by Mahesh Chandra Bhatt | Apr 22, 2021 | IELTS, OET
In this globalised environment IELTS is the most popular testing mechanism to check one’s proficiency on English. It is a benchmark in order to go for higher education and global migration. Thousands of organisations across the globe trust IELTS which means when you enroll yourself for the course, rest assured that it ticks the check boxes of prestigious educational institutions, multinational organisations, government and professional bodies. RM.QUEST make sure that our students reach their desired places and hence it is considered as best IELTS coaching center in Kerala. IELTS serves as a proof of the language skills during the process of recruitment or admission.
Being a pioneer of the four skills (reading, writing, listening and speaking), IELTS is the gold standard for the Queen’s language. These all four skills are trained to the core for their future endeavor. RM.QUEST does this part extremely well since 2008 with the best faculty available in KERALA.
Government agencies in the Commonwealth countries rely IELTS to filter immigration applications. A good IELTS scorecard equips you with knowledge required to succeed in your overseas placement, be it academic- or profession-related. However, there are two subdivisions of IELTS:
- IELTS Academic
- IELTS General Training
IELTS Academics measures whether you have the necessary language skills to comprehend the topics being taught in an academic environment, whereas IELTS General Training focuses mainly the proficiency of the language in a practical and day-to-day scenario. However, it should be understood that speaking and listening tests are the same in both categories, but the reading and writing tests are different. This is where the coaching plays an important role to categorize the syllabus and to be taught to students without any confusions. RM.QUEST have always been in prominent position in Town as well as in State with their remarkable results and dedication.
If your test results do not measure up to the required standards, there is no limit on when and how often you can reappear it, but it is wise to prepare a bit more before your next attempt. Generally, testing centres offer preparatory courses and classes on sharpening the language skills, but of late online training portals are also available to help you brush up the knowledge and guide to prepare for the exam. As covid19 restrictions are imposed all over India classes are scheduled online where RM.QUEST never fails in student’s expectation and results. That is why we are named as constant top scoring institutions in Kerala.
IELTS for Academic purposes: Many universities around the world and all universities and academic institutions in the UK require IELTS test results. By securing good scores for IELTS, you are stating that you are well-equipped to complete an international academic course taught in English, so it is natural that higher IELTS scores are required for advanced academic programmes such as Masters or PhDs. Way of approaching for such academic students are different than the general one and that approaching techniques and tips are highly provided by RM.QUEST in order to score high. Thus RM.QUEST is labelled as the best tips and tricks giving coaching among KERALA. We make every participant confident in Person and with the language. And these are our perks we provide in joining RM.QUEST.
IELTS for working abroad: A good IELTS scorecard is also a proof of your language skills to obtain a visa so that you can work overseas. As you know in today’s world, language skills are key to career progress and a much sought after skill in addition to all other skills that qualify you for a job. A good IELTS scorecard demonstrates that you are prepared for more than basic conversational skills.
IELTS is marked out of 9, where a band score of 6.5 on each of the four elements of the test is considered a satisfactory score unless you are applying for something related to teaching, where a score of 7 is considered necessary. RM.QUEST assures an overall band of 7 and we are consistent in scoring minimum 7 from every participants. Hence, without a doubt RM.QUEST institute of English is considered as the best coaching centers available in Kerala.
IELTS for immigration purposes: It is worth mentioning that there is one more subdivision of IELTS, IELTS Life Skills, which is recently introduced. It is a UK-government approved Secure English Test to support the applicants’ UK visas and immigration. Unlike IELTS Academics and IELTS General Training, IELTS Life Skills requires you to demonstrate your proficiency on the language in speaking and listening only. At the end of the exam, unlike a band score, here you will get either a pass or fail result.
That is purely on your language assessment and your confidence will help you get through it. RM.QUEST being the best in coaching as well in life skill/soft skill training helps every participant to clear the exams without much difficulty.
