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OCCUPATIONAL ENGLISH TEST-August 11, 2018
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.
 

Miss Tia Gnina, is a patient on the pediatric ward you work

Age:8 years
Residence:Ouyen
Admission date:10.08.2018
Discharge date:11.08.2018
Admission Assessment:Abdominal cramping pain while playing in school
 fatigue, looked tired,  Temp: 38.30 C
 pulse:143bpm, BP: 90/48mmhg, RR:22bpm
 ?sickle cell disease
 pediatric hematologist advised admission
Social background:Single child lives with parents in Ouyen
Medical background:Sickle cell anemia- 2002
 preterm birth
 nil medications
 no known allergies

Management and progress during the hospital stay:

10.08.201822G Peripheral iv access
 IV Fluids
 Prophylactic antibiotics
 PCT, Morphine
 Xray, Blood culture,CBC, urea,BUN, Urine culture done.
11.08.2018Good progress
 X Ray- Normal
 CBC-Normal
 Urea-WNL
 Ready for discharge.
Discharge Plan:8 glasses of water/day at least
 Nutritious diet
 avoid strenuous activity
 avoid high altitude
 follow up – GP
Note:Parents are so scared about relapse of sickle cell crisis in future.
 So patient’s GP is given reference for detailed evaluation and follow up.

Using the information given in the case note, write a letter to Tia’s GP, Mr Chris Tsaz, 26/ Duncan street, Birchip, Mosman, Vic.3483  for further medical evaluation and follow up.