OCCUPATIONAL ENGLISH TEST
WRITING SUB-TEST: NURSING
SAMPLE RESPONSE: LETTER OF DISCHARGE
Ms Jane Rudik
Community Nurse
Newtown Community Health Centre
Newtown
15 July 2017
Dear Ms Rudik,
Re: Ms Mary Bell
Ms Bell has been an inpatient at Newtown Community Hospital for the past three weeks.
Ms Bell was admitted for stabilisation of her non-insulin dependent diabetes mellitus, for which she has been
treated with oral anti-hyperglycaemic agents (glibenclamide 5mg daily; metformin 850mg t.d.s.) for the past
15 years. She has also developed a small ulcer on her left foot, which has responded to antibiotic therapy
(Augmentin Duo Forte) and daily saline dressings. She will require ongoing management and monitoring of the
wound for complications.
Ms Bell retired from a managerial position at the end of 2016, and has not found it easy to establish a new
routine in her retirement. She would benefit from your help in monitoring her medication, blood sugars,
alcohol intake and diet. It might also help to introduce her to some ways of expanding her social activities
and engaging in some moderate exercise. As her income has decreased since her retirement, she might be
encouraged to undertake some income-producing activity. A referral to the community social worker service
may be of benefit.
I am sure that you will be able to help her establish an ongoing plan for a healthier and more productive
lifestyle for her retirement.
Your sincerely,
Nurse
14 www.occupationalenglishtest.org
74 PRACTICE TEST 1