Clearing the exams are part of student’s job and making it to clear easily is our responsibility. And we never pressurize and complex the syllabus we always take the loopholes to help out each and every participant. And make them capable to fly overseas for education and job. RM.QUEST is the Trust to many people and we want it to spread among all the people who are unaware about our institution.
Occupational English Test (OET)
If a healthcare professional wishes to register and practice in an English-speaking country, the test to attend is OET. The test is developed to meet the specific English language skills of people in the healthcare sector. All four language skills (reading, wiring, speaking and listening) are assessed here as well, but writing and speaking tests are conducted in twelve different areas of healthcare. OET is a passport to English language proficiency in a host of countries other than UK. OET is tailored to ensure doctors, nurses and other paramedic staff have sufficient language skills to communication both verbally and written at high level with patients and colleagues, thereby ensuring safe and speedy care. To get a qualified quality OET training and trainer in Kerala is difficult but in RM.QUEST it is not the same. RM.QUEST has the best Trainer available in Kerala for OET and the consistent result is itself is a proof.
The purpose of OET is to ensure that the medical professional has the sufficient ability to converse effectively in a range of medical scenarios, draft a referral or discharge letter, understand what a patient explains and comprehend the write-up in a medical journal. The speaking and writing sections are designed to the specific disciplines in which each profession handles English. RM.QUEST provides the best tips, tricks and techniques to face the exam. RM.QUEST provides individual one to one coaching. Individual attention and quality study materials are our forte. And without a doubt RM.QUEST excels in coaching and the results.
Unlike preparing for IELTS, preparing for OET involves learning wide range of healthcare-related terminologies so that the applicants can seamlessly follow, engage with and participate in a variety of medical fields. Unlike IELTS, OET is measured in grades from A to E, where A is the best. RM.QUEST assures high grade and are consistent in acquiring the desired result. And with the high success repository RM.QUEST INSTITUTE is considered as the best in OET coaching centers among Kerala.
OET is acknowledged by healthcare educational bodies and higher education healthcare institutes. Considering the growing number of specialist medical training disciplines and courses, the number of applicants for OET is increasing every year. For OET, the accreditation process of the training institutes itself is quite rigorous. And RM.QUEST being on the top 10 institutions in Kerala constituently for years is also a result of hard work of the bunch of people associated with it.
To sum up, the applicant must clear OET exam in order to work in healthcare environment in an English-speaking country and for that joining a well reputed institutions is also important. RM.QUEST succeeds in such expectations of participants and we are always happy imparting you the knowledge. Give us an opportunity and you will never regret.
by Mahesh Chandra Bhatt | Apr 15, 2021 | IELTS
IELTS is International English Language Testing System which is designed to assess the English language of non-native English speaker.
RM.Quest institute of English is the best IELTS coaching centre in Kerala, thrive towards the best to make out from each and every participants who reach out to us. We provide both online and offline coaching with the best trainers available in Kerala to assist the students properly and timely manner.
We generally have a thought that IELTS is a difficult examination to clear.
Yes, it is difficult but it is not impossible.
Now, why is it difficult?
Because IELTS is not only concerned about the communication it is also about the vocabulary, spelling, fluency, punctuation, construction of a sentence, structure, speed and so on. Even if we speak English on our regular basis or even if we are a native English speaker it would go bit difficult. And to remove all such hurdles you have to devote yourself completely into better coaching, practices, mock tests, reading, listening to English channels, talking to a native English speaker and any more.
These all things can be done in RM.Quest under the competent faculty members who customises the needs of the students of various calibre and potential. Hence RM.Quest is considered as the best coaching centre of IELTS in Kerala and Trivandrum and is listed in top 10 institutions consistently. We have the best pool of trainers in Kerala who all are scholar and phenomenally trained native and non-native English speaking trainers.
RM.Quest considers our faculty members as strong pillars and our students as backbone of our institution, and thus we are soaring to excellence since 2008 efficaciously. Our repository consist of success stories which makes our institution the best in IELTS coaching among Kerala and Trivandrum.
