OET 2.

0 WRITING LESSON: REVIEW

DURING THIS LESSON

 Learned what is required in the OET Writing exam and how the test is structured.
 Completed exercises to understand what is required to be successful in the test.
 Completed activities to understand case notes present throughout the test.
 Reviewed OET sample questions to understand question types.
 Set homework for next week/arranged future lessons.

REVIEW

The OET writing exam requires for you to write a short (180-200 words) letter regarding a
patient. You are expected to clearly explain the type of letter that you are writing (referral,
discharge, information, transfer etc,.) and to clearly relay the information to the
professional or organisation you are writing to depending on the case notes that are
provided.

HOW THE EXAM IS GRADED

Candidates are assessed against the following criteria:

1. Overall task fulfilment

This means have you understood the task and its requirements. If the task asks for a
referral letter, have you written a referral letter by mistake?

2. Appropriateness of language
Is the language that you use formal or informal? Are you providing the relevant
information?

3. Comprehension of stimulus
Have you understood the patient’s medical history? Are you able to explain it clearly
in your letter?

4. Linguistic features
Does your letter have good grammar and does one point naturally flow to the next?

5. Presentation features (spelling, punctuation and layout)

Should any marks be deducted for mistakes in spelling or punctuation? Is your letter
formatted professionally?

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The Writing sub-test is scored by experienced assessors who receive ongoing training,
monitoring and feedback on their performance after each administration of the test.
Assessors give a score from A-F for each of the five criteria listed on the previous page, using
a detailed set of level descriptors to guide their decisions. A score of A is the highest for
each criterion. The five criteria are equally weighted in the scoring and analysis process.
ACTIVITY 1

Now read through the practice letter below.

Nursing Unit Manager

The Rehabilitation Centre
Smithville
Waterford

9 February 2014

Hello sir,

Re: Mrs. Bery Casey (DOB: 21 November, 1941)

Mrs casey (Widowed recently), who was been treated for a fractured her left neck of
femur, as she fainted and fell to the floor, is being discharged tomorrow. Therefore
she is being referred to you for following up care.

Mrs casey - lives alone - was found by her son who lives close to her home 2 hours
later and admitted to our hospital on 4 February, 2014.

Mrs casey had a left hemiarthroplasty and closed with staples and 2 exudrain tubes.
After the operation, she has completed the intravenous antibiotics, also the drain
tubes and alternate staples has removed. In addition, her pain has controlled by
medication and her blood pressure has remained by Ramipril 5 mg (previously used
10 mg). Furthermore, she is able to walk with a pick-up frame and an assistant
person, although she needs full assistance with her ADL.

It would be greatly appreciated if you could continue maintaining her medication

and monitoring her blood pressure. Also, please assess for her rehabilitation
therapy.

In addition, she will require to check her hemoglobin levels on 11/2/14 and remove
remaining staple on 13/2/14. Finally, a hospital transport has arranged for 11 o’clock
tomorrow morning.

If you need further question, please do not hesitate to contact me.

Kind regards
Mary Khan

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Consider any improvements you would offer to this letter and now look at the examiner’s
notes below. Fill in the missing words as part of the examiner’s comments. Find answers
to this activity at the end of the workbook.

