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:
10.08.2018 22G Peripheral iv access
IV Fluids
Prophylactic antibiotics
PCT, Morphine
       Xray, Blood culture,CBC, urea,BUN, Urine culture done.
11.08.2018 Good 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.

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Mumbai Address

Office A/1, Nootan Nagar CHS,
Near Veena beena,
Bandra West-Mumbai,
Mumbai - 400050
Contact 1: +91 9619865406
Contact 2: +91 961986 5476
email: arun@charlesinstitute.com

Pune Address

Shop no: 56, Ground Floor,
Grafikon Arcade,
Sasoon Road, Pune
Contact: +91 9619865406
Contact: +91 961986 5476
email: arun@charlesinstitute.com

NERUL Address

106, First Floor, Chandrai Arcade
Sector 20, Opp. Railway Station
Nerul (W, Navi Mumbai)
Maharashtra 400706
Contact: +91 9619865406
Contact: +91 961986 5476
e-mail: arun@charlesinstitute.com

KOLLAM Address

Room: 1 Anjitha Complex Near Seema’s collections Opp. Kadavoor Temple Kadavoor Kollam 691601
Contact: +91 9619865406
Contact: +91 961986 5476
e-mail: arun@charlesinstitute.com

THIRUVALLA ADDRESS

First Floor, Malayail Building, Ramanchira, Thiruvalla, Kerala 689107
Contact: +91 9619865406
Contact: +91 961986 5476
e-mail: arun@charlesinstitute.com