OET Writing practice · Nursing
Haemodialysis patient relocating – dialysis unit nurse manager
An original practice task written by LetterScore AI. Read the case notes in 5 minutes, then write your transfer letter in 40 minutes, about 180–200 words in the body.
Write this letter and get feedback
Case notes
NURSING — WRITING TASK (practice) Time allowed: Reading time 5 minutes, Writing time 40 minutes Read the case notes below and complete the writing task which follows. Notes: Today's date: 11/09/2026 Patient: Mr Samuel Mensah, DOB 03/03/1968 (58 yrs) Renal Dialysis Unit, Northgate Hospital, Carrowby Last session at Northgate: Fri 18/09/2026 Transfer of care: from Mon 21/09/2026 Social background: - Moving to Lindenfield 20/09 to live with daughter (Abena, 32), who will help with care - Works part-time from home as a bookkeeper (afternoons); prefers morning dialysis sessions - Currently drives himself to dialysis; will not have a car for first month in Lindenfield - Widowed 2024. Sings in church choir. Non-smoker Medical history: - End-stage kidney disease secondary to hypertensive nephropathy; haemodialysis since 03/2023 - Hypertension - Gout (2019) - L knee arthroscopy 2010 - Active on kidney transplant waiting list since 2024 - Virology 07/2026: hepatitis B immune (anti-HBs 120 IU/L); HIV and hepatitis C negative - Allergy: chlorhexidine (skin irritation) Dialysis prescription: - Mon/Wed/Fri, 4 hrs, morning sessions - Access: L brachiocephalic AV fistula (created 2022), good thrill and bruit; buttonhole cannulation - High-flux dialyser; blood flow 350 mL/min - Heparin: 2,000 units bolus + 1,000 units/hr - Dry weight 76.5 kg; interdialytic weight gain usually 2–2.5 kg Nursing management and progress: 14/08 Intradialytic hypotension (BP 90/55) with cramps → fluid removal reduced; dry weight reassessed, increased from 75.5 kg to 76.5 kg. No further episodes 21/08 Bloods: Hb 108 g/L, K 5.4 mmol/L, phosphate 1.9 mmol/L (high) → dietitian review; sevelamer increased 28/08 Missed session (family event). K 6.1 mmol/L next session → counselled re attendance, potassium and fluid restriction 04/09 Pt c/o itchy skin → emollient 07/09 Kt/V 1.3 (adequate). Pre-dialysis BP 150/90, post-dialysis 130/80 10/09 Pt anxious about meeting new staff; asks whether he can bring his own blanket and headphones Medications: - Darbepoetin alfa 40 mcg IV weekly (given on dialysis, Mondays) - Sevelamer 1,600 mg TDS with meals - Alfacalcidol 0.25 mcg daily - Amlodipine 5 mg nocte - Allopurinol 100 mg daily - Fluid restriction 1 L/day Transfer plan: - Monthly bloods 18/09 – results to be forwarded - Transplant coordinator notified of change of address - Patient transport required for first month - Copy of full dialysis prescription, medication chart and virology enclosed Writing Task: Using the information in the case notes, write a letter to Mr Julian Ashworth, Nurse Manager, Lindenfield Renal Dialysis Unit, Lindenfield General Hospital, 88 Canal Street, Lindenfield, who will be taking over Mr Mensah's haemodialysis care. 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.
How to approach this transfer letter
- The reader is about to receive the patient. Open with the transfer, the reason for it and when it happens.
- Focus on current condition, care needs, medications and anything still pending, so the receiving team can plan from day one.
- Hospital-stay detail matters only where it changes ongoing care.
Members also get the model answer, the note-selection table and task-specific tips for this task.