Cassandra Kinser PDF

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The patient, Cassandra Kinser, presented with a lip laceration and symptoms of a urinary tract infection. She has a history of schizophrenia and engages in risky health behaviors including smoking, alcohol use, and unprotected sex.

The patient has a history of schizophrenia. Her current diagnosis is a lip laceration from an alleged assault by her boyfriend as well as a urinary tract infection. She reports abdominal pain and burning urination.

In hospital, the patient is receiving antibiotics including Cipro, Clindamycin, and oxycodone for pain management. She is also using Peridex mouthwash. Her urine appears infected and she is being treated for a UTI.

OET Writing sub-test

Nursing

For writing tutorials and feedback – as well as additional case notes – go to www.e2language.com
OET Writing sub-test
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.

NOTES:

Miss Cassandra Kinser, a 32-year-old, is a patient in the medical ward in which


you work.

Hospital: St. Vincent’s Hospital, 390 Victoria Street,


Darlinghurst

Patient details

Name: Cassandra Kinser (Miss)

Marital status: Single

Residence: Cabramatta

Next of kin: unknown

Admission date: 17 January, 2016

Discharge date: 17 January, 2016

Admission diagnosis: Lip laceration (alleged assault by boyfriend / did not


seek medical care)
Abdominal pain
Burning with urination last several days

For writing tutorials and feedback – as well as additional case notes – go to www.e2language.com
May have STD
Denies vomiting / diarrhea
Sexually active, does not use protection

Social background: Smoker (chain)


Alcoholism
Denies illicit drugs

Past medical history: History of schizophrenia

Diagnosis: 1. Lip laceration


2. Urinary tract infection (UTI)

Medical progress: CONSTITUTIONAL: Denies fever, chills, dizziness,


weakness
CARDIOVASCULAR: Denies chest pain / palpitations
RESPIRATORY: Denies shortness of breath / cough
All other review of systems negative

Nursing management: For lip: Cipro 500 mg orally twice daily x 6 days
Clindamycin 300 mg orally 4 x daily x 10 days
Peridex mouthwash 10 mL swish and spit after meals
and before bed
Oxycodone one orally every 4 hours.
UTI: follow up with GP

Assessment: Discharged home good condition

Discharge plan: Appointment made at sexual health clinic.


Follow up with GP. Monitor antibiotics. Urine appears
infected. Treat for UTI.

WRITING TASK:

Using the information given in the case notes, write a referral letter to Miss
Kinser’s General Practitioner Travis Wrenn at Punt Road Medical Clinic, 172
Punt Road, Mosman, 2088 for further medical evaluation.

For writing tutorials and feedback – as well as additional case notes – go to www.e2language.com
In your answer:

• Expand the relevant notes into complete sentences


• Do not use note form
• Use letter format

The body of the letter should be approximately 180–200 words.

For writing tutorials and feedback – as well as additional case notes – go to www.e2language.com

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