Scribd Logo
Upload

Welcome to Scribd!

  • 5K views

    9 - Andrew O' Connor

    Uploaded by

    Jesa Formaran
    Mr. Andrew O'Connor, a 74-year-old retired baker, suffered a stroke and is being discharged home after a 4-month hospital stay for right-side paralysis. He requires assistance with daily tasks. His wife Mary, 71, has angina and lives with Mr. O'Connor in their family home. The district nurse will visit twice daily after discharge to assist Mr. O'Connor and monitor his and his wife's health and coping at home.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    9 - Andrew O' Connor

    Uploaded by

    Jesa Formaran
    5K views3 pages
    Mr. Andrew O'Connor, a 74-year-old retired baker, suffered a stroke and is being discharged home after a 4-month hospital stay for right-side paralysis. He requires assistance with daily tasks. His wife Mary, 71, has angina and lives with Mr. O'Connor in their family home. The district nurse will visit twice daily after discharge to assist Mr. O'Connor and monitor his and his wife's health and coping at home.

    Original Title

    9 - ANDREW O' CONNOR

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Mr. Andrew O'Connor, a 74-year-old retired baker, suffered a stroke and is being discharged home after a 4-month hospital stay for right-side paralysis. He requires assistance with daily tasks. His wife Mary, 71, has angina and lives with Mr. O'Connor in their family home. The district nurse will visit twice daily after discharge to assist Mr. O'Connor and monitor his and his wife's health and coping at home.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    5K views3 pages

    9 - Andrew O' Connor

    Uploaded by

    Jesa Formaran
    Mr. Andrew O'Connor, a 74-year-old retired baker, suffered a stroke and is being discharged home after a 4-month hospital stay for right-side paralysis. He requires assistance with daily tasks. His wife Mary, 71, has angina and lives with Mr. O'Connor in their family home. The district nurse will visit twice daily after discharge to assist Mr. O'Connor and monitor his and his wife's health and coping at home.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3
    At a glance
    Powered by AI
    The notes provide information about Mr. O'Connor's stroke, medical history, rehabilitation progress and discharge plan which involves support from district nursing services.

    Mr. O'Connor had a stroke in December 2009 which caused right side hemiplegia. He has made slow progress with rehabilitation and still requires assistance with activities of daily living. He has mood swings and takes medications.

    The district nurse will visit Mr. O'Connor twice daily after discharge. Services will include assisting with transfers, grooming, hygiene and monitoring medications, how he is coping at home and his wife's health. The nurse may refer him back to the hospital if needed.

    Occupational English Test

    WRITING SUB-TEST: NURSING


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

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

    Notes:

    You are the Charge Nurse at the North West Rehabilitation Hospital overseeing Mr.
    O’Connor.

    Patient Details
    Name: Mr Andrew O’Connor

    Age: 74 years

    Date: 19 March 2010

    Marital Status: Married

    Religion: Catholic
    Admission
    Date: 2 December 2009
    Discharge
    Date: 22 March 2010
    L CVA right side hemiplegia
    Diagnosis: (stroke) (paralysis)
    Social/Family History:
    Retired baker
    71 yr old wife, Mary, has angina
    2 married children, do not live nearby
    Lives in 3-bedroomed family home in Lake Park
    Prior to stroke recreational activities included fishing & golf

    Medical History and Medications:


    See Dr’s notes (to be forwarded)

    Management and Progress during Hospital Stay:


    Slow progress despite intensive physiotherapy and occupational therapy
    Still requires assistance with dressing, toileting, getting in & out of bed
    Mobilises slowly with frame. Can feed himself
    Mood swings (angry / tearful / happy)
    Family meeting held 09/03/10. Advised nursing home placement. Family
    refused
    OT home assessment 11/03/10. Modifications carried out including
    hand rails in bathroom & toilet & bed rails
    Discharge Plan: Attendance at day hospital 3 times / wk
    District nurse to visit twice daily to:
    a)Assist with transferring in & out of bed & grooming & hygiene needs
    b)Monitor medications
    c) Monitor how Pt coping at home; note also, wife’s health
    d)Re-refer to hospital if necessary

    Writing task:

    You are the Charge Nurse on the hospital ward where Mr O’Connor has resided during his
    hospital stay. Using the information given in the case notes, write a letter of referral to the District
    Nurse at the District Nursing Centre, Lake Park, who will be attending to Mr O’Connor after his
    discharge.

    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 word

    You might also like