The Renal Clinical Nurse Specialist

Bunburry Community Health Centre

22 June 2011

Dear Nurse

Re: Mr Dallas Walters

Mr Dallas Walters, who underwent insertion of continous ambulatory peritoneal dialysis catheter requires continuing care and appropriate management following the discharge today.

On 16 June, Mr Walters was admitted due to the worsened chronic renal failure, uneventful procedure such as insertion of continous ambulatory peritoneal dialysis catheter, however the catheter was inserted successfully. He has been constantly cardiac monitored for two days due to hyperkalaemia. Evaluated by the mental health liason team and recorded no acute changes,but prolonged hospitalization due to the delayed learning of continous ambulatory peritoneal dialysis.

Education was provide to Mr and Mrs Walters regarding the continous ambulatory peritoneal dialysis and important of minimizing potassium intake diet.

Mr Walters a married, disability support pensioner, has a hobby of fishing.He has had mild chronic delusions, type-2 diabetes and mild chronic renal failure for the last four years respectively.

Based on the aforementioned circumstances, proper monitoring of any signs of infection and peritonitis is highly recommended, an observation for any signs of increase psychosis and referral as needed is necessary, a reinforcement by the community aboriginal health worker if required would be profoundly beneficial to cope with his health condition. If any additional information is required please do not hesitate to contact me.

Yours faithfully,

Charge Nurse

Charles Gardiner Hospital


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