Comments on scores
Overall Task Fulfilment
The candidate has shown the ability to manage the task and organise the information in a
logical way. For example, the background information is (1) _____ together in paragraph 3,
and the remaining actions relating to the discharge plan follow in paragraph 4 and 5.
However, significant grammar errors and inaccuracies have a negative effect on the target
reader in places. There are also further problems with (2) ____ such as ‘who was been
treated for a…’
Appropriateness of Language
The candidate has chosen lexis, register and tone which are generally appropriate for the
target reader and the communicative task (e.g. ‘needs full assistance with her ADL’, ‘It
would be greatly appreciated if you could continue monitoring her blood pressure’). A few
inaccuracies (e.g. ‘following up care’) do not impede communication. As a whole, the letter
is (3) _____ well, in that the reader can see an underlying sense of coherence to the way it is
arranged and ordered.
Comprehension of Stimulus
The candidate demonstrates an understanding of the task and input which is generally
accurate. Many of the main points (including the completion of the post-operative IV
therapy and the need for a (4) ________ check) are explained clearly and given an
appropriate degree of prominence. However, important elements of the (5) ________ (e.g.
the paracetamol and the anti-embolic stockings) have not been covered and the target
reader is not fully informed in those respects.
Control of Linguistic Features (Grammar and Cohesion)
The candidate has used a range of devices to connect information appropriate, including
relative clauses, concessive clauses, and time phrases (e.g. ‘Mrs Casey, who has been
treated...’, ‘...although she needs full assistance...’, ‘After the operation, ...’). However,
inaccurate use and/or avoidance of passive structures impedes meaning at a number of
points (e.g. ‘her blood pressure has remained by Ramipril 5mg’, ‘she will require to check
her haemoglobin levels...’). (6) ________ sentences are attempted, frequently without
success (e.g. ‘Mrs. Casey – lives alone – was found by her son who lives close to her home 2
hours later and admitted to our hospital...’).
Control of Presentation Features (Spelling, Punctuation and Layout)
The candidate has chosen an appropriate layout for the letter and spelling is accurate
throughout. Lack of control of punctuation in the second paragraph (inappropriate hyphens
and missing comma) make it necessary for the reader to re-read in order to retrieve the
information. The patient also regularly forgets to put a (7) ________ at the start of the
patient’s name.

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Now guess the scores (A-F) for this candidate and fill in the boxes below with your
estimated score for this assignment…

Scores
Overall Task… Approp. Lang… Compre. Stim… Linguistic… Presentation…

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ACTIVITY 2
Read through the paragraph below and fill in the missing words using the words provided
in the box. The text discusses tips to consider when writing your letters. Some answers are
not required.

layout and punctuation word count laid out missing mistakes problems
accepted same proof-read formatting grammar deducted

1. Take care of spelling– Spelling, along with _________ are the main aspects included
under presentation features (one of the criteria under which assessment is done).
When you are writing, take care of spelling, because any will be taken account of in
your presentation features scores.
2. Write within the writing limits- Your marks will not be _______ if your write over or
under the ________ (180-200 words). However, if you write more than 200 words,
you will not get time to ______ your letter. Always spare some time at the end to
proofread your letter for any _______ .
3. Use accepted layout: – A number of layouts and letter formats are ______ by health
professionals in different contexts. It is important that your letter is clearly ______
and is appropriate for the task. There is no set layout to follow in the OET writing
task.
4. Use accepted abbreviations: – Candidates are allowed to use accepted
abbreviations in the OET writing subtest. Before you use any short form or
abbreviation, ensure you use the ______ ones used in the text.

Answers are available at the back of this workbook.

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ACTIVITY 3

A common problem for many students (which affects their score in the ‘linguistic features’
part of the exam) is that they struggle with articles.

What is an article? Basically, an article is an adjective. Like adjectives, articles change nouns.

English has two articles: the and a/an. The is used to refer to specific or particular
nouns; a/an is used to modify non-specific or non-particular nouns.

We call the the definite article and a/an the indefinite article.

the = definite article

a/an = indefinite article

For example, if you say, "Let's read the book," I mean a specific book. If I say, "Let's read a
book," I mean any book rather than a specific book.

Here's another way to explain it: The is used to refer to a specific or particular member of a
group. For example, "I just saw the most popular movie of the year." There are many
movies, but only one particular movie is the most popular. Therefore, we use the.

"A/an" is used to refer to a non-specific or non-particular member of the group. For

example, "I would like to go see a movie." Here, we're not talking about a specific movie.
We're talking about any movie. There are many movies, and I want to see any movie. I don't
have a specific one in mind.

Let's look at each kind of article a little more closely.

Indefinite Articles: a and an

"A" and "an" signal that the noun modified is indefinite, referring to any member of a group.
For example:

 "My daughter really wants a dog for Christmas." This refers to any dog. We don't
know which dog because we haven't found the dog yet.
 "Somebody call a policeman!" This refers to any policeman. We don't need a specific
policeman; we need any policeman who is available.
 "When I was at the zoo, I saw an elephant!" Here, we're talking about a single, non-
specific thing, in this case an elephant. There are probably several elephants at the
zoo, but there's only one we're talking about here.