We warmly welcome all you to have the best learning experience and beauty of English language from RM.Quest institute of English which is the best coaching centres in Trivandrum and Kerala.
Usually speaking and writing goes difficult for the participants. We share some unique tips and tricks to our students which help them to clear the examination easily. And hence RM.QUEST INSTITUTE is considered as the best training institute in Kerala for IELTS. Few tips are listed down.
TIPS AND TRICKS FOR SPEAKING
1. BE FORMAL:
On the day of examination participant should be formal in all means. Make it simple and sober and attend it as like a job interview, show some good gestures and body language.
Maintaining good gestures affects your confidence and the way you speak. So it’s very important to hold your postures and gestures up right.
For example: formal attire, formal language
2. BE POLITE :
If examiner asked you some question and if you didn’t understand it just ask for the explanation in a polite way.
Don’t say what? And sorry? , in rude manner.
You could ask
Excuse me, could you please repeat the question?
This way you not only show that you are a polite and cultured person but also the examiner will understand your command in English and help you score high.
3. ELABORATE:
Elaborate the answers nicely, don’t make it short and compress. Try to give full answers.
For example: if examiner ask you,
Which city are you from?
Don’t just answer as TRIVANDRUM
Say as: I am from Trivandrum which is the capital of southern most Indian state Kerala which is also called as GREEN CITY OF KERALA.
4. SPEAK CLEARLY :
Examiner will check the clarity on how you converse. So you should speak slow, clear and audible with proper pronunciation. Improve pronunciation by more practises and avoid mother tongue influence while using specific English words.
Need not to worry about the accent but concentrate on fluency, vocabulary, pronunciation, grammar.
Use dynamic words, good language, avoid overly used words and don’t complicate yourself
5. STICK ON THE TOPIC:
This is another important thing to keep in mind that never ever contradict from the topic. Stick onto what the topic is and converse as much as possible in slow and steady manner with proper English.
Topics might be Festival, Book, Toys, museum, children, family etc.
Don’t memorize the answers but can refer to get ideas.
These are very few such points which every participant should note down and act accordingly. There are many more such other points which every participant should follow and RM.QUEST institute of ENGLISH in Trivandrum never fail to aware them and helps them to acquire high band score.
Tips and tricks from RM.QUEST INSTITUTE will surely help you to score 7+ band without a doubt. RM.QUEST assures the required target. So set a high target IELTS band and assure it from RM.QUEST which is the best coaching centre in Kerala. Best IELTS individual online training in Kerala is just a step away from you. Settle your high band score with consistent top band scoring IELTS institute in Kerala. We are always there to help you out.
by Mahesh Chandra Bhatt | Jan 29, 2021 | OET
How to write request respite admission?
The situation of this letter is that a community nurse is actually doing a home visit to provide community care for a patient at home and this patient is to be admitted so it is necessary to request respite admission. The diagnosis of the diseased Crystal Ball and the purpose of corresponding to the Director of Redeemer Palliative Care Hospital must be crystal clear. Mrs. Crystal Ball was nurtured effectively at Blue Care for two months by a community nurse who writes to the Director of Redeemer Palliative Care requesting palliative care admission.
The reader of the letter is the Director of Redeemer Palliative Care who must admit Mrs. Crystal Ball to her care and continue the remedy based on the feedback given by the community nurse. The date given in the case notes is 06/03/2019. The case notes begin with Mrs. Crystal Ball’s family background after specifying her date of birth as 14/02/1976. Immediately after this information, detailed medical history about her diagnosis and therapy is given in the case notes followed by the current medication also. The case notes of Mrs. Crystal Ball is followed by the Writing Task, so the selection, organization as well as transmission of case notes will have to be really transparent and authentic.
CASE NOTES
Today’s Date:- 06/03/2019
You are a community nurse working for Blue Care. You have been providing support for Crystal Ball and her family for the past two months.
