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Writing Task 11

Mr. Janet Hardy is a 52-year-old teacher who was recently diagnosed with stage IIA non-small cell lung cancer. He underwent a successful VATS procedure to remove a 2.5 cm tumor from his left lung. He has since completed 4 cycles of adjuvant chemotherapy and lost 5 kg. His discharge plan includes regular visits with a dietician and psychotherapist to address weight loss and smoking cessation, mild exercise, continued cancer screening and hypertension medication. He will also have his daughter and son assist with care at his home.

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julee george
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573 views2 pages

Writing Task 11

Mr. Janet Hardy is a 52-year-old teacher who was recently diagnosed with stage IIA non-small cell lung cancer. He underwent a successful VATS procedure to remove a 2.5 cm tumor from his left lung. He has since completed 4 cycles of adjuvant chemotherapy and lost 5 kg. His discharge plan includes regular visits with a dietician and psychotherapist to address weight loss and smoking cessation, mild exercise, continued cancer screening and hypertension medication. He will also have his daughter and son assist with care at his home.

Uploaded by

julee george
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd

OCCUPATIONAL ENGLISH TEST

WRITING SUB-TEST: NURSING


TIME ALLOWED: READING TIME: 5 MINUTES
WRITING TIME: 40 MINUTES

You are a Charge Nurse in the oncology ward looking after Mr Janet Hardy, a 52-year-old patient
Hospital: Copsewood Medical Hospital, 97 Momus Blvd, Brade drive, CL34DP
Patient details
Name: Janet Hardy (Mr)
DOB: 17.11.1970
Admission date: 06.04.2019
Treating doctor: Dr Meena Singh
Moving to Dr Jacob Philip
Social background
• Works as a teacher
• Marital status: Widower (wife died 4 years ago)
• Next of kin: Daughter, Jane (28 years, artist), son, Martin (250years, dentist) – both single
• Stressful life, works 12-14 hrs /day, lives alone so has takeaway food, no exercise, drinks socially,
smokes 11 cigs/ day since age 18
• Previously tried nicotine patches + electric cigarettes unsuccessfully
Medical history
• 2011 – Diagnosed with hypertension (was not complaint with medication)
• No family history of cancer
06.04.2019
• Presenting complaint: respiratory infection & rust-coloured sputum
(Patient was visiting daughter in Brade drive)
• Temp: 37˚C, BP 130/85
• Amoxicillin 500mg 2/day prescribed for five days
11.04.2019
• Temp: 37˚C, BP 130/85
• Cough
• Tests revealed Stage IIA non-small cell lung cancer
• CT scan revealed category TIC, No, M0 (2.5 cm tumour) in left lung
• Bronchial branches not affected
16.04.2019
• VATS procedure was successful in removing tumour – 4 incisions
• Tubes removed same day – dressing for incision site
• Percocet for breakthrough pain
• Vital signs: BP hypertensive (130/83) – others within normal limits – Ramipril 5 mg commenced
18.04.2019
• Discharged (under daughter’s care)
21.04.2019 – 22.06.2019
• Adjuvant chemotherapy in 4 cycles (once every two weeks) performed to prevent risk of relapse
(Cisplatin and Docetaxel, Zofran administered for side effects of nausea, lost 5kg (now at 60kg)
• Borderline Leukopenia absolute neutrophil count (ANC) at 1000 (Filgrastim 325mcg daily) –
subcutaneous injection
Discharge plan
• Needs referral to a dietician to gain 10kgs lost during chemo
• Psychotherapist to help quit smoking
• Regular, mild exercise needs to begin in 2 weeks
• Next CT scan after three months, thereafter annually, and chest X-rays three times per year
• Continue Ramipril 5 mg for hypertension
• No alcohol
• Daughter and son to take turns living with father in his New Hall flat
• Monitor complete blood count (CBC) weekly (2 months)
Assessment: Weak from pain, but recovering well from side effects

Writing task
Mr Janet Hardy is a 55-year-old patient in the oncology ward of a hospital in which you are Charge Nurse.
He is transferring from Brade drive back to New Hall. Use the information in the case notes to provide a
treatment summary and follow up care plan. Address your letter to oncologist Dr Jacob Philip, 23 Forum
Avenue, New Hall.

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