Remember, using a or an depends on the sound that begins the next word. So...

 a + singular noun beginning with a consonant: a boy; a car; a bike; a zoo; a dog

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  an + singular noun beginning with a
vowel: an elephant; an egg; an apple; an idiot; an orphan
 a + singular noun beginning with a consonant sound: a user (sounds like 'yoo-zer,' i.e.
begins with a consonant 'y' sound, so 'a' is used); a university; a unicycle

If the noun is modified by an adjective, the choice between a and an depends on the initial
sound of the adjective that immediately follows the article:

1. a broken egg
2. an unusual problem
3. a European country (sounds like 'yer-o-pi-an,' i.e. begins with consonant 'y' sound)

Remember, too, that in English, the indefinite articles are used to indicate membership in a
group:

 I am a teacher. (I am a member of a large group known as teachers.)

 Brian is an Irishman. (Brian is a member of the people known as Irish.)
 Seiko is a practicing Buddhist. (Seiko is a member of the group of people known as
Buddhists.)

Definite Article: the

The definite article is used before singular and plural nouns when the noun is specific or
particular. The signals that the noun is definite, that it refers to a particular member of a
group. For example:

"The dog that bit me ran away." Here, we're talking about a specific dog, the dog that bit
me.

"I was happy to see the policeman who saved my cat!" Here, we're talking about
a particular policeman. Even if we don't know the policeman's name, it's still a particular
policeman because it is the one who saved the cat.

"I saw the elephant at the zoo." Here, we're talking about a specific noun. Probably there is
only one elephant at the zoo.

Fill in the correct articles in the sentences below.

1. I live in _____ state of California. (a, an, the)
2. Can you tell me _____ story. (a, an, the)
3. We will go to _____ mall tomorrow. (a, an, the)
4. I saw _____ lion at the zoo. (a, an, the)
5. Will you watch _____ movie with me? (a, an, the)
6. I am going to _____ restaurant after school. (a, an, the)

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7. We saw _____ great play. (a, an, the)
8. Would you like to eat ____ orange? (a, an, the)
9. I would love to tell you _____ story. (a, an, the)
10. Can you take me to _____ doctor. (a, an, the)
11. We will go to _____ movies today. (a, an, the)
12. I saw all of _____ elephants at the zoo. (a, an, the)
13. Will you watch _____ play with me? (a, an, the)
14. I am going to _____ after school event. (a, an, the)
15. We saw _____ exciting basketball game. (a, an, the)
16. I saw _____ cat in my backyard. (a, an, the)

Answers to this activity are available at the end of the workbook.

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ACTIVITY 4

Tenses are another crucial element of grammar for OET. As you know, it is vital that
healthcare professionals refer to a patient in the correct way. There is a big difference
between “the patient is having a heart attack” and “the patient was having a heart attack.”
One requires immediate medical attention and the other does not.

Get into the habit of reading through your work to be sure you are referring to the patient
in the correct tense.

In the following exercises, fill in the correct form of the verb with the correct tense.

1. They ___________________ in Chicago for 20 years (be).

2. I ___________________ a wonderful film in the cinema last night. (see)

3. The sun ___________________ at 6:38 yesterday morning (rise)

4. The sun ___________________ when the clim-ber reached Mount Everest. (shine)

5. I promise that I ___________________ this secret to anyone (not tell)

6. Unfortunately, just as we got to the airport their plane ___________________ off (take).

7. They ___________________ to the movies only once in a while (go)

8. I was tired yesterday because I ___________________ well the night before (not sleep).

9. Sh! Someone ___________________ to our conversation (listen)!

10. When I left the house this morning, it ___________________ (already rain)

11. I think Bob ___________________ for London this very moment.(leave)

12. The plane ___________________ off in a few minutes. (take)

13. I ___________________ up at 7 every morning but this morning I

___________________ long and I ___________________ up until 8. (get, sleep, not get)

14. I ________________________ my watch because it is being fixed (not wear).

15. This ___________________ an easy quiz so far (be).

16. They ___________________ in an apartment right now because they can’t find a cheap
house. (live)

17. Everyone ___________________ when the earthquake hit the small town. (sleep)

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18. He _________________________ by herself since her divorce (live)

19. I was angry that I ___________________ such a stupid mistake (make).

20. I predict that by 2020, man __________________________ on Mars (land)

Answers are available at the back of this workbook.

