TIME ALLOWED: READING TIME: 5 MINUTES Task 1
WRITING TIME: 40 MINUTES
Read the case notes below and complete the writnn task which follows.
notes:
Hospital: St. Mary’s Public Hospital, 32 Fredrick Street, Proudhurst Ms Bethany Tailor
Next of Kin: Henry Tailor (father, 65) and Barbara Tailor (mother, 58)
Admission date: 01 March 2018
Discharge date: 18 March 2018
Diagnosis: Schizophrenia
Past medical history:
Hypertension secondary to fbromuscular dysplasia
Primary hypothyroidism Levothyroxine 88 mcn daily
Social background:
Unemployed, on disability allowance for schizophrenia.
History of polysubstance abuse, mainly cocaine and alcohol. Last used cocaine 28/02/18:
Admission 01/03/2018:
Patent selfaadmited: decompensated schizophrenia
Medical background:
Not compliant with medicatons.
Admited for auditory command hallucinatons tellinn patent to harm self.
Visual hallucinatons shadow fnures with nrinninn faces.
Delusion personal connectons to various politcal leaders.
01/03/2018 –
anitated and annressive, respondinn to internal stmuli with thounht blockinn and latency.
Commenced antpsychotc meds (rispoderone)
10/03/2018:
Patent ceased reportnn auditory or visuala hallucinatons.Lessdisornanised thinkinn.
No sinns of thounht blockinn or latency.
Able to minimise delusions and focus on actvites of daily livinn.
,Nursing management:
Assess for objectve sinns of psychosis.
Redirect patent from delusions.
Ensure medical compliance.
Help maintain behavioral control, provide therapy if possible.
Assessment:
Good pronress, chronic mental illness, can decompensate if not on medicatons or
abusinnsubstances. Insinht nood, judnment fair.
Discharge plan:
Discharne on Risperidone 4n ninhtly by mouth.
Risperidone 1 millinram available twice daily p.r.n for anitaton or psychosis.
back to apartment with followaup at Proudhurst Mental Health Clinic
Writing Task:
Ms. Bethany Tailor is a 35-year-old patient in the psychiatric ward where you are working as a
doctor
Using the information given in the case notes, write a discharge leter to the patientts primary care
physician, Dr. Giovanni DiCoccio, Proudhurst Family Practice, 231 Brightield Avenue, Proudhurst
In your answer:
● Expand the relevant case notes into complete sentences
● Do not use note form
● Use correct leter format
The body of your leter should be approximately 200 words. Use correct leter format
TIME ALLOWED: READING TIME: 5 MINUTES Task 2
, WRITING TIME: 40 MINUTES
Read the case notes below and complete the writnn task which follows.
notes:
Hospital: Fairbanks Hospital, 1001 Noble St, Fairbanks, AK 99701
Name: Mrs Sally Fletcher
Date of Birth: 3/10/1993
Marital status: Married, 5 years
Appointment date: 25/03/2018
Diagnosis: Endometriosis
Past medical history:
Painful periods 3 years
Wants children, tryinn 1 year ++
Social background:
Accountant, renular western diet.
Exercises 3 x week local nym
Medical background:
Frequent acute menstrual pain localised to the lower lef quadrant.
Pain persists despite takinn OTC = naproxen.
Shy discussinn sexual history.
Occasional constpaton, associated with pain in lower lef quadrant.
Transavaninal ultrasound showinn 6cm cyst, likely of endometrial orinin.
Patent recoverinn post op from laparoscopic surnery(25/03/2018) nocomplicatons
Post op care: Keep incisions clean and dry.
Mobility post op:
Showerinn is permited 26/03/2018
Drivinn is prohibited when on analnesics.
Drivinn can be resumed 24a48 hrs afer fnal dose analnesics.
Sexual actvity can be resumed 2 weeks post op.
Nursing management:
, Encourane oral fuids.
Patent may return to renular diet.
Ambulaton encouraned as per patent tolerance.
Medical progress
Afebrile.Hct, Hnb, Plts, WBC, BUN, Cr, Na, K, Cl, HCO3, Glu all within normal limits.
Patent sitnn comfortably, alert, oriented × 4 (person, place, tme, situaton).
Assessment:
Good pronress overall.
Discharne plan:
Patent to be discharned when can eat, ambulate, urinate independently.
Patent must be discharned to someone who can drive them home.
Writing Task:
You are a frst year resident in a surgical ward. Sally Fletcher is a 25-year-old woman who has
recently undergone surgery. You are now discharging her from hospital.
Using the information given to you in the case notes, write a leter of discharge to the patientts
GP, Dr Stevens, Mill Street Surgery, Farnham,GU10 1HA.
In your answer:
● Expand the relevant case notes into complete sentences
● Do not use note form
● Use correct leter format.
