OET READING PART B NEW QUESTION

Delirium is a fluctuating syndrome characterized by inattention, altered level of consciousness and acute global cognitive impairment. There are three forms of delirium, hypoactive, hyperactive and mixed forms, which fluctuate between the hyperactive and hypoactive phases. The mixed forms account for 52% of cases, highlighting the fluctuating course of a delirium. The incidence of postoperative delirium in older patients is estimated between 20 and 50%. Moreover, among older patients admitted to an intensive care unit (ICU), the incidence can reach 70 to 87%. Delirium is associated with a significant increase in morbidity and mortality, a higher risk of admission to a long-term care facility and higher healthcare costs. Although delirium can be reversed through the treatment of its underlying causes, many patients do not return to their baseline cognitive level. In addition, in patients with dementia, cognitive decline may be accelerated. Despite its clinical significance, postoperative delirium is frequently under-recognized and misdiagnosed by nurses and physicians. Fluctuating changes in cognitive function are commonly misattributed to dementia, depression or old age.

1. The paragraph main concern is about

A) Understanding of the delirium by health professionals

B) An increasing number of delirium patients

C) Morbidity and mortality due to delirium

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CORRECTED LETTER-BELINDA HOYLE

RED Irrelevant GREEN correction PINK suggestion Mr Steven Hummings Community Nurse Community Health Centre 18 Gannon parade Newtown 24 January, 2015 Dear Mr Hummings, Re: Ms Belinda Hoyle, 37 - year- old Better to write age as 37 years If you want to write like this, better to write when you have some other information also to add like a 37-year- old widow. I am writing to introduce Ms Hoyle , no comma who is recovering from type one fracture above the left elbow. She requires assistance for lifestyle and child care. Ms Hoyle is being recovered from type one fracture above the left elbow following an accident. She requires rehabilitative care and lifestyle assistance from you service In your introduction purpose is not clear Ms Hoyle was admitted to our hospital on 21 January, 2015 with the above-mentioned diagnoses. fractured arm with little displacement of humerus following a scooter accident . On arrival, she was noticed...

CORRECTED LETTER

Dr Jan walker Epstein Clinic 393 Victoria Road Richmond , Melbourne 2/9/17 Dear Dr Walker, Re: Susan Forest, D.O.B 19/05/97 I am writing to refer Ms. Forrest, a 24-year-old female, whose clinical features are suggestive of asthma, for further assessment and management. Repeated information about age. Ms. Forest is unmarried and works as a graphic designer, was diagnosed with asthma at the age of 4¹, Adding to this, In 2015 she was admitted to hospital because of two asthmatic attacks and hence, commenced on Ventolin, Symbicort and Zyrtec. She also had a history of eczema, anxiety disorder and allergic rhinitis. She had a strong family history of asthma. Please note she is a chronic smoker and a social drinker. Social information medical information all mixed together. Initially, on 12/3/17, Ms. Forrest presented with a complaint of diarrhea which was improved after the encouragement of electrolytes. Subsequently, Ms forest reported complaints of...

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