centre, 50 Hope Street, Newtown, who
cared for Ms Simms at home until her recent
admission to hospital. The letter is to
accompany Ms Simms home upon her
discharge tomorrow.
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.
CASE NOTES 20

OCCUPATIONAL ENGLISH TEST

WRITING SUB-TEST: Nursing
TIME ALLOWED: READING TIME: 5 MINUTES |
WRITING TIME: 40 MINUTES
Read the case notes below and complete the
writing task which follows.
NOTES:
Patient History
Maria Ortiz is a seven-day old baby. Her
mother has been discharged from the
maternity hospital. Baby: Maria Ortiz, 7 days
old
Social History
Mother: Voletta Ortiz
DOB: 07/08/1967
Husband Jose, 36 years, Occupation Security
guard (night shift)
Other children- Sam, 5 years (currently not
attending school) Teresa, 3 year
Accommodation Two bedroom flat (rented)
Nursing Notes
Normal birth
Breast fed
Mother anxious about coping with 3 children
Baby sleepy, reluctant to feed
Baby's weight- birth-3010 g : Discharge -3020
g
Father unable to assist with children (night
work)
Mother very tired
No car: 20-minute walk to shops
Discharged from hospital 10 April, 1997
Writing Task
Using the information in the case notes, write
a letter of referral to the maternal and child
health nurse. Who will provide follow-up care
in this case: Ms Josie Hext, Maternal and Child
Health Centre, 133 Elm Grove, Westfield, 2692
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.
CASE NOTES 21

OCCUPATIONAL ENGLISH TEST

WRITING SUB-TEST: Nursing
TIME ALLOWED: READING TIME: 5 MINUTES |
WRITING TIME: 40 MINUTES
Read the case notes below and complete the
writing task which follows.
NOTES:
Read the case notes below and complete the
writing task which follows:
Today’s Date: 21/03/12
Patient Details
Name: Ms. Nina Sharman
DOB: 09/02/1951
New resident of Dementia Specific Unit,
Westside Aged Care Facility Single
Under the Australian Guardianship and
Administration Council protection
Medical History
Ischemic heart disease (IHD) since 2005, takes
Nitroglycerine patch, daily
Stroke May 2011, after stroke - unsteady
gait
In 2011 - diagnosed with severe dementia -
able to understand simple instructions only,
confused and disorientated
Diabetes mellitus (type 2) since 2000 – on a
diabetic diet
Osteoarthritis of both knees 20 yrs.
Voltaren Gel to both knees BD
Weight gain 10 kg over the last 5 months,
current weight 106kg (BMI of 30)
Chronic constipation, takes Laxatives PRN
No allergies to medication or food
No teeth – has entire upper or lower
dentures, sometimes refuses to wear
dentures due to confusion and disorientation
Increased appetite– usually eats full portion of
offered meals x 3 times daily and, also, goes
into other residents’ rooms and eats their
food as bananas, biscuits or lollies
Social History
No friends
Lack of interests, but likes colouring and
watching TV
↑emotional dependence on nursing staff
Non-smoker, no use of alcohol or illegal drugs
Recent Nursing Notes
15/02/12
Chest infection. Keflex 500mg QID x 7 days
26/02/12
Occasional cough & episodes of SOB with
↑RR
27/02/12
Sporadic throat clearing after eating yoghurt
20/03/12
1700 hrs
Episode of choking on a piece of food (? food
not chewed properly). She suddenly turned
blue, grabbed the throat with both hands and
coughed. The piece of solid food was
removed.
1710 hrs
Nursing assessment after treatment o Pulse
110 BPM o BP 120/70 mmHg o RR – 22/min o
T– 37.1° C o BSL – 6.0 mmol/L
1800 hrs
No complaints
o Pulse – 88 BPM o BP – 115/70 mmHg o RR –
16/min o T- 37.0 °C o Skin: normal colour. o
Hospital visit not required
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. Sharman’s swallowing function and
nutritional status urgently due to a high risk of
aspiration.
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.
CASE NOTES 22