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ACTIVITY 5
A conjunction is the part of speech used to join or link words, phrases, or clauses to each
other. Conjunctions help to provide coherence to your writing by connecting elements
between or within sentences and from one paragraph to the next in order to most
effectively communicate your ideas to your reader. To achieve a Grade B in your OET writing
exam, you should get into the habit of using a range of different conjunctions to link various
pieces of information together relating to the patient. As you will need to summarise and
condense the information from the case notes, conjunctions will have to become an area of
English grammar that you are familiar with.

Use a conjunction in the following circumstances:

 To show an additional or similar idea --
o and, yet; not only . . . but also, both . . . and; after, although, even though,
since
 To show a contrasting idea --
o but, yet; either . . . or, neither . . . nor; although, even though, unless,
whereas
 To show cause or effect --
o for, so; because, since, if, so that
 To show the relationship of time --
o and, but, so; when, whenever, until, before, after, while, once, as soon as, as
long as
 To show the relationship of place --
o and, but; either . . . or, neither . . . nor; where, wherever
 To show purpose --
o and, so; not only . . . but also, whether . . . or, and both . . . and; in order that,
so that

Now, complete the following sentences by using the correct conjunction from the box
below:

however as though in case

to some extent as soon as considering

in order to as long as since

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 1. ………………….. hard he tried, he still couldn’t understand the computer

manual.

2. They took ice-axes with them ………………….. they needed to cut steps in the

ice.

3. We have nothing to fear from our enemies ………………….. we keep our nerve.

4. ………………….. that this is Henry’s first competition, he has achieved a very

respectable score.

5. He became an American citizen ………………….. promote his business interests.

6. “It looks ………………….. the same man committed both crimes.” said the

inspector.

7. While I accept your arguments ………………….., I cannot support the action you

are taking.

8. “………………….. the enemy crosses the stream, open fire!” said the captain.

Answers to this activity are available at the end of this workbook.

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ACTIVITY 6
Subject-verb agreement is an area of English grammar that many students struggle with in
their OET writing exam. It is one of those grammar points that is easy to forget in the middle
of an exam and so it is really worth spending some time familiarising yourself with the rules
in advance so that it comes naturally to you on the day. Have a look at the information
below and complete the exercises to develop your skills:
What are verbs and subjects?
Verbs are action words. For example: eat, sleep, talk, walk, do, buy are all verbs.
Subjects are the person or thing who are doing the action of the verb. For example:

I eat. The dog sleeps. George talks a lot. They walk to work.

The subject of a sentence can be singular (one) or plural (many). For example:

The computer is old. (singular) The computers are old. (plural)

What is verb-subject agreement?

The verb form can change depending on whether the subject is singular or plural. For
example:

The car park (singular subject) was (verb) full.

The car parks (plural subject) were (verb) full.

In these sentences each of the verbs agrees with its subject.

How does verb-subject agreement work?

In regular verbs:

Singular Plural
First person I like bananas. We like bananas.
Second person You like bananas. You like bananas.
Third person He/she/it likes bananas. They like bananas.

Matching the verb and the subject

Highlight the correct form of the verb to match the subject. For example:
This car (need) fixing.
Correct answer: needs.

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Part A

I (need) a rest. Need Needs

She (need) a holiday. Need Needs
They (need) to go home. Need Needs
Asif (need) to read more. Need Needs
I (have) to see the doctor. Have Has
Ann (have) a bad back. Have Has
We (like) to watch TV. Like Likes
He (like) to play football. Like Likes
You (need) to look harder. Need Needs
Sara (want) more time. Want Wants
He (say) he wants to move out. Say Says
Jane and Bill (make) sofas and chairs. Make Makes
She (wish) she was on holiday. Wish Wishes
The car (need) a wash. Need Needs
I (want) to learn French Want Wants
They (say) they’re going tomorrow. Say Says

Problems with verb-subject agreement

Not all verbs work in a regular way. Some of the most common verbs are irregular: eg be,
go, do, have.