Patient Details:-
Name:- Crystal Ball
DOB:- 14/02/76
SOCIAL HISTORY
Married, two children aged 10 and 12
Next of Kin:- Mike Ball (Husband) Real estate agent
Crystal Ball school librarian before illness
Husband main care giver – reduces work hours to care for Crystal
Reports difficulty in caring for a dying partner
Under emotional and physical stress
Children, misbehaving attempts, difficult to manage (not important)
House untidy, dishes not washed etc (not important)
Mike feels isolated and sometimes angry (not important)
No other family support available
Neighbor helps with child minding (not important)
Mrs. Ball doesn’t like people coming to see her (not important)
Mrs. Ball requested spiritual advice
MEDICAL HISTORY
Tonsillectomy as a child (x unimportant)
Appendectomy at 15 (x unimportant)
Admitted General Hospital 18/12/18 with severe stomach pain
Laparoscopy performed stage 4 Ovarian Cancer diagnosed 20/12/2018
Metastasized to liver and left lung, negative prognosis, life expectancy 4 months
Increased Pain, depressed, not eating well, palliative chemotherapy offered to attempt to shrink tumours and slow growth – Mrs. Ball refused. Wished to return home to family. Discharged home – 02/01/2019.
CURRENT MEDICATION
Stemital (anti-nausea) twice daily 8 am to 8 pm
Oxicontin 60 mg prolonged release BID (pain relief)
Panadol 2 tablets every 4 hours PRN
Maxolan for nausea PRN
Writing Task
Write a letter to the Director, Redeemer Palliative Care Hospital, 32 Nelson Drive, Lucia QLD 4050 requesting palliative respite admission.
Introduction
Date: 06.03.2019
Director
Redeemer Palliative Care Hospital
32, Nelson Drive.
Lucia, QLD 4050
Dear Director,
Re Crystal Ball DOB 14.02.76
Introduction
I am writing this letter to request a palliative respite admission for Crystal Ball aged 43 who has been recently diagnosed with terminal cancer.
To write the first paragraph, the language must be in a narrative style (simple past tense), omission of history that has no relevance to the letter and absolute focus on recent history. Tonsillectomy and Appendectomy need not be included because they are in no way related to Crystal Ball’s current health and above all, this information is trivial to the Director Redeemer Palliative Care Hospital as no action can be taken on the basis of these ailments. The rest of the particulars on medical history are mandatory and must be specified clearly. In addition to what is already specified, her current medication must also be highlighted with precision.
Body Paragraph 1
Mrs. Ball was hospitalized for the first time at Spirit Hospital on 18.12.18 due to awful stomach pain. She was diagnosed for stage 4 ovarian cancer with metastasis to the liver and left lung after conducting a laparoscopy. She was suggested chemotherapy but had refused the same and expressed her unwillingness to stay at the health-care centre only to re-join with her family at the earliest.
The past medical history is already stated so the current trend of Mrs. Ball is to be specified at length which is none other than her pain which depresses her in addition to also suffering from a low appetite.
At the moment, she is suffering from shooting pain and her appetite is very low. Besides, she is in a state of depression. The current medication administered for her present condition too need to be presented in a very condensed manner. She has been prescribed a pain killer to instantly lessen and stop her severe pain in addition to also Stemital and Maxolan to maximize her appetite.
Body Paragraph 2 and conclusion
To prepare the second body paragraph, present tense must be used thereby also summarizing effectively and excluding the irrelevant details. Recommend respite admission for Mrs. Ball. Mrs. Ball can have a break and resume work. He has agreed to this request. The important case notes on social history are ‘highlighted in bold’ and the unimportant ones are labelled as ‘not important’. The words to be selected from the case notes on social history are ‘main care giver’, ‘isolated’ and ‘spiritual advice’, ‘reports difficulty’ and ‘family advice’.
Mrs. Ball lives with her husband, and has two young children. Mr. Ball worked for lesser hours in order to nurture his better half. However, he is undergoing emotional stress and feels isolated at times. Due to the complexity of the present situation, Mr. Ball agreed to respite admission for his wife. It is to be noted that, Mrs. Ball requested for spiritual advice.