OCCUPATIONAL ENGLISH TEST

WRITING SUB-TEST: Nursing
TIME ALLOWED: READING TIME: 5 MINUTES |
WRITING TIME: 40 MINUTES
Read the case notes below and complete the
writing task which follows.
NOTES:
You are a district nurse (nurse caring patient
at their home) taking care of Mrs Anna Paro,
who needs daily dressing for the leg ulcer.
Name: Anna Paro Age: 75 years
Medical history:
COPD
Osteoarthritis
Appendectomy - 2009
Suffering with leg ulcer
Taking salbutamol pm
Ipratropium 25/250 2 puffs daily
Social history
Lives alone, husband died
Two children one native, other overseas
10.03.2018
Subjective:
SOB increase (especially day activities, not at
night
Salbutamol ineffective
Need rest or sit down to hold breath back
Objective comfortable at rest, no sob
RR 18bts/m. BP 130/80mmHg
Auscultation. Good air entry both sides, little
wheeze on left side
Observed patients inhaler use – inappropriate
Diagnosis:
S0B worse due to ? COPD, inhaler use
Treatment:
ventolin 2puffs under supervision
Educated about inhaler use with spacer
patient claims “this is not the way my
pharmacist told”
Plan
Refer/ advice pharmacist inhaler
Write a referral letter to Anna paro
pharmacist to teach her about inhaler 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.
CASE NOTES 23

OCCUPATIONAL ENGLISH TEST

WRITING SUB-TEST: Nursing
TIME ALLOWED: READING TIME: 5 MINUTES |
WRITING TIME: 40 MINUTES
Read the case notes below and complete the
writing task which follows.
NOTES:
Hospital: Intensive Care Unit, Flinders Medical
Centre
Patient Details
Name: Diane Carpenter
Age: 58
Marital Status: Divorced
Next of kin: 2 married daughters (both live
locally)
Admission Date: 10 May 2009
Discharge Date: 24 May 2009
Diagnosis: (L) Lung resection Past Medical
History:
Breast cancer 1988
Full mastectomy September 1988
Good response to tamoxifen and remission
until 2009
Dyspnoea April 2009-investigations revealed
small patches in left lung
Has had Generalised Anxiety Disorder since
20's - sometimes on medication for this but
not at present Social History:
Recently migrated from Canada (2001)
Supported financially by children
Court secretary but unable to work due to visa
issues
Lives in small rented unit
Drives own car
Small circle of good friends Medical Progress:
Pneumonia - day 4
Treated with antibiotic therapy and
ventilation
Now fully resolved
Nursing Management:
Fluid management
Oxygen therapy
Nutritional support
Physiotherapy initiated
Mobility: very slow-patient is reluctant to walk
Psycho/social: difficulties coping
Discharge Plan
On-going physiotherapy
Needs encouragement to mobilize
initiate psychiatrist visits (coping strategies)
Organise visits between psychiatrist and
daughters - encourage them to be more
supportive emotionally
Chemotherapy appointments at Flinders
Medical Centre to begin 6/6/09
Monitor medications (antibiotics, tamoxifen)
Writing Task
Using the information given in the case notes,
write a letter to the Director of the
Repatriation General Hospital, 216 Daws
Road, Daw Park 5041, and request that the
hospital take over the care of Mrs Carpenter.
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.
CASE NOTES 24

OCCUPATIONAL ENGLISH TEST

WRITING SUB-TEST: Nursing
TIME ALLOWED: READING TIME: 5 MINUTES |
WRITING TIME: 40 MINUTES
Read the case notes below and complete the
writing task which follows.
NOTES:
You are a nurse visiting Ms Styles at her home
who is taking self-care at home
Patient History
Name: Ms Patricia Styles
Age: 04/08/1955 (63 years)
MEDICAL BACKGROUND
Hypertension : diagnosed in 2012. on Carpinol
medicine, blood pressure
↑2014 (190 /100) Now BP under control
(140/90)
Diabetes Mellitus: diagnosed in 2009
(Type II), taking oral hypoglycemic
(Metformin+Glipizide)
Depression: diagnosed first in 2015. depressed
after her husbands death, attends medical
counseling for mood swings and diabetes
mellitus management
SOCIAL BACKGROUND
Hobbies: walking, reading
Lives alone, no close relatives, her cousin
helps her sometimes
Medications
Carpinol-6.25 x2 times daily
Metformin-500mg x 2 times daily
Glipizide-10 mh x I daily
MEDICAL HISTORY
On 07/04/2018 she admitted in Green Valley
Hospital with chest pain (pleuritic).shortness
of breath(SOB), tiredness.
Management
Glucose monitored regularly, sugar and BP
(well controlled)
Blood test
ESR ↑(24), Creat ↑(2.0), Platelets ↓
(Stress/inflammation)
Oral throat swab: Type B influenza
Chest X-ray: Normal
Echocardiogram: Pericarditis
Diagnosis : Type B influenza plus pericarditis
Treatment: IV saline, Antibiotics
Discharged on 09/04/2018 advising further
follow up home visits.
She was on self-home care after discharge.
She was keeping well and the home nurse left
her 2 days ago.
14/04/2018 Home visit
Subjective: Ms Styles feels tired and has chest
pain
Examination: Unwell, Chest pain (↓ when
sitting), SOB, fatigue
Vital signs: Mild temperature (38), HR-122,
RR-28,
BP-180/90
Assessment: ?? Relapse Complication
pericarditis
Plan: Refer patient to Newtown Hospital
Emergency Department (nearest hospital)
Inform emergency doctor about patients o
Medical history o Medications o Past history
WRITING TASK
Write a referral letter for MS Styles to the
Emergency Doctor on Duty requesting urgent
assessment and management of her
pericarditis.
Address the letter to:
Emergency Doctor on Duty, Newtown
Hospital. Corner Street, Newtown 1104 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.
CASE NOTES 25

