OET SAMPLE CASE NOTE
OCCUPATIONAL ENGLISH TEST
WRITING SUB-TEST:
TIME ALLOWED: READING TIME: 5 MINUTES
WRITING TIME: 40 MINUTES
Case Notes
You are the charge nurse at the Northwest 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
DIAGNOSIS:
L CVA (stroke) → right side hemiplegia (Paralysis)
SOCIAL BACKGROUND
Retired baker
71-year-old wife, Mary has angina
2 married children, who do not live nearby
Lives in a 3-bedroom family home in Lake Park
Before the stroke recreational activities including fishing and golf
MEDICAL HISTORY AND MEDICATIONS
Refer to 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, and transferring (e.g., in and out of
bed)
Mobilises slowly with a frame. Can feed himself.
Experiences mood swings (angry, tearful, happy)
Family meeting held on 09/03/10 – Advised nursing home placement; family
refused.
OT home assessment 11/03/10. Modifications carried out including handrails in
bathroom, toilets & bed rails.
DISCHARGE PLAN
Day Hospital Attendance: 3 times per week
District Nurse Visits twice daily for:
Assisting with transferring in/out of bed and grooming/hygiene needs
Monitoring medications
Assessing patient’s coping ability at home (including observation of wife’s
health)
Re-refer to hospital if necessary
WRITING TASK
You are the charge nurse in 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 words.
OET SAMPLE REFERRAL LETTER
The District Nurse
District Nursing Centre
Lake Park
19 March 2010
Dear Sir/Madam,
Re: Mr Andrew O’ Connor, 74-year-old
I am writing to refer Mr Andrew O'Connor, who suffers from right-sided hemiplegia
and requires assistance from your team twice daily, as he is scheduled to be
discharged within three days.
On 02 December 2009, Mr O’Connor got admitted following a Left Cerebrovascular
Accident. During his stay, he has availed intensive physiotherapy and occupational
therapy. However, he is showing slow progress and still requires assistance in
dressing, toileting as well as getting in and out of the bed. Presently, he can feed
himself and mobilise slowly with a frame.
A family meeting was held to discuss the nursing home placement, but it was
declined. On this occasion, the occupational therapy team assessed Mr O’Connor’s
residence and made necessary modifications, including handrails in bathroom
and toilet as well as bed rails.
Upon discharge, Mr O’Connor will attend the hospital three times a week. He
requires your assistance with transfers, grooming and hygiene needs. His
medication compliance and overall coping at home must be monitored. Please
check on his wife Mary’s health condition also, as she has angina.
Kindly refer the doctor’s notes for his medication chart and medical history.
Please do not hesitate to contact me for further queries.
Yours faithfully
Charge Nurse
Northwest Rehabilitation Hospital
EXAM PRACTICE CASE NOTE
OCCUPATIONAL ENGLISH TEST
WRITING SUB-TEST:
TIME ALLOWED: READING TIME: 5 MINUTES
WRITING TIME: 40 MINUTES
Read the case note and complete the task:
Assume that today’s date is 5 June.
You are a nurse working at a community health clinic. You are writing a referral letter
to a physiotherapist for further assessment and management of a patient’s
condition.
Patient Details
Name: Mr. George Miller
DOB: 25/10/1965
Address: 16 Willow Street, Bridgefield
Social Background:
Retired mechanic
Lives alone (divorced, no close family nearby)
Non-smoker
Alcohol: occasional social drinking
Interests: gardening, fishing
Allergies:
None
Family History:
Father – arthritis (diagnosed in his 50s)
Mother – osteoporosis
Medical History:
2015 Left knee replacement
2022 Hypertension (managed with lifestyle modifications and Losartan)
Current Medications:
Losartan 50mg once daily
EXAM PRACTICE CASE NOTE
Recent Visit Notes
Date: 1 June
Presenting Complaint: Right knee pain worsening over the last 4 months
Condition:
Pain described as dull ache, exacerbated by walking and climbing stairs
Reports occasional stiffness in the mornings (lasting 20–30 minutes)
No redness or swelling noted
Examination:
Slightly reduced range of motion in the right knee
Crepitus during movement
No signs of acute inflammation
Plan:
Suspected osteoarthritis
Advised over-the-counter analgesics (paracetamol 500mg as needed)
Referral to physiotherapy for assessment and management, including
strengthening exercises and possible lifestyle modifications
WRITING TASK
Using the information in the case notes, write a letter of referral to Ms.
Laura Baker, Physiotherapist, Bridgefield Rehabilitation Centre, 42 River
Road, Bridgefield. Summarise Mr. Miller’s relevant medical history, outline
his current condition, and request an appropriate management plan.
In your answer:
Expand the relevant case notes into complete sentences.
Do not use note form.
Use letter format.
The body of the letter should be approximately 180–200 words.
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