It would be absolutely commendable if you could allow Mrs. Ball into your care to lessen the pressures faced by the family.
Yours Sincerely,
Xxxx
The entire phase of the letter on request respite admission is as follows:-
Introduction
Date: 06.03.2019
Director
Redeemer Palliative Care Hospital
32, Nelson Drive.
Lucia, QLD 4050
Dear Director,
Re Crystal Ball DOB 14.02.76
Introduction:-
I am writing this letter to request a palliative respite admission for Crystal Ball aged 43 who has been recently diagnosed with terminal cancer.
Body paragraph 1
Mrs. Ball was hospitalized for the first time at Spirit Hospital on 18.12.18 due to awful stomach pain. She was diagnosed for stage 4 ovarian cancer with metastasis to the liver and left lung after conducting a laparoscopy. She was suggested chemotherapy but had refused the same and expressed her unwillingness to stay at the health-care centre only to re-join with her family at the earliest.
Current situation
At the moment, she is suffering from shooting pain and her appetite is very low and besides, she is in a state of depression. The current medication administered for her present condition too need to be presented in a very condensed manner. She has been prescribed a pain killer to instantly lessen and stop her severe pain in addition to also Stemital and Maxolan to maximize her appetite.
Body Paragraph 2
Mrs. Ball lives with her husband, and has two young children. Mr. Ball worked for lesser hours in order to nurture his better half. However, he is undergoing emotional stress and feels isolated at times. Due to the complexity of the present situation, Mr. Ball agreed to respite admission for his wife. It is to be noted that, Mrs. Ball requested for spiritual advice.
Conclusion:-
It would be absolutely commendable if you could allow Mrs. Ball into your care to lessen the pressures faced by the family.
Yours Sincerely,
Xxxx
by Mahesh Chandra Bhatt | Jan 29, 2021 | OET
How to improve writing a good medical referral letter?
Good planning is the key to success. In order to plan strategically, a thorough understanding of the case notes is essential to ensure a correct response to the task question. The recipient to whom the letter is to be addressed must be crystal clear at the commencement of the letter itself. Once it is already confirmed on who would be the addressee of the medical referral letter, the purpose of writing the letter must be explained in a straight forward manner. The selection and elucidation of the case notes must be based on the information that is crucial for the reader based on which necessary action can be executed instantly without any further delay. Too many case notes are given by the examiners to distract the test takers. Unwanted particulars in the case notes are not important for readers. The particulars to be summarized and paraphrased must be also known while drafting a medical referral letter. Writing to the point can only help referral letter writers to shorten the body paragraphs and yet fulfill the word requirement as expected between 180 and 200. Incorporating unnecessary case notes can make the letter absolutely unfocussed and invariably long which may not do justice to the write up work.
An ideal example is the case notes of Ashley Kim wherein she was subject to physical abuse by her husband Brad Park and the fact is that she visited the health care centre first, six months before, and thereafter every alternate month also until the Police Case Report came to limelight a day before the drafting of her case history. Having experienced the worst scenario from her life partner, she and her son Alex Park requires shelter at Women’s Shelter and the authority to grant permission is the Director of Women’s Shelter as per the medical referral letter addressed by the health care professional of Brisbane Sprit Hospital Burn Ward to her.
The challenge while corresponding to the Director of Women’s Shelter is to present the details that can enable the Director of Women’s Shelter to take action which means grant shelter willingly to Ashley Kim and her son Alex Park.
Since the Director of Women’s Shelter is going to provide shelter, he/she needs to know the social background of the patient followed by the history of health, current abuse and involvement of other health professionals. However, the details pertaining to past admission and treatment need not be specified at all because the Director of Women’s Health will not act on that information. Special focus must be given to any patient’s current health condition which is supposed to be the recovery stage from burn injuries. The detailed case notes of Ashley Kim is followed by the writing task also.