OCCUPATIONAL ENGLISH TEST

WRITING SUB-TEST: Nursing
TIME ALLOWED: READING TIME: 5 MINUTES |
WRITING TIME: 40 MINUTES
Read the case notes below and complete the
writing task which follows.
NOTES:
Ms Brown is a patient in your care. She is now
ready for discharge and will be transferred to
a rehabilitation hospital
Discharge Summary
Name: Ms Rose Brown
Age: 27 years
Admitted: 27/5/07
Diagnosis: Dislocated knee
Discharge: 18/6/07
Reason for admission: Dislocated knee
Treatment
After X-ray, it was determined that Ms Brown
had dislocated her left knee, The knee was
rested and strapped. Topical heat and cold
were used.
Social Situation
Ms Brown is a young woman with a mild
intellectual disability. She is a large woman,
and the extra strain her weight has put on her
leg has made her progress very slow, She lives
alone in a council flat, and as she is still unable
to walk confidently with crutches, it has been
decided that, at present she will not be able to
cope living alone. Her mother is willing to help
her, but is not able to help Rose into and out
of the shower by herself
Progress
Ms Brown is experiencing less pain but has
little strength in her leg. She is using a frame
at present. She lacks confidence with crutches
and requires at least one other nurse to assist
when she is using them
Discharge plan
Transfer to rehabilitation centre. Ms Brown
needs to continue to be seen by a
physiotherapist and to have water aerobics to
build up strength and stamina. She needs to
progress from the frame, to crutches, and
then to a walking stick Domiciliary care needs
to be contacted - a ramp and bathroom aids
will need to be placed in Ms Brown's home
before she returns
Writing Task
Using the discharge summary, write a nursing
letter about Ms Brown to the Director of
Nursing at the Repatriation General Hospital,
Daw Park.
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.
CASE NOTES 26

OCCUPATIONAL ENGLISH TEST

WRITING SUB-TEST: Nursing
TIME ALLOWED: READING TIME: 5 MINUTES |
WRITING TIME: 40 MINUTES
Read the case notes below and complete the
writing task which follows.
Patient: Susan Sarandon
DOB: 17-7-90
Marital status: Single
Family: Only child. Parents are still married
and living together. Pt is student in the 10th
grade.
First admitted:
13.9.05
Patient did not present to ER until 13.9.05, at
which time she displayed signs of peritonitis
and septic shock with a fever of 39°C
Discharge date: 8.9.05
Diagnosis: Ruptured appendix Peritonitis
Medical History:
Pt received adenoidectomy in 1987
Meds: Pt takes methylphenidate 10mg bid for
ADHD. May be continued.
Denies EtOH Tab use. Denies sexual activity.
Background:
Pt was on class trip to Perth from her school in
Bunbury when she developed peri-umbilical
pain and anorexia, beginning on 10.9.2005.
Initial pain followed by nausea. The pain then
migrated to the RLQ with a maximum over
McBurney's point
Management and Progress:
Labs showed leukocytosis with left deviation,
Hb of 13.1, Hct 41%. B-HCG was negative.
The patient was immediately given
ampicillin/gentamicin IV.
A U/S was carried out, which displayed free
fluid in the intra-abdominal space.
A standing CXR was also performed which
showed free air in the hepaticophrenic recess.
An emergent laparotomy was performed. A
perforation of the severely inflamed appendix
observed, along with intraperitoneal abscess
formation
Appendectomy performed; abscess drained
Pt transferred to SICU. Fever subsided.
Transferred to a normal room Ciprofloxacin IV
on Post op Day 1 →3 days
Discharge plan:
Pt is ready to be discharged to rehab centre.
She should re-present to this clinic on
1.10.05 for general assessment
Contact Dr. Brown if fever >38°C, signs of
infection or inflammation, SBP < 100 or 160
mmHg.
WRITING TASK:
You are transferring Miss Susan Sarandon to
the Bunbury General Rehabilitation Centre.
Write a discharge summary to accompany the
patient.
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.
CASE NOTES 27

