OET Writing practice · Nursing
Anterior STEMI with stent – cardiac rehabilitation nurse coordinator
An original practice task written by LetterScore AI. Read the case notes in 5 minutes, then write your referral letter in 40 minutes, about 180–200 words in the body.
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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: 10/09/2026 Patient: Mr Marco Bellini, DOB 30/01/1970 (56 yrs) Coronary Care Unit, Ward 7, Fairhaven General Hospital, Fairhaven Admission date: 05/09/2026 Discharge date: 10/09/2026 Social background: - Self-employed plumber (physically demanding work). Keen to return to work in 2 wks - Married (Lucia). 2 adult sons, one living in Milan - Smoked 20 cigarettes/day × 35 yrs until admission - Alcohol approx. 25 units/week (wine) - Frequent takeaway meals. BMI 31. Little exercise outside work - Enjoys fishing and watching football Medical history: - Hypertension (2020), amlodipine 5 mg daily - Hypercholesterolaemia (2022); declined statin - Gastro-oesophageal reflux, omeprazole 20 mg daily - Fractured R ankle 2011 - Father died of MI aged 60 Nursing management and progress: 05/09 Central crushing chest pain radiating to L arm while carrying boiler upstairs. ECG: anterior STEMI. Primary PCI: drug-eluting stent to left anterior descending (LAD) artery. Door-to-balloon time 52 min 06/09 Echo: LVEF 45% (mildly impaired). Peak troponin 18,000 ng/L. Nicotine patch commenced 07/09 Mobilising on ward; walked 150 m without chest pain - Night: anxiety and palpitations; ECG sinus rhythm; reassured 08/09 Lipids: total cholesterol 7.2 mmol/L, LDL 4.8 mmol/L. HbA1c 41 mmol/mol (normal) 09/09 Climbed 1 flight of stairs without symptoms - Wife reports loud snoring; GP to consider sleep assessment 10/09 Low mood; worried about finances as self-employed. Asks when he can return to heavy work, drive his van and resume sexual activity Medications on discharge: - Aspirin 75 mg daily (lifelong) - Ticagrelor 90 mg BD (12 months) - Atorvastatin 80 mg nocte - Bisoprolol 2.5 mg daily - Ramipril 2.5 mg daily (amlodipine stopped) - GTN spray PRN - Nicotine patch 21 mg/24 hrs - Omeprazole 20 mg daily Discharge plan: - Referral to community cardiac rehabilitation programme (exercise, education, psychological support) - No driving for 1 wk; avoid heavy lifting until reviewed by cardiac rehabilitation team - GP: U&E in 1–2 wks (ramipril) - Stop-smoking service referral accepted - Cardiology outpatients 6 wks; repeat echo 3 months Writing Task: Using the information in the case notes, write a letter to Mrs Helen Marsh, Cardiac Rehabilitation Nurse Coordinator, Fairhaven Community Cardiac Rehabilitation Service, 40 Promenade Road, Fairhaven, referring Mr Bellini to the programme. 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 referral letter
- The reader has never met the patient. State the reason for referral, and how urgent it is, in the first paragraph.
- Select the history, findings and investigation results that support the referral, and group them by topic rather than by date.
- End with what you are asking the reader to do, and any action you have already taken.
Members also get the model answer, the note-selection table and task-specific tips for this task.