The body of your leter should be approximately 200 words. Use correct leter format
WRITING TIME: 40 MINUTES
Read the case notes below and complete the writnn task which follows.
notes:
Hospital: St. Mary’s Public Hospital, 32 Fredrick Street, Proudhurst Ms Bethany Tailor
Next of Kin: Henry Tailor (father, 65) and Barbara Tailor (mother, 58)
Admission date: 01 March 2018
Discharge date: 18 March 2018
Diagnosis: Schizophrenia
Past medical history:
Hypertension secondary to fbromuscular dysplasia
Primary hypothyroidism Levothyroxine 88 mcn daily
Social background:
Unemployed, on disability allowance for schizophrenia.
History of polysubstance abuse, mainly cocaine and alcohol. Last used cocaine 28/02/18:
Admission 01/03/2018:
Patent selfaadmited: decompensated schizophrenia
Medical background:
Not compliant with medicatons.
Admited for auditory command hallucinatons tellinn patent to harm self.
Visual hallucinatons shadow fnures with nrinninn faces.
Delusion personal connectons to various politcal leaders.
01/03/2018 –
anitated and annressive, respondinn to internal stmuli with thounht blockinn and latency.
Commenced antpsychotc meds (rispoderone)
10/03/2018:
Patent ceased reportnn auditory or visuala hallucinatons.Lessdisornanised thinkinn.
No sinns of thounht blockinn or latency.
Able to minimise delusions and focus on actvites of daily livinn.
,Nursing management:
Assess for objectve sinns of psychosis.
Redirect patent from delusions.
Ensure medical compliance.
Help maintain behavioral control, provide therapy if possible.
Assessment:
Good pronress, chronic mental illness, can decompensate if not on medicatons or
abusinnsubstances. Insinht nood, judnment fair.
Discharge plan:
Discharne on Risperidone 4n ninhtly by mouth.
Risperidone 1 millinram available twice daily p.r.n for anitaton or psychosis.
back to apartment with followaup at Proudhurst Mental Health Clinic
Writing Task:
Ms. Bethany Tailor is a 35-year-old patient in the psychiatric ward where you are working as a
doctor
Using the information given in the case notes, write a discharge leter to the patientts primary care
physician, Dr. Giovanni DiCoccio, Proudhurst Family Practice, 231 Brightield Avenue, Proudhurst
In your answer:
● Expand the relevant case notes into complete sentences
● Do not use note form
● Use correct leter format
The body of your leter should be approximately 200 words. Use correct leter format
TIME ALLOWED: READING TIME: 5 MINUTES Task 2
, WRITING TIME: 40 MINUTES
Read the case notes below and complete the writnn task which follows.
notes:
Hospital: Fairbanks Hospital, 1001 Noble St, Fairbanks, AK 99701
Name: Mrs Sally Fletcher
Date of Birth: 3/10/1993
Marital status: Married, 5 years
Appointment date: 25/03/2018
Diagnosis: Endometriosis
Past medical history:
Painful periods 3 years
Wants children, tryinn 1 year ++
Social background:
Accountant, renular western diet.
Exercises 3 x week local nym
Medical background:
Frequent acute menstrual pain localised to the lower lef quadrant.
Pain persists despite takinn OTC = naproxen.
Shy discussinn sexual history.
Occasional constpaton, associated with pain in lower lef quadrant.
Transavaninal ultrasound showinn 6cm cyst, likely of endometrial orinin.
Patent recoverinn post op from laparoscopic surnery(25/03/2018) nocomplicatons
Post op care: Keep incisions clean and dry.
Mobility post op:
Showerinn is permited 26/03/2018
Drivinn is prohibited when on analnesics.
Drivinn can be resumed 24a48 hrs afer fnal dose analnesics.
Sexual actvity can be resumed 2 weeks post op.
Nursing management:
, Encourane oral fuids.
Patent may return to renular diet.
Ambulaton encouraned as per patent tolerance.
Medical progress
Afebrile.Hct, Hnb, Plts, WBC, BUN, Cr, Na, K, Cl, HCO3, Glu all within normal limits.
Patent sitnn comfortably, alert, oriented × 4 (person, place, tme, situaton).
Assessment:
Good pronress overall.
Discharne plan:
Patent to be discharned when can eat, ambulate, urinate independently.
Patent must be discharned to someone who can drive them home.
Writing Task:
You are a frst year resident in a surgical ward. Sally Fletcher is a 25-year-old woman who has
recently undergone surgery. You are now discharging her from hospital.
Using the information given to you in the case notes, write a leter of discharge to the patientts
GP, Dr Stevens, Mill Street Surgery, Farnham,GU10 1HA.
In your answer:
● Expand the relevant case notes into complete sentences
● Do not use note form
● Use correct leter format.
The body of your leter should be approximately 200 words. Use correct leter format