OCCUPATIONAL ENGLISH TEST

WRITING SUB-TEST: Nursing
TIME ALLOWED: READING TIME: 5 MINUTES |
WRITING TIME: 40 MINUTES
Read the case notes below and complete the
writing task which follows.
NOTES:
Tracy Chapman is a 20 year old single woman
with 3 children. She was admitted for an
appendicectomy and has recovered. She is
ready to be discharged home.
Name: Tracy Chapman
Age: 20 years
Admitted: 18 April 1990
Discharged: 23 April 1990
Diagnostics: Acute Appendicitis
Operation: Appendicectomy 18 April 1990
Social background
Single with 3 children aged 18 months, 3 years
and 4 years
Lives in a rented flat with her children
The father of the children has no contact
Only income is the Single Mother's
Pension
Has several friends who all work fulltime
Tracy's mother is caring for the children but
will be returning to her home in the country
when Tracy comes home.
Nursing management and progress
Routine post operative recovery
Tolerating a light diet and fluids
Walking normally
Minimal pain relieved with 2 panadol 3 times
a day
Wound healed, sutures removed
Discharge plan
Rest
Moderate exercise
No heavy lifting or activity for 6 weeks
High protein diet
Observe wound for infection
Council "home help”
WRITING TASK
Tracy will require support and assistance to
manage her children when she returns home.
Using the information in the discharge
summary, write a letter of referral to the
community health nurse, Rae Willis, who will
assist Tracy at home.
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.
CASE NOTES 28

OCCUPATIONAL ENGLISH TEST

WRITING SUB-TEST: Nursing
TIME ALLOWED: READING TIME: 5 MINUTES |
WRITING TIME: 40 MINUTES
Read the case notes below and complete the
writing task which follows.
NOTES:
Mrs Beryl Casey is a 72-year-old woman who
is being discharged from hospital to a
rehabilitation centre.
Patient: Mrs Beryl Casey
(DOB: 21/11/1941)
Marital status: Widowed (recently)
Family: 2 children – son lives locally &
daughter interstate.
Social: Lives alone in 2-bedroom house with
stairs to entrance. Son (married, 2 children – 6
& 8)
lives 20 minutes away – visits twice a week.
Enjoys gardening.
Medications: Anti-hypertensive (Ramipril)
10mg
Admission date:
4/02/14 at 1200hrs
Fainted getting out of bed & fell to the floor.
Found by son 2 hours later.
Diagnosis: X-ray – fractured left neck of femur
(# L NOF) post fall
Treatment:
Left hemiarthroplasty (Austin Moore hip
replacement); general anaesthesia Incision
closed with staples & 2x Exudrain Post
operation:
Intravenous (IV) therapy: 3 units packed cells
– with IV Lasix (furosemide) 40mg therapy
after each unit (intraoperative & post op)
Maintained IV therapy for 36 hrs, then ceased
and oral fluids encouraged Intravenous
antibiotics
(IVABs) – Cephazolin 1g t.d.s. for 3/7 – course
completed Vital signs:
BP hypotensive – 95/60, other obs.
within normal limits Antihypertensive
medication reviewed by Dr
Dose - now Ramipril 5mg daily
Pain management: Patient-controlled
analgesia (PCA) with Fentanyl for 36hrs – pain
relief – satisfactory. Commenced oral
analgesia 36hrs
Post op - Panadeine or Panadol 4/24 prn, Max
4 doses/24hrs
Wound management: Dressing √ Total of
600ml haemoserous fluid discharge from
Exudrains over 24hrs Drain tubes removed
48hrs post op (Day 2) Alternate staples
removed Day 5 and dressing Changed
Mobility & activities of daily living (ADLs):
Day 2 Sitting out of bed (SOOB) short periods,
full assistance
Day 3 Mobilising with pick-up frame
(PUF) & 2-person assist
Day 4 Uneventful
Day 5 Mobilising short distances with PUF & 1-
person assist Abduction pillow when resting in
bed (RIB) Anti-embolic stockings in situ for 14
days ADLs – full assistance
Day 6 Uneventful day Preparing for discharge
Discharge plan:
Day 7 (1100hrs) Discharge to the
Rehabilitation Centre Discharge medications –
Ramipril 5mg daily, paracetamol 1g qid prn
Family to be notified of transfer Hospital
transport arranged for 1100hrs
Day 8 Repeat check of hemoglobin (Hb) levels
Monitor BP b.d., for 3/7, due to adjustment in
anti-hypertensive meds Assess for rehab
therapy (inpatient & on return home)
Day 10 Removal of remaining staples, wound
can remain exposed Afterwards
Writing Task:
Using the information given in the case notes,
write a discharge letter to the Nursing Unit
Manager, The Rehabilitation Centre,
Waterford.
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.
CASE NOTES 29

