Ticket Id: 51298r

6.10.2018
Dr Elizabeth Smith

Dear Dr Smith,
Re: Mrs Alice Woot, aged 59

Thank you for accepting Mrs Woot into your care for further assessment and management for her breast
lump. Her daughter, Ms Jenny, is worried that her mother might have breast cancer. Commented [OET1]: Jenny Woot

On 6.10.2018, Mrs Woot presented to the health clinic with a hard, fixed and painless lump in her right Commented [OET2]: at
breast. There is also evidence of progression in size, as well as a bloody discharge from the nipple. Apart
from the natural medication that she takes, she started to take medication for her lump three months ago.
In addition, she initially did not want to be seen by a doctor, as she is anxious about the hospital
procedures and treatments, like radiotherapy and chemotherapy. Consequently, she opted not to undergo
a mammogram.

Additionally, she has moderate hypertension, for which she agreed to monitor her blood pressure for the
next three months. Other than that, she is physically fit and active.

In view of the above, it would be greatly appreciated if you could reassure Mrs Woot and discuss with her
about the treatment options appropriate for her condition. In order to lessen her anxiety, interactions
built on trust and empathy would be helpful. Lastly, please note that she agreed to be seen only by female
doctors.

If you require further information, please do not hesitate to contact me.

Your sincerely,
Registered Nurse
Report
Word length 218
Comments The referral letter demonstrates good covering of
the content with very advanced organisational and
linguistic skills. However, some errors in word
choice are present. Overall, it is a very well-written
letter that would benefit from further attention to
language.
Estimated Grade A
Advice 1. Pay more attention to word choice.
2. Keep up the good work!
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