Verbs and subjects must still agree, but you have to learn and remember the way the
irregular ones work. Note the correct verb form for the third person singular for these
irregular verbs:

to do = I do - he/she/it does (not do)

to have = I have - he/she/it has (not have)
to go = I go - he/she/it goes (not go)

For example:
She does karate on Thursdays. They do lots of sparring.
It has soft fur. They have soft hands.
She goes sailing every month. I go every week.

Too many words

It’s sometimes difficult to work out the subject if there are lots of words between the
subject and the verb. For example:

Steve, who has just returned from Australia, does not intend to go back.
(Singular subject, ‘Steve’ = singular verb.)

The children, excited about Father Christmas, have gone to bed early without

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 complaining.
(Plural subject, ‘children’ = plural verb.)

Being able to spot mistakes in your own work when it comes to subject-verb agreement will
be a crucial part of your proofreading process at the end of the exam. Have a look at the
following article and try to choose the correct verb forms; watch out for the irregular verbs!

Part B

IN THE NEWS
The best job in the world?

Some jobs is/are very demanding, but someone has/have to do them. Recently, Partnum &
Brown was/were looking for a new chocolate buyer. The company was/were advertising a
salary of £35,000.

The successful application had/have to travel the world to find the best chocolate makers.
He or she would taste as much chocolate as possible, and then decide which was/were the
best for their customers. They expected top quality for the world renowned Food Hall.

The company was/were expecting a lot of applications for the job. They was/were looking
for someone who worked hard, enjoyed food, had a keen eye for packaging and was/were
able to control a budget. They also wanted someone who was/were enthusiastic, energetic
and loved chocolate!

Answers are available at the back of this workbook.

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ACTIVITY 7
Throughout the OET writing exam you will be expected to interpret and understand the
patient’s medical history. This can often by challenging as often ‘short-hand’ or
‘abbreviations’ are used. Your job during the exam is to transfer these case notes into easy
to understand sentences. Let’s look at some examples of this.
Read through the case notes below and decide what the note means in the box on the
right using the full correct term.

Case Note What this means…

BP ↑
R/v req by attend.
doc
Trauma → internal
bleed
Bad nutri. Diet ↓
0 children
Ramipril 5mg/day
Crutches 2 mth.
PHX
+ prog overall
0 exercise post
physi.

Answers to this activity are available at the end of this workbook.

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ACTIVITY 8
Now read through this essay below and suggest any improvements. Make any changes
that you believe would help improve the grade of this assignment.
Ms elizabeth Clarke
Community nurse ,community health centre
10 lupus street
Seaview 2006
Re: martha sculthorpe,75 years old
Dear Elisabeth,
I’m writing you to request a discharge plan for a patient which 10 days ago, more exactly
on 14/5/2015 presented at hospital with infected arterial leg ulcer.consequently , after
assessed her medical situation as nursing management, he needs to apply compression
bandage after dressing ,moreover ,during hospitalisation with regard to her medication she
has prescribed cephalexin for 10 days.
In terms of her medical history she suffered from peripheral artery disease which started 10
years ago,furthermore the hypertension is another medical affection ,started 12 years ago
and she takes verapamil 40 mg every daily. Additionally,she is widowed ,she lives alone and
she lacks someone to care for her because her daughter fiona visits her twice a week ,she
can assist a few days a week.therefore the patient accepted assistance from home care, but
has refused meals on wheels.
Apart from this was discussed with the patient about how important is to reduce the
cigarettes .after the treatment which received along hospitalisation ,she has the discharge
today on 24/5/2015.as assess the patient is afebrile, she need a walking stick for mobilising
the pain, moreover she needs personal care as showering assistance.
Despite all medical affections the wound of the patient should be much much better in 7
days after reapplication of compression bandage and she was announced that is schedule
for review at dressing clinic in 2 weeks. In addition she needs to be encourage for continue
reducing the cigarettes.
Should you have any further inquiries, please do not hesitate to contact me. i have attached
all the necesarry details along with this letter.
Your sincerely,
Charge nurse

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Suggested improvements:

 Capital letter on names ‘Elizabeth Clarke’ and ‘Martha Sculthorpe’. Further capitals
required throughout such as on address and at start of paragraphs and sentences.
 Improvements on grammar: “I’m writing to you to request a…”
 Errors with articles “…with infected an arterial leg ulcer.”
 Spelling errors such as “necesarry”.
 Weak sentence structure and choice of words: “…and she takes verapamil 40 mg
every day/daily.”
 Informal language such as “…much much better...”
 Some mistakes with plurals such as ‘…she needs a walking stick.”
 Letter is also above word count. No marks are deducted for this but information is
not focused and does not flow coherently.