OCCUPATIONAL ENGLISH TEST

WRITING SUB-TEST: Nursing
TIME ALLOWED: READING TIME: 5 MINUTES |
WRITING TIME: 40 MINUTES
Read the case notes below and complete the
writing task which follows.
NOTES:
You are the Charge Nurse on duty at the
Children’s Hospital. You have been caring for
this patient, Ann, an infant.
Patient Details
Name: Ann Ballard Age: 22 months
Next of Kin: Christine Ballard (mother)
Admission date: 16 March 2010
Discharge date: 22 March 2010
Diagnosis:
2nd degree burns to right trunk & arm
following accidental scalding with hot water
Family: Lives with mother and 4yr old brother
(Tom)
Background:
Mother (28 yrs) separated from husband 4
mths ago
Financial difficulties following separation
Housing: 3 bedroomed house in new housing
development
Family reliant on public transport
Socially isolated (Christine’s parents
interstate, has few friends) Christine
?depressed
Children spend alternate weekends with
father Medical history and medications:
Nil medications
Nil significant history
No known allergies
Management and progress during hospital
stay: 2 x daily Silvazine dressings to
affected area
IV fluids for 24 hrs post admission and then
oral fluids
Mother referred to hospital social worker
Medications: Prophylactic antibiotic cover &
analgesia
Discharge plan:
Daily Silvazine dressings
No discharge medications
Monitor mother’s mental state
Introduce to local supports (e.g., mothers’
group/activities, local childcare centre, etc.)
Appointment with local financial counsellor
(for financial problems)
Writing task:
Using the information given in the case notes,
as the Charge Nurse on duty, write a letter to
the family’s local maternal and child health
nurse, outlining relevant information and
requesting follow-up on discharge. Address
the letter to Greenville Maternal and Child
Health Centre, Main Rd, Greenville.
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.
CASE NOTES 30

OCCUPATIONAL ENGLISH TEST

WRITING SUB-TEST: Nursing
TIME ALLOWED: READING TIME: 5 MINUTES |
WRITING TIME: 40 MINUTES
Read the case notes below and complete the
writing task which follows.
NOTES:
CASE NOTES
Name: Mrs. Larissa Zaneeta Age 38-years-old
Family and social history
Marketing manager, married, one child
(fouryear-old boy).
Medical history
Unremarkable, no medications
11/07/05
Complains of tiredness, difficulty sleeping for
2 months due to work stress Plans another
child in
12 months, currently on oral contraceptive pill
(OCP)
O/E: Appears pale, tired and slightly restless
BP 140/80
No abnormal findings
Assessment: Stress-related anxiety
Plan: advised relaxation techniques, reduce
working hours, prescribe sleeping tablets tds
15/08/06 Stopped OCP 4 months earlier, still
menstruating
Worried
Sleep still difficult, work stress unchanged, not
possible to reduce hours O/E: Tired-looking,
slightly teary
Assessment: Work stress, growing anxiety
failure to conceive
Plan: discussed nature of conception – takes
time, patience discussed frequency sexual
intercourse discussed methods – temperature
/ cycle
18/01/07
Expressed anxiety re failure to conceive, says
she's "too old" sleep still a problem
O/E: crying, pale, fidgety
Vital signs / general exam NAD
Pelvic exam, pap smear
Assessment: as per previous consultation
Plan: 1-2 Valium b.d.
Suggested she re-present next week
accompanied by husband.
25/01/07
Mr. Zaneeta very supportive of having another
child
No erectile dysfunction, libido normal
Mrs. Zaneeta unchanged
O/E: Mr. Zaneeta normal
Plan: Check Mr. Zaneeta's sperm count
02/02/07
Sperm count normal
Plan: Refer for specialist advice
WRITING TASK
Using the information in the case notes, write
a letter of referral to Dr Elvira Sterinberg, a
gynaecologist at 123 Church St Richmond
3121.
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.
CASE NOTES 31

