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    Occupational English Test: Writing Subtest: Nursing Time Allowed: Reading Time: 5 Minutes Writing Time: 40 Minutes

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    Harold Medrano
    Mr. Jeremy Taylor, a 54-year-old patient, is transferring from the oncology ward in Brooksbank back to New Abbey under the care of Dr. Gerald Jones. He was recently treated for stage IIA non-small cell lung cancer with surgery and chemotherapy. His treatment summary and follow up care plan includes continuing medications for hypertension, quitting smoking with psychotherapy, beginning mild exercise in two weeks, regular CT and chest scans to monitor for recurrence, and living with his children who will monitor his health.

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    Occupational English Test: Writing Subtest: Nursing Time Allowed: Reading Time: 5 Minutes Writing Time: 40 Minutes

    Uploaded by

    Harold Medrano
    286 views2 pages
    Mr. Jeremy Taylor, a 54-year-old patient, is transferring from the oncology ward in Brooksbank back to New Abbey under the care of Dr. Gerald Jones. He was recently treated for stage IIA non-small cell lung cancer with surgery and chemotherapy. His treatment summary and follow up care plan includes continuing medications for hypertension, quitting smoking with psychotherapy, beginning mild exercise in two weeks, regular CT and chest scans to monitor for recurrence, and living with his children who will monitor his health.

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    Jeremy Taylor

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    Mr. Jeremy Taylor, a 54-year-old patient, is transferring from the oncology ward in Brooksbank back to New Abbey under the care of Dr. Gerald Jones. He was recently treated for stage IIA non-small cell lung cancer with surgery and chemotherapy. His treatment summary and follow up care plan includes continuing medications for hypertension, quitting smoking with psychotherapy, beginning mild exercise in two weeks, regular CT and chest scans to monitor for recurrence, and living with his children who will monitor his health.

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    © All Rights Reserved
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    Download as pdf or txt
    286 views2 pages

    Occupational English Test: Writing Subtest: Nursing Time Allowed: Reading Time: 5 Minutes Writing Time: 40 Minutes

    Uploaded by

    Harold Medrano
    Mr. Jeremy Taylor, a 54-year-old patient, is transferring from the oncology ward in Brooksbank back to New Abbey under the care of Dr. Gerald Jones. He was recently treated for stage IIA non-small cell lung cancer with surgery and chemotherapy. His treatment summary and follow up care plan includes continuing medications for hypertension, quitting smoking with psychotherapy, beginning mild exercise in two weeks, regular CT and chest scans to monitor for recurrence, and living with his children who will monitor his health.

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    OCCUPATIONAL ENGLISH TEST

    WRITING SUBTEST: NURSING


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

    Read the case notes below and complete the writing task which follows.

    Notes:
    Assume that today is May 20, 2018. You are a Charge Nurse in the oncology ward looking after Mr Jeremy Taylor, a
    54-year-old patient.

    Hospital: Clare Medical College Hospital, 24 Harley Drive, Brooksbank

    Patient details

    Name: Jeremy Taylor (Mr)

    DOB: 19.10.1964

    Admission date: 05.03.2018

    Treating doctor: Dr Meena Síngh

    Moving to: Dr Gerald Jones

    Social background

    Works as a banker

    Marital status: Widower (wife died 3 years ago)

    Next of kin: Daughter, Julie (27 years, artist);son, Brad (25 years, dentist)- both single

    Stressful life, works 13-15 hrs/ day; lives alone so has takeaway food; no exercise; drinks socially;

    smokes 10 cigs/day since age 16

    Previously tried nicotine patches +electric cigarettes unsuccessfully

    Medical history

    2010-Diagnosed w/hypertension (was not compliant with medication)

    No family history of cancer

    05.03.2018

    Presenting complaint: respiratory infection & rust-coloured sputum

    （Patient was visiting daughter in Brooksbank)

    Temp:38°C;BP 128/83

    Amoxicillin 500mg 2/day prescribed for five days

    10.03.2018

    Termp:37°C;BP 125/84

    Cough still
    Tests revealed Stage IIA non-small cell lung cancer

    CT scan revealed category TIC, NO, MO (2.5 cm tumour) in left lung

    Bronchial branches not affected

    15.03.2018

    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

    17.03.2018

    Discharged (under daughter's care)

    20.03.2018- 20.05.2018

    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 5kgs 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 5mg for hypertension

    No alcohol

    Daughter and son to take turns living with father in his New Abbey flat

    Monitor complete blood count (CBC) weekly (2 months)

    Assessment: Weak from pain, but recovering well from side effects

    Writing task

    Mr Jeremy Taylor is a 54-year-old patient in the oncology ward of a hospital in which you are Charge Nurse. He is
    transferring from Brooksbank back to New Abbey. Use the information in the case notes to provide a treatment
    summary and follow up care plan. Address your letter to oncologist Dr Gerald Jones, 24 Sophia Avenue, New Abbey.

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