CASE NOTES – ASHLEY KIM
Today’s Date:- 21/02/2018
Patient’s Details
Name:- Ashley Kim
DOB:- 14/02/1993
SOCIAL HISTORY:-
Patient lives with boyfriend, Brad Park and their biological son in a one bedroom rental flat.
Employment Status:- Ashley part-time waitress in a Koran restaurant
Brad:- unemployed 18 months, binge drinker
Patient’s parents live in Seoul South Korea
Son:- Alex Park, 5 years old, single child, attends the child care centre when Ashley works
MEDICAL HISTORY:-
Good past health
No known allergies 10/08/2017 attended emergency department AED with bruises over left face, right eye and forehead.
Examined by triage nurse @ triage station? Domestic abuse
Vital signs V/S Stable
Emotional:- weeping, avoidance
Patient claimed fell off the stairs, denied being assaulted by others
Assessed by the Medical Officer MO
x-ray XR Skull: no FRACTURE # seen
No active bleeding
Prescribed Hirudoid cream, referred to Clinical Psychologist (CP) for follow up
Patient refuses the referral and discharge home
17/10/2017
Attend Emergency Department AED with son. Personal Examination PE by Medical Officer MO with large bruises over Right Upper Quadrant (RUQ) at abdomen, corner of mouth and right elbow.
USG: ABD: No internal bleeding, however checked x-ray CXR # LT 6TH RIB
Son:- crying and scared accompanied by hospital volunteers?
Domestic abuse. Suggest admission to r/o insidious bleeding of internal organ
Patient refused and denied abuses by others
Patient insisted of discharging
25/12/2017
Attended AED with son. P/E by MO with some burn marks over four limbs
Caused by cigarettes, bruises over right face, bilateral eyes and forehead
XR Skull: no # CTB mild contusion over right frontal area, no bleeding
Suggest admission for further monitoring and referred to CP and MSW
Patient refused. Discharged home.
20/02/2018 Police Case Report
Son was locked up in the bedroom when violence occurred
Brad forced Ashley on to ground, poured pot of hot water on her. Ashley screamed and yelled for help.
Brad pointed a knife to Ashley.
Threatened to kill her if she called the police.
Son cried loudly. Neighbor was alarmed and called the police for her
Ambulance arrived and Ashley transferred to AED. Brad arrested by police.
Ashley assessed by MO
10% burn over bilateral lower limb
BP fluid resuscitation, no obvious injuries, RR? Pain
Admit to burn ward for further management
T/I to Burn Ward
Continue fluid resuscitation
4 morphine @ 1mg/hr. for pain
Commence prophylactic antibiotic: Flucloxacillin 1g 4 stat
Take Wound swab x C/ST
Arrange for OT X Surgical debridement
Cleanse wound by wound nurse a/c Burn Wound Management Protocol before OT suite available
Son cared by the Hospital Child Welfare Centre
Refer to CP to identify? PTSD X Ashley and son; counselling and emotional support for domestic violence causalities
Ashley’s GC: Not fit X statement, statement pending until MO’s decision
Writing Task
You are a health professional working at the Brisbane Spirit Hospital Burn Ward. Using the information provided, write a referral letter to the director of the Women’s Shelter, Harmony West, 12 west, and St. Northbridge, QLD 4543.
Explain the reason for the referral, condition of the patient and the subsequent arrangement for Ashley and her son.
In your answer:-
Expand the relevant case notes into complete sentences
Do not use note form
Use correct letter format
The body of the letter should be approximately 180-200 words
As per the details given in the case notes the date today is 21/02/2018 and the first visit was on 10/08/2018 which means 6 months ago. The second visit was two months later dated 17/10/2017. The third visit to the health care centre was in another subsequent two months dated 25/12/2017. The current admission of the diseased is on 20.02.2018.
INTRODUCTION OF THE LETTER.
Dear Sir/Madam,
Re:- Ashley Kim DOB:- 10.02.1992
I am writing this letter to refer a 25 year old diseased Korean woman Ashley Kim who has been a victim of physical abuse but is fortunately on the verge of recovery from injuries.