What grade would you guess that this student achieved?

Answer: D

A sample answer to this task is available at the end of this workbook.

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ACTIVITY 9

We also discussed the correct format of the letter. It is important that your essay flows
naturally from one point to the other. Organise the following essay structures into the
correct answer based on where they should be positioned in the essay. Write which
paragraph the information should be placed into (1st paragraph, 2nd, 3rd etc) next to the
structures. You may need to refer back to this week’s lesson for the correct structure.

1. The reason you are writing = Paragraph …….

2. Any secondary medical symptoms of problems. = Paragraph …….

3. The patient’s main medical problem. = Paragraph …….

4. Actions the patient’s nursing home needs to take. = Paragraph …….

5. The type of letter you are writing (discharge, referral etc.) = Paragraph …….

Now read through the writing exam sample answer below. Take the following actions:

 Re-order the paragraphs so that they follow the correct structure.

 Put the main medical issues in bold.
 Underline any further actions required.
 Put any further information in italics.

Ms Georgine Ponsford
Resident Community Nurse
Community Retirement Home
103 Light Street,
Newtown

(Today’s date)

Dear Ms Ponsford,

Re: Mr Lionel Ramamurthy, aged 63 years

You’ll be glad to know that Mr Ramamurthy has made good progress overall and is no
longer feverish with his inflammatory markers having normalised. He does, however,
still have a dry cough. In addition, his mobility has improved; he can now walk short
distances without his walking frame as well as use the shower and toilet independently.

I am writing regarding Mr Ramamurthy who will be discharged tomorrow (11/2) from

Newtown Public Hospital back into your care following a bout of pneumonia. He was
admitted with acute SOB, wheezing, painful coughing, fever, sleeplessness and general
aches, and was hospitalised for seven days.

Mr Ramamurthy will also need to be kept warm and encouraged to drink plenty of
fluids during his recovery period. His diet will also need to be monitored as he did gain

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 some weight during his stay. If you have any questions, please do not hesitate to
contact me.

Please make sure Mr Ramamurthy sits up as much as possible to ensure postural

drainage. In addition, he will need to continue his deep breathing and coughing
exercises (he may also need paracetamol for his chest and abdominal pain).

Yours sincerely
Medical Professional

A corrected copy of this letter is available at the end of this workbook.

IN THE NEXT LESSON

We will start to look at the Reading exam, considering in particular the skimming and
scanning techniques that you will need to use for Part A of the Reading Exam.

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ANSWERS

ACTIVITY 1
1. Grouped
2. Tenses
3. Organised
4. Haemoglobin
5. Discharge plan
6. Complex
7. Capital letter
Scores: B, B, C, C, B

ACTIVITY 2
1. Layout and punctuation
2. Deducted
3. Word count
4. Proof-read
5. Accepted
6. Laid out
7. Same

ACTIVITY 3

1. The
2. A
3. The
4. A/The
5. A
6. A
7. A
8. An
9. A
10. A
11. The
12. The
13. A
14. A
15. An
16. A

ACTIVITY 4
1. They have been in Chicago for 20 years (be).
2. I saw a wonderful film in the cinema last night. (see)

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3. The sun rose at 6:38 yesterday morning (rise)
4. The sun was shining when the climber reached Mount Everest. (shine)
5. I promise that I will not tell this secret to anyone (not tell)
6. Unfortunately, just as we got to the airport their plane was taking off (take).
7. They go to the movies only once in a while (go)
8. I was tired yesterday because I had not slept well the night before (not sleep).
9. Sh! Someone is listening to our conversation (listen)!
10. When I left the house this morning, it was already raining (already rain)
11. I think Bob is leaving for London this very moment.(leave)
12. The plane will be taking/ will take off in a few minutes. (take)
13. I get up at 7 every morning but this morning I slept long and I didn’t get up until 8. (get,
sleep, not get)
14. I am not wearing my watch because it is being fixed (not wear).
15. This has been an easy quiz so far (be).
16. They are living in an apartment right now because they can’t find a cheap house. (live)
17. Everyone was sleeping when the earthquake hit the small town. (sleep)
18. He has been living by herself since her divorce (live)
19. I was angry that I had made such a stupid mistake (make)
20. I predict that by 2020, man will have landed on Mars (land)

