eats out a lot, high fat intake moderate to high alcohol intake – socialises with work colleagues 2-3 times/week facebook.com/HonorsGroup non-smoker intermittent exercise – tends to join a gym for a month then quits. Medical treatment: 10/1 O/A Bloods taken for cardiac markers and ECG – ST elevation 13
OCCUPATIONAL ENGLISH TEST WRITING SUB-TEST: NURSING 11/1 Coronary Angioplasty with i/o stent Bloods taken ? high cholesterol levels identified. Pt worried about taking statins. 12/1 Commenced anticoagulant daily (clopidogrel as allergic to aspirin). Agreed to commence Simvastatin 40 mg daily. Chest pain – relieved by GTN spray, ECG – no extension of MI 13/1 Nil chest pain. Obs. stable – BP stabilising. Consult with hospital dietician re weight loss programme. Discharge Plan 1. Cardiac Rehab for post MI education especially.statins – encourage patient to keep taking statins -needs to understand side effects and interactions (e.g. grapefruit). Check BP weekly. Report increased BP 2. Cardiac rehab – develop cardiac exercise programme – monitor compliance with programme 3. Encourage adherence to weight loss programme – weekly wt. until follow up at Cardiac Clinic. 4. Cardiac Clinic appt 6wks – to be sent to patient facebook.com/HonorsGroup WRITING TASK: Write a referral letter to Ms Helen Jones at the Cardiac Rehabilitation Clinic, St Joseph's Hospital, 56 Chelmsford St, Nowton NSW 2376. 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. facebook.com/HonorsGroup
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- Summer '16
- Cardiac Rehabilitation, Mr David Richards, Past Medical Problems, Cardiac Clinic