OCCUPATIONAL ENGLISH TEST

WRITING SUB-TEST: Nursing
TIME ALLOWED: READING TIME: 5 MINUTES |
WRITING TIME: 40 MINUTES
Read the case notes below and complete the
writing task which follows.
NOTES:
Today's Date
25/07/09
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 2005
Admitted: 15th July 2009 Gender: Male
Discharged: 25th July 2009
Country of birth: Sudan
Diagnosis: acute meningoencephalitis
Social History
Parents: Miri & Abdullah Obeki, refugees,
arrived in Australia in 2008. 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:
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.
CASE NOTES 32

OCCUPATIONAL ENGLISH TEST

WRITING SUB-TEST: Nursing
TIME ALLOWED: READING TIME: 5 MINUTES |
WRITING TIME: 40 MINUTES
Read the case notes below and complete the
writing task which follows.
NOTES:
Today's date
10/07/09
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: 29/01/1926
Marital Status: Widowed Country of birth:
Australia Social History:
Moved to Retirement Village following the
death of husband in December 2007.
Next of kin: Son, Nicholas Olsen, 53 Palmer
Street,
Warwick 4370, Ph (07) 4693 6552.
Normally alert and orientated. Enjoys bridge,
bingo and reading.
Medical History
Hypothyroidism since 1997
Hypertension since 2003
Glaucoma since 2004 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
16/05/09
Flu vaccination
29/06/09
Complaining of indigestion following evening
meal. Settled with Mylanta
07/07/09
Unable to sleep – aches in shoulder. Settled
following 2 Panadol and 1 Normison
09/07/09
Requested Mylanta for indigestion,Panadol for
shoulder pain – slept poorly
10/07/09 am
Tired and feeling generally weak. BP 180/95.
Confined to bed. GP called and will visit
11/7/08 after surgery.
10/07/09 pm
Didn’t 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
patient’s past medical history and condition.
In your answer:
Expand the relevant case notes into complete
sentences
Do not use note form
Use correct letter format
The body of the letter should not be more
than 200 words.
CASE NOTES 33

OCCUPATIONAL ENGLISH TEST

WRITING SUB-TEST: Nursing
TIME ALLOWED: READING TIME: 5 MINUTES |
WRITING TIME: 40 MINUTES
Read the case notes below and complete the
writing task which follows.
NOTES:
Today's Date
01/08/09
You are Sarina Chai, a registered nurse at the
Royal Brisbane and Women’s Hospital
(RBWH). Maeve Greerson is a patient in your
care.
Patient Details
Name: Maeve Greerson
Address: Unit 6, 45 Walter St, Holland Park
4121
Phone: (07) 3942 1658
Date of Birth: 9 October 1951 Country of
birth: Australia
Social History:
Widowed, no children.
Next of kin: Brian Hewson (brother) 67 Bridge
Street, Toowoomba Ph (07) 4693 6558. Family
and patient have requested no further
treatments be used, other than those
necessary to maintain comfort and dignity and
to relieve pain.
Medical History:
March 2009: Laparotomy. Found to have
cancer of the lower intestine with wide spread
metastases. Partial bowel resection and
colostomy performed.
April 2009: 6 weeks radiation therapy for
relief of symptoms.
Prognosis: Not expected to survive more than
3 – 4 months.
24/07/09
Admitted to RBWH following collapse at
home. Dehydration, nausea, severe pain IV
fluids commenced - transdermal patch for
pain, light low fibre foods only.
25/07/09.
Nausea less severe – tolerating jelly, low fat
yoghurt
Occasional break through pain – pain
medication increased Severe oedema of
ankles and lower legs, bladder incontinence.
Does not feel she will recover sufficiently to
leave hospital. Requests visit from Social
Worker
28/07/09
Generally pain free, very weak and
disorientated at times. Rejecting solids but
able to tolerate fluids
- requests apple juice and lemonade.
Social Worker contacted brother. Advises
place
available at Glen Haven Hospice in
Toowoomba from 1 August 2008.
01/08/09
Transferred via ambulance to Glen Haven
Hospice
Writing Task
Using the information in the case notes, write
a letter to the Director of Nursing, Glen Haven
Palliative Care Hospice, 971 Arthur Street,
Toowoomba, introducing this patient. Using
the relevant case notes, give her background,
medical history and treatment required.
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.
CASE NOTES 34

