0%(2)0% found this document useful (2 votes) 3K views2 pagesNurse-Olivia Merriman Deconditioning
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OET WRITING SUB-TEST: NURSING
TIME ALLOWED: READING TIME: 5 MINUTES
WRITING TIME: 40 MINUTES
Ms Olivia Merriman is an 88-year-old patient in the geriatrics ward of Concordia Hospital, at which you are
the Nursing Unit Manager.
Patient details
Date of birth: 18/11/1926
Marital status: widowed
‘Admission date: 25/04/2014
Discharge date: 23/05/2014
Diagnosis on admission: urosepsis
Diagnosis on discharge: deconditioning, pressure ulcers on both heels
Social background:
‘+ lives alone; apartment in Strathfield
‘* husband passed away 16 years ago
‘* two sons; David lives in Burwood and visits occasionally; Andrew lives in Hornsby
‘© meals-on-wheels
© 4-wheel walker
‘+ independent with ADLs; David helps with cleaning and household chores
relies on Andrew for financial management
Medical background:
* triple CABG in 1999
* hypertension since 1999
© atrial fibrillation since 2003,
+ peripheral vascular disease since 2007
* chronic back pain
Medications:
© warfarin
‘© aspirin 81 mg OD
‘© clopidogrel! 75 mg OD
‘© atorvastatin 40 mg OD
‘© bisoprolol 5 mg OD
+ Norspan patch 10 mg weekly
* Panadol 500 mg QID
* gabapentin 300 mg OD
HEY 6 ee re Sons a won cae Wh Ne Management and progress:
‘+ BIBA Concordia ED
* David was visiting, noticed patient was “not herself”
* Confused, disoriented x3, low-grade fever
* urine culture positive for E. Coli, Dx of delirium secondary to UTI
ties
* hydration, ant
* infection cleared, mental state and cognition normal
© deconditioning due to prolonged immobility and anorexia (extremely fussy eater)
‘© pressure sores on both heels -> aggressive wound care
© seen by physio -> mobility deemed to have returned to baseline
* seen by OT -> no modifications needed
Assessment:
* independent with ADLs, independent mobility with 4-wheel walker
© lacking confidence about returning to home
Discharge plan:
* home visits for at least two weeks
dally dressing change for pressure sores (monitor progress)
‘+ encourage exercise (recommended by physio)
encourage eating
Writing Task
Using the information given in the case notes, write a letter to Ms Amanda MacGrath, a community nurse
at 25 Yogurt Street, Strathfield, who will care for Ms Merriman after she returns home.
In your 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.
DIME ae pn ess Sts 0:4 we neyogsgeaos com Wing Ne
