Occupational Therapy · Discharge letter · Intermediate

Occupational Therapy — Discharge to Community OT after Cardiac Surgery

An inpatient occupational therapist discharges a 72-year-old man to the community OT following coronary artery bypass graft surgery. The discharge letter must hand over the sternal precautions, the current ADL status, and the energy conservation programme so the community OT can continue rehabilitation at home.

Letter type

Discharge

Write to

Community Occupational Therapist

Target length

190–210 words

The case notes

Patient: Mr Patrick Sweeney, 72 years old; retired; coronary artery bypass graft (CABG x3) 10 days ago; discharged home today

Sternal precautions (12 weeks): No lifting more than 2 kg with either arm; no pushing or pulling with arms (use legs to rise from chairs); no driving for 4–6 weeks (surgeon decision); no lifting arms above shoulder height; these precautions prevent sternal wound dehiscence

ADL status: Independent in: bed transfers, dressing lower body, washing standing at sink; Assistance required: dressing upper body (shoulder movement restricted by precautions); unable to prepare hot meals independently (lifting and carrying hot items >2 kg)

Energy conservation: Fatigue is significant — taught sit-down tasks where possible, alternating rest and activity, prioritising tasks; daily step goals: 10 minutes twice daily walking increasing by 2 minutes every 3 days as tolerated

Equipment: Raised toilet seat (10 cm); long-handled sponge; dressing stick — all issued

Goal: Independent in all ADLs within sternal precautions by 6 weeks; return to light housework and cooking by 8–10 weeks

Task: Write a discharge letter to the community OT, Ms Dawn Sharpe, summarising Mr Sweeney's functional status and the sternal precautions for ongoing rehabilitation.

Writing task

Write a discharge letter to the community OT, Ms Dawn Sharpe, summarising Mr Sweeney's functional status and the sternal precautions for ongoing rehabilitation.

What to include, what to cut

The hardest mark to win is selection. The same case notes contain decision-relevant facts and distractors. Here is what an examiner expects to see in a Grade B letter for this scenario, and what should be left out.

Include

  • The sternal precautions (12 weeks): no more than 2 kg, no pushing or pulling with arms, no lifting above shoulder height

    Sternal wound dehiscence is a life-threatening complication. The community OT must know these precautions to design safe ADL activities and to avoid recommending exercises or tasks that violate them.

  • Current ADL independence: independent in lower body dressing and sink washing; needs assistance with upper body dressing; unable to prepare hot meals

    The baseline tells the community OT where the patient is and what the priority rehabilitation targets are. Hot meal preparation is the highest functional priority.

  • The energy conservation programme and the 10-minute walking progression

    Post-cardiac surgery fatigue management is a core OT role. The specific walking progression — 10 minutes twice daily, plus 2 minutes every 3 days — allows the community OT to monitor compliance and advance it at the right rate.

Leave out

  • The surgical detail of the CABG procedure

    The community OT needs the functional implications, not the cardiac surgery. 'CABG x3 10 days ago' is sufficient context.

  • Driving restriction

    A surgeon and DVLA matter, not an OT matter. A brief mention — 'surgeon has advised no driving for 4–6 weeks' — confirms it without making it an OT action.

Criterion in focus · Content

Cardiac surgery OT discharge letters are assessed on whether the sternal precautions are stated precisely and completely. A letter that says 'sternal precautions apply' without specifying the weight limit or the postural restrictions fails Content — the community OT cannot safely run an ADL programme without knowing the specific constraints.

Now write the letter — and find out what is blocking your Grade B

Write a 190–210 words discharge letter from these notes, paste it into the free checker for an instant read, then submit it for a human grade against all six criteria. Dr Mariam's team returns line-by-line feedback, from $12.

Questions about this case note

What are sternal precautions and why do they matter to an OT?
Sternal precautions are a set of movement restrictions following open-chest (sternotomy) surgery to protect the healing breastbone from dehiscence — a potentially life-threatening wound separation. They restrict arm lifting, pushing, pulling, and carrying, which affects nearly every self-care and domestic ADL. OTs design rehabilitation programmes that achieve functional independence while staying within these constraints.
How do I present energy conservation advice in a discharge letter?
State the principles taught, not the full education content: 'Energy conservation programme taught — sit-down tasks where possible, alternating rest and activity, prioritising daily tasks.' Then add the specific exercise progression so the community OT can monitor it. This is a handover, not a patient education document.

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