OET Nursing – Writing

Sample Test – 2

Case Note

Patient: Mihiraa, 55 years old

Admission date: 08/06/2024

Discharge date: 10/06/2024

Procedure: Right inguinal hernia repair via laparoscopic mesh placement

Preoperative Diagnosis: Right-sided inguinal hernia

Post-operative Day: 2

Subjective: 

• Mild incisional pain, rated as 3/10. 
• Pain is well-controlled with oral analgesics. 
• No nausea or vomiting. 
• Appetite is fair. 
• Bowel sounds present but decreased. 
• Voiding without difficulty.

Objective: 

• Incision site clean, dry, and intact. 
• Slight redness and swelling noted. 
• No signs of infection. 
• Vital signs stable within normal limits. 
• Abdominal distention minimal. 
• Bowel sounds present in all four quadrants.

Assessment: 

• Patient recovering as expected post hernia repair.
• Pain well-managed. 
• Bowel function gradually returning. 
• Risk for infection and incisional dehiscence.

Plan:

• Continue oral analgesics as needed.
• Encourage early ambulation and deep breathing exercises.
• Monitor incision site for signs of infection.
• Advance diet as tolerated.
• Educate patient on wound care and activity restrictions.
• Schedule follow-up appointment in one week.

Note: Patient has been discharged on postoperative instructions, including wound care, activity restrictions, and medication regimen.

 Additional Notes:

• Patient has a history of hypertension, well-controlled with medication.
• Patient has no allergies.
• Patient is to return to clinic in one week for incisional assessment and removal of staples.

Writing Task

Using the information in the case notes, write a letter to the community nurse, Community Health Center, 971 AR Street, Maraville, introducing this patient. Using the relevant case notes, give her background, medical history, and treatment required.

In your answer:
• Expand the relevant case notes into complete sentences
• Do not use note form
• The body of the letter should not be more than 200 words
• Use the correct letter format

OET DAILY PRACTICE MATERIALS
https://www.mihiraa.com/oet-daily-practice-materials/