Paragraph 1 reveals the social history of the patient Ashley Kim which would give a big picture of her to the Director of Women’s Health.
Social History
Patient lives with boyfriend, Brad Park and their biological son in a one bedroom rental flat. Ashley, part-time waitress in a Korean restaurant; Brad unemployed 18 months, binge drinker. Patient’s parents live in Seoul, South Korea. Son:- Alex Park, 5 years old, single child, attends the child care centre when Ashley works
Paragraph 1
Ashley was residing with her boyfriend Brad Park and her five year old son, Alex Park. She was working as a part-time waitress but unfortunately Brad had been both unemployed for 18 months and had a history of being a binge drinker. Ashley’s son Alex was associating himself with a child care institute when Ashley was working.
The social history of Ashley Kim as depicted in the case notes is written as ‘patient lives’ but while transferring the case notes to a letter format, it is written as Ashley ‘was living’ The reason being that, Ashley was physically abused by Brad so it is most unlikely that Ashley would go back to live with him. She most probably may not return to her part time job either so there also the tense is she ‘was working’ although it is also presented as ‘works as’ in the case notes. Even her son Alex ‘was studying’ at a childcare centre as against he/she ‘attends’ a child care centre because the present situation is never the same after Ashely was subject to physical abuse.
MEDICAL HISTORY:-
Good past health
No known allergies 10/08/2017 attended emergency department AED with bruises over left face, right eye and forehead.
Examined by triage nurse @ triage station? Domestic abuse
Vital signs V/S Stable
Emotional:- weeping, avoidance
Patient claimed fell off the stairs, denied being assaulted by others
Assessed by the Medical Officer MO
x-ray XR Skull: no FRACTURE # seen
No active bleeding
Prescribed Hirudoid cream, referred to Clinical Psychologist (CP) for follow up
Patient refuses the referral and discharge home
17/10/2017
Attend Emergency Department AED with son. Personal Examination PE by Medical Officer MO with large bruises over Right Upper Quadrant (RUQ) at abdomen, corner of mouth and right elbow.
USG: ABD: No internal bleeding, however checked x-ray CXR # LT 6TH RIB
Son:- crying and scared accompanied by hospital volunteers?
Domestic abuse. Suggest admission to r/o insidious bleeding of internal organ
Patient refused and denied abuses by others
Patient insisted of discharging
25/12/2017
Attended AED with son. P/E by MO with some burn marks over four limbs
Caused by cigarettes, bruises over right face, bilateral eyes and forehead
XR Skull: no # CTB mild contusion over right frontal area, no bleeding
Suggest admission for further monitoring and referred to CP and MSW
Patient refused. Discharged home.
20/02/2018 Police Case Report
Son was locked up in the bedroom when violence occurred
Brad forced Ashley on to ground, poured pot of hot water on her. Ashley screamed and yelled for help.
Brad pointed a knife to Ashley.
Threatened to kill her if she called the police.
Son cried loudly. Neighbor was alarmed and called the police for her
Ambulance arrived and Ashley transferred to AED. Brad arrested by police.
Ashley assessed by MO
10% burn over bilateral lower limb
BP fluid resuscitation, no obvious injuries, RR? Pain
Admit to burn ward for further management
T/I to Burn Ward
Continue fluid resuscitation
4 morphine @ 1mg/hr. for pain
Commence prophylactic antibiotic: Flucloxacillin 1g 4 stat
Take Wound swab x C/ST
Arrange for OT X Surgical debridement
Cleanse wound by wound nurse a/c Burn Wound Management Protocol before OT suite available
Son cared by the Hospital Child Welfare Centre
Refer to CP to identify? PTSD X Ashley and son; counselling and emotional support for domestic violence causalities
Ashley’s GC: Not fit X statement, statement pending until MO’s decision
The patient Ashley’s medical history need to be mentioned and this happened so on three different dates such as 10/08/2017, 17/10/2017 and 25/12/2017. These three earlier hospitalizations of Ashley needs to be summarized. All the details on three different dates must be presented in a condensed form. Whatever is highlighted in the medical history only need be presented in consolidated manner in a paragraph.
