Foundation · Transfer · Nursing
Transfer to rehabilitation after a stroke
This case practises: Choosing which medicines to mention · Leaving out what the reader doesn't need · A clear timeline
Writing task
Today's date: 12 November 2026. You are the registered nurse on the Stroke Unit, Central City Hospital. Write a letter to Mr Samuel Adeyemi, Nurse Unit Manager, Lakeview Rehabilitation Unit, Lakeview Hospital, 2 Shore Road, Lakeview, where Mrs Delgado is being transferred today for rehabilitation. Write in full sentences, not note form, using letter format. Aim for a body of about 180–200 words.
Case notes
In the test you get 5 minutes to read, then 40 minutes to write.
Patient details - Mrs Rosa Delgado, DOB 30/01/1955 (71 y.o.) - Admitted 02/11/2026, Stroke Unit; transfer 12/11/2026 Social background - Widow; lives alone in ground-floor flat - Daughter lives nearby, visits daily - Retired primary school teacher; enjoys crosswords - Volunteers at church café Medical history - Type 2 diabetes (diet controlled) - Glaucoma - latanoprost eye drops nocte - Cataract surgery R eye 2019 - Flu vaccine given this season - Wears reading glasses; hearing normal Admission - 02/11: sudden R arm and leg weakness, slurred speech - CT/MRI: L middle cerebral artery ischaemic stroke - Arrived outside thrombolysis window - not thrombolysed - Started clopidogrel 75 mg OD, atorvastatin 80 mg nocte Current status - R arm weak (can't grip); R leg improving - Transfers with 1 assist; walks 10 m with frame + 1 assist - Swallow: speech therapist assessed - soft diet, mildly thick fluids - Mild word-finding difficulty; follows commands - Continent; skin intact - BP 128/76; blood glucose 6-9 mmol/L Medications - Clopidogrel 75 mg OD - Atorvastatin 80 mg nocte - Latanoprost 0.005% eye drop nocte - Vitamin D 1000 units OD - Full medication chart sent with patient Plan - Rehab unit: daily physio + OT; speech therapist to review swallow weekly - Continue soft diet and mildly thick fluids - Stroke clinic follow-up 15/12/2026
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Model answer Try writing your own letter first
Mr Samuel Adeyemi Nurse Unit Manager Lakeview Rehabilitation Unit Lakeview Hospital 2 Shore Road Lakeview 12 November 2026 Dear Mr Adeyemi, Re: Mrs Rosa Delgado, DOB 30/01/1955 I am writing to transfer the care of Mrs Delgado, a 71-year-old woman who had an ischaemic stroke on 2 November, to your unit today for daily physiotherapy and occupational therapy and ongoing management of her swallowing difficulty. Mrs Delgado was admitted with sudden weakness of her right arm and leg and slurred speech. Imaging confirmed a left middle cerebral artery stroke. She arrived too late for thrombolysis and was started on clopidogrel and atorvastatin, and her full medication chart accompanies her. Her type 2 diabetes is diet controlled, with blood glucose between 6 and 9 mmol/L. Her right arm remains weak, but her right leg is improving. She transfers with the help of one person and walks 10 metres with a frame and one assist. She has mild word-finding difficulty but follows commands, and she is continent. She lives alone, and her daughter visits daily. I would be grateful if you could continue her soft diet and mildly thick fluids, as recommended by the speech therapist, and arrange a weekly swallow review. She is due at the stroke clinic on 15 December. Yours sincerely, Registered Nurse Stroke Unit Central City Hospital
What the reader needs
- Ischaemic stroke (left middle cerebral artery) on 2 November
- Right arm weakness, right leg improving
- Transfers and walks with one assist and a frame
- Soft diet and mildly thick fluids
- Daily physiotherapy and occupational therapy, weekly swallow review
- Clopidogrel and atorvastatin started; medication chart sent
Details to leave out
- Former teacher and crosswords
- Church café volunteering
- Cataract surgery
- Flu vaccine
- Glasses and hearing
- Eye drops and vitamin D listed individually
One good way to write this letter, not the only one. Written by Kurippu; awaiting nurse review.