[go: up one dir, main page]
Scribd
Upload
414 views3 pages

Eleanor Holmes

Miss Eleanor Holmes, an 8-year old girl, was admitted to the hospital after nearly drowning. She was found unconscious in a lake and resuscitated. She has shown improvement over time in the hospital but still has some neurological issues. The letter recommends transferring her to a pediatric ward in the UK for continued speech therapy and neurological exams to monitor for any delayed effects from her near drowning experience.

Uploaded by

Omaima Ahmed
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
414 views3 pages

Eleanor Holmes

Miss Eleanor Holmes, an 8-year old girl, was admitted to the hospital after nearly drowning. She was found unconscious in a lake and resuscitated. She has shown improvement over time in the hospital but still has some neurological issues. The letter recommends transferring her to a pediatric ward in the UK for continued speech therapy and neurological exams to monitor for any delayed effects from her near drowning experience.

Uploaded by

Omaima Ahmed
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 3

OET Insights​ by Bose Learning

 
1 
OCCUPATIONAL ENGLISH TEST

WRITING SUB-TEST: MEDICINE

TIME ALLOWED: READING TIME: 5 MINUTES


WRITING TIME: 40 MINUTES

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

Notes​:

Miss Eleanor Holmes, an 8-year-old, is a patient on your general medical ward in Spain. She
was admitted after near drowning.

Hospital: Southwick Park Hospital, 70 Sparrow Street, Mitchelstown, SPAIN

Patient details

Name: Eleanor Holmes


Age: DOB: 11/01/2011 (8 years old)
Next of kin: Philippa Holmes (mother)
Admission date: 24 August 2019
Discharge date: 26 September 2019
Diagnosis: Near drowning, potential hypoxia (hypoxic brain injury)
Family: Lives with mother and father (James)

Medical history and medications:

Fractured tibia (4yo)


Rotovirus (suspected) (January 2018)
Mild eczema

Social background: Primary school student (year 4)


Enjoys sport and dancing (ballet, street dance, netball, football)

Background: Fell into freshwater lake while on holiday in Barcelona with father and
their dogs.
Found 15-20 minutes later face down.
Paramedics arrived 10 minutes later, basic life support started
On admission to ED: cyanotic,
pulseless,
apnoeic,
fixed & dilated pupils,
tympanic temp 27.7​°​C

 
OET Insights​ by Bose Learning
 
2 

Management and Progress:

24/08/19: CPR performed


Ventilator & endotracheal tubing inserted
Heated humidifier, radiant warmer, preheated blankets applied
Paediatric ventilator used
Initial ABG (Arterial Blood Gas) = 7.04 / 84 / 36/ 19 / 78%
Spontaneous circulation achieved

28/08/19: ABG = 7.44 / 34 / 94 / 23 / 97%


BP 98/64
Tympanic temp 34.8​°​C
Patient stable – transferred from ICU to general ward

30/08/19: Temperature normal


Unresponsive to command
Shifting around within the bed
No longer hyperventilated for ICP protection
Mechanical ventilation weaning off begun

05/09/19: Responsive to commands


Basic communication - possible dysarthria

Speech therapy commenced


Difficulty concentrating
Paracetamol 3x daily for headaches
Coughing up pink sputum
Mechanical ventilation stopped

Transfer plan: Transfer to Paediatrics Ward, East Hospital, UK


Continue with Speech therapy
Organise neurological exams (neuropsychological, visual-spatial, IQ_ -
check for delayed problems as precaution
Discuss with parents possible sequela due to hypoxia
Monitor cough, headaches, dysarthria

 
OET Insights​ by Bose Learning
 
3 

Using the information provided in the case notes, write a letter of transfer to Dr Patrica
Jones, Ward Doctor, Paediatrics, East Hospital, UK

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.

You might also like