OCCUPATIONAL ENGLISH TEST

WRITING SUB-TEST: Nursing
TIME ALLOWED: READING TIME: 5 MINUTES |
WRITING TIME: 40 MINUTES
Read the case notes below and complete the
writing task which follows.
NOTES:
Today's Date
09/09/09
You are Lee Wong a registered nurse in the
Coronary Care Unit, St Andrews Hospital
Brisbane. Bill O’Riley is a patient in your care.
Patient Details
Name: Bill O’Riley
DOB 12 January 1956
Address 9476 Old Dam Road, Goondiwindi
Q4390
Next of Kin Brother, Ernie O’Riley 72 Burke St,
Cunnamulla Q4490
Admitted 2 September 2009
Diagnosis: Obstructive coronary artery disease
Operation Coronary artery bypass grafts (x 4)
on 4th September 2008 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 15/9/09
Local physiotherapist to continue
rehabilitation exercise program
Writing Task
Mr O’Riley 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 O’Riley’s
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:
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.
CASE NOTES 35

Mr David Hussein has symptoms suggestive of

Covid 19. You are nurse in charge, Abu Dhabi
International Airport coronavirus screening
section.
Patient details
Name Mr David Hussein
Age 56 years
Symptoms - coughing, sneezing, fever last four
- five days, SOB with frequent headaches.
Social History
Resident of North Park, Rome, Italy
Lives along with wife and two children
Evening chatting with friends
Often contacted with family members
Obese( BMI 34)
Has sedentary lifestyles
Retired police officer
Heavy smoker 20-25 cigarettes per day
Consumes alcohol 4 -5 units daily
Receives aged pension
National soccer player -20years ago
Medical history
Lung problem
Bronchial asthma
Diabetes mellitus type 2
Takes Inhaler last one year
Hyperensive since 2 last years; on medication
On lisinopril 10 mg everyday after meals
Had left lung resection in 2016 Has
recurrent chest infections
Takes glipizide 40mg and Metformin 500 mg
Twice daily
Had hernia repair in 2006, fracture ankle
2008
Allergic to penicillin
Mother died of Colon cancer, 2000
Father healthy, Rx BP and DLP under control
Travel History
Travelled to China on 10 January 2020
Visited seafood market on 11th January
Transited China last week
Was in China last week on a holiday trip
Frequent traveler to middle East for business
purpose
Screening
Screened two times.
Temp 39°C ; Pulse, 75 beats/ min
Communication Details
Met Mr Dorman, at Al Souk, Abudhabi, at his
residence and stayed with his family (including
Mr Dorman’s 96 year old father and three
adult sons)
Visited friends home yesterday.
Went to Al Wakra public park with Mr Dorman
and spent around 2 hours.
Management
Encourage proper personal protective
equipment especially mask and gloves.
Drink hot water
Tab pcm 500 mg 2 prn
Dehydrated, 500 ml DNS
Nebulization every 4 hours
Plan
Keep in quarantine
Wait for- throat swab result and blood reports
Social worker input- family support
Instructed to Mr Dorman and family to avoid
public meeting, and planning to observe them
in home quarantine for another 14 days. (
Regular health updates will be done by the
health department)
Writing Task
Write a letter to the head nurse, observation
ward, with a detailed information of Mr
Hussein who has symptoms suggestive of
Covid 19. You are nurse in charge, Abu Dhabi
International Airport coronavirus screening
section.