OET Writing Practice Test 39

OET Writing Practice Test 39 Discharge Letter for Nurses – Sunshine Achievers Tech OET Preparation

OET Writing Task (Nursing)

You are a registered nurse at Lakeside General Hospital, Orthopaedic Ward.

You are writing to Ms. Claire Anderson, Community Health Nurse, who will visit the patient at home after discharge for continued wound care and mobility support.

Patient Details:

Name: Mrs. Linda Matthews

Age: 66 years

Admission Date: 3 October 2025

Discharge Date: 18 October 2025

Medical History:

Type 2 Diabetes Mellitus (diagnosed 2012)

Hypertension

Obesity (BMI 32)

History of varicose veins

Allergic to penicillin

Present Admission:

Mrs. Matthews was admitted with an infected diabetic foot ulcer on the right heel, which developed after a minor cut from new footwear. Initial swab culture grew Staphylococcus aureus. She was commenced on IV Clindamycin 600 mg 8-hourly for 7 days, later changed to oral form (300 mg 6-hourly).

Blood glucose on admission: 15.4 mmol/L

HbA1c: 8.6%

Wound showed necrotic tissue; surgical debridement performed on 6 October.

Current Status (18 Oct):

Afebrile, stable vitals

Wound healing well; minimal discharge, no odour

Ambulating short distances with crutches

Blood glucose averages 7.8–8.5 mmol/L

Appetite improving

Reports mild pain during dressing change

Needs guidance on wound hygiene and dietary control

Ongoing Care Requirements:

Daily wound dressing with sterile saline and non-adhesive gauze

Monitor for signs of reinfection (redness, swelling, discharge, fever)

Reinforce diabetic foot care education (foot inspection, footwear hygiene)

Encourage gradual ambulation

Continue oral Clindamycin for 5 more days

Maintain blood sugar chart and record fasting/post-prandial readings

Family / Home Situation:

Lives with husband, retired, supportive but not trained in wound care. The couple resides in a single-storey home with good accessibility.

Writing Task:

Using the information given in the case notes, write a letter to Ms. Claire Anderson, Community Health Nurse, requesting ongoing wound management and diabetic care for Mrs. Matthews following her hospital discharge.

Your letter should be in the appropriate professional format.

Do not use note form.

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