Paragraph 2
Since August 2017, Ashely who has been subject to hospitalization was admitted at the Emergency sector on three instances with a wide range of injuries, bruising, fractures and burns also. Exemplary diagnosis and treatment has been meted out to her each time. However Ashley has refused psychological support and also denied the possibility of a physical abuse.
The patient’s final visit on 20/02/2018 also need to be presented in a precise manner in yet another paragraph.
Paragraph 3
On 20/02/2018, a grave incident of domestic abuse was exposed as per the police case report wherein Ashely Kim was a victim of physical torture due to which she was subject to crucial burns on her lower limbs and her life itself was in jeopardy. A neighbor informed the police and Brad was taken to custody. She was transported by the ambulance to the emergency department and is currently being given medication and treatment for her burn injuries.
The case notes explains the physical abuse meted out to Ashley Kim by Brad at length but the same is summarized. Moreover, the passive sentences are used to present the letter in a very formal and professional manner. The neighbor communicating the violence against Ashley was also just briefed without explaining her emotional state. Even the medication given to her that was specified in detail as per case notes is written in a condensed form.
Paragraph 4 – Discharge Plan
Ashley’s son is nurtured at the health-care center’s Child Welfare Center. It is important to note that, they have also been brought to a clinical psychologist for practicable post-traumatic stress disorder followed by counselling and emotional support.
I would value it if you could provide shelter for Ashley and her son after discharge.
Yours sincerely,
(s
Present Perfect tense can be used when writing the discharge plan as the last paragraph of the letter. It shows that the action is completed with an outcome in the present situation. Expand the abbreviations given in the case notes. A polite closing line enables the reader to take action immediately. Usage of model verbs would and could transforms the sentence in a rather respectable manner. A lot of medical details had been specified in the case notes on what was done in the ward and if the letter were directed to a health-care professional, all the detailed presentation on diagnosis and treatment in the case notes would have been relevant, but in this case, since the letter is directed to the Director of Women’s Shelter, the relevance to detailed diagnosis and treatment is ruled out as Ashley Kim and her son Alex Park only need to be provided shelter at Women’s Shelter.
The final state of the medical referral letter is like this:-
To,
Director of the Women’s Shelter, Harmony West,
12 west,
St. Northbridge, QLD 4543.
Dear Sir/Madam,
Re:- Ashley Kim DOB:- 10.02.1992
I am writing this letter to refer a 25 year old diseased Korean woman Ashley Kim who has been a victim of physical abuse but is fortunately on the verge of recovery from injuries.
Paragraph 1
Ashley was residing with her boyfriend Brad Park and her five year old son, Alex Park. She was working as a part-time waitress but unfortunately Brad had been both unemployed for 18 months and had a history of being a binge drinker. Ashley’s son Alex was associating himself with a child care institute when Ashley was working.
Paragraph 2
Since August 2017, Ashely who has been subject to hospitalization was admitted at the emergency sector on three instances with a wide range of injuries, bruising, fractures and burns also. Exemplary diagnosis and treatment has been meted out to her each time. However, Ashley has refused psychological support and also denied the possibility of a physical abuse.
Paragraph 3
On 20/02/2018, a grave incident of domestic abuse was exposed as per the police case report wherein Ashely Kim was a victim of physical torture due to which she was subject to crucial burns on her lower limbs and her life itself was in jeopardy. A neighbor informed the police and Brad was taken to custody. She was transported by the ambulance to the emergency department and is currently being given medication and treatment for her burn injuries.
Paragraph 4 – Discharge Plan
Ashley’s son is nurtured at the health-care center’s Child Welfare Center. It is important to note that, they have also been brought to a clinical psychologist for practicable post-traumatic stress disorder followed by counselling and emotional support.
I would value it if you could provide shelter for Ashley and her son after discharge.
Yours Sincerely,
Health Care Professional