ACTIVITY 5
1. however
2. in case
3. as long as
4. considering
5. in order to
6. as though
7. to some extent
8. as soon as

ACTIVITY 6
Part A
1. need
2. needs
3. need
4. needs
5. have
6. has
7. like

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 8. likes
9. need
10. wants
11. says
12. make
13. wishes
14. needs
15. want
16. say

Part B
1. are
2. has
3. were
4. had
5. were
6. was
7. were
8. was
9. was

ACTIVITY 7

Case Note What this means…

BP ↑ Blood pressure increased/has risen
R/v req by attend. Review required by attending doctor
doc
internal bleed→ Trauma caused an internal bleed
trauma
Bad nutri. Diet ↓ Bad nutrition. Dietary quality has decreased
0 children No children
Ramipril 5mg/day Ramipril 5mg per day
Crutches 2 mth. Crutches for 2 months
PHX Patient history
+ prog overall Positive progress overall
0 exercise post No exercise post/after physiotherapist
physi.

ACTIVITY 8

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Ms Elizabeth Clarke
Community Nurse
Community Health Centre
10 Lupus Street
Seaview 2006

24/05/2015

Re: Martha Sculthorpe, 75 years old

Dear Ms Clarke,
I am writing to you to request your support regarding Martha Sculthorpe’s discharge plan.
Mrs Sculthorpe was admitted to our hospital on 14/5/2015 due to an infected arterial leg
ulcer. She is being discharged today.
During her admission, Mrs Sculthorpe has been treated with cephalexin for 10 days and has
undergone daily dressing with a compression bandage. The patient will continue to need the
ulcer dressing following her discharge.
In terms of the patient’s medical history, she has suffered from peripheral artery disease for
10 years. Furthermore, she has experienced hypertension for the past 12 years, for which
she takes verapamil 40 mg every daily.
Mrs Sculthorpe is widowed and lives alone. The patient’s daughter, Fiona, visits her twice a
week but the patient does need more support than this. Therefore, she has accepted
assistance from care but does not want to access the meals on wheels service.
Going forward, Mrs Sculthorpe will need support with reducing her cigarette intake. Upon
discharge, Mrs Sculthorpe will need a walking stick to mobilise and will require personal
care, including assistance with showering. The patient’s ulcer wound needs to be reviewed
at the dressing clinic in two weeks time. However, it is anticipated that wound will be much
improved within the next 7 days, as long as the compression bandage is reapplied.
Should you have any further inquiries, please do not hesitate to contact me. I have attached
all the necessary details regarding this patient along with this letter.
Yours sincerely,
Charge Nurse

ACTIVITY 9
1. 1st
2. 2nd
3. 1st
4. 3/4th
5. 1st

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Ms Georgine Ponsford
Resident Community Nurse
Community Retirement Home
103 Light Street,
Newtown

(Today’s date)

Dear Ms Ponsford,

Re: Mr Lionel Ramamurthy, aged 63 years

I am writing regarding Mr Ramamurthy who will be discharged tomorrow (11/2) from

Newtown Public Hospital back into your care following a bout of pneumonia. He was
admitted with acute SOB, wheezing, painful coughing, fever, sleeplessness and general
aches, and was hospitalised for seven days.

You’ll be glad to know that Mr Ramamurthy has made good progress overall and is no
longer feverish with his inflammatory markers having normalised. He does, however, still has
a dry cough. In addition, his mobility has improved; he can now walk short distances without
his walking frame as well as use the shower and toilet independently.

Please make sure Mr Ramamurthy sits up as much as possible to ensure postural drainage.
In addition, he will need to continue his deep breathing and coughing exercises (he may also
need paracetamol for his chest and abdominal pain).

Mr Ramamurthy will also need to be kept warm and encouraged to drink plenty of fluids
during his recovery period. His diet will also need to be monitored as he did gain some
weight during his stay. If you have any questions, please do not hesitate to contact me.

Yours sincerely
Medical Professional

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