Ms.

Loretta Pasquale
Physiotherapist
Templestone District Medical Clinic
43 Anderson Street
10/11/2018

Re: Mr. George Chien, 54-year-old Comment [Office1]: 54-year-old patient

Dear Ms. Pasquale ,

I am writing this letter to refer Mr. Chien who was admitted to our hospital due to post right total knee
surgery. He is now ready to be discharged, Therefore he has to undergo physiotherapy under your care
for rehabilitation. Comment [Office2]: He is now ready to be discharged,
therefore, he needs to undergo physiotherapy
(rehabilitation) under your care.
Mr. Chien was brought to our hospital with complains of pain and swelling of his knee due to
Comment [Office3]: complaints
accumulation of fluids on his right knee, Therefore his mobility and activities of daily living has been
Comment [Office4]: on
affected. Moreover, He underwent TKR last 27/12/2017 resulting to his current condition and leading to
extreme difficulty in mobility of his right lower extremity. Comment [Office5]: insert “right”

Comment [Office6]: fluid

Whilst at the hospital, Mr. Chiens swollen knee was managed to treat by applying ice packs. Wound site Comment [Office7]: can be omitted
has no evidence of infection and has fully healed. He was commenced on Arixtra while at the hospital Comment [Office8]: Thus, his mobility and function to
and it was discontinued before he was discharged. Moreover, He was prescribed analgesics, Thyroid perform his activities of daily living has been affected.

medication and supplements, He is also able to mobilise with the aid of front-wheel walker and only Comment [Office9]: Especially his right lower extremity.

needs minimal assistance with bed mobility and independent for transfers. Comment [Office10]: Mr. Chien’s swollen knee was
managed by ice packs.

Comment [Office11]: Moreover was used before. Use
Since Mr. Chien is remarkably recovering well, He is now fit to be discharged at home and needs your
“furthermore” or “Also”
assistance in providing a comprehensive rehabilitation which would be beneficial while he is recovering,
Comment [Office12]: Use a full stop here or a period (.)
In addition please make sure that his front-wheel walker is always available for his mobilisation needs.
Comment [Office13]: Insert “a”

Comment [Office14]: Can be omitted
Please do not hesitate to contact me if you have questions about Mr. Chien.
Comment [Office15]: Small “h”

Sincerely Yours, Comment [Office16]: Insert “he”

Nurse Comment [Office17]: Use a period instead of a comma

Comment [Office18]: Insert comma here (,)
Comment [Office19]: “yours” should be lower case
Sincerely yours,
Nurse







Criteria Points
Overall Task Fulfillment 4
Appropriateness of Language 4
Comprehension of Stimulus 4
Linguistic Feature (Grammar and Cohesion) 4
Presentation Features (Spelling,punctuation and layout) 3
Total 19

Overall Comments

• Able to manage the task, but restricted in range and flexibility by lapses or errors. 


• Generally appropriate register, tone and lexis for the context, but errors are
noticeable. 


• Generally accurate understanding of stimulus material and task instructions. 


• Uses a fair range of grammatical structures. 


• Inappropriate or insufficient cohesive devices sometimes cause strain. 


• Inaccuracies in spelling and punctuation are sometimes intrusive. 


• Layout of letter is mostly appropriate. 


Grading System:

27-30. A
26-20. B
19-17 C+
16 and below C

Estimated Grade C+