Mr. Maxwell
Dietitian
Renal Special Care Unit
Brisbane
Date:10th September 2010
Dear Mr.Maxwell
Re:Mrs.Rachel Andrewson,60 years
Thank You for accepting Mr. Maxwell who has been diagnosed as Renal Failure however maintaining on hemodialysis and hypertension. Mr. Maxwell is being referred to you for expert advice and management for nutritional requirements following the discharge today.
During hospitalisation,an emergency hemodialysis was initiated due to the underlying symptoms. After revealing found out allergies to nuts, penicillin and seafood. Enjoys eating junk foods leading to weight loss. Fluid restriction has been advised by the Nephrologist 1 liters/day, maintaining an intake and output chart. Along with sodium and potassium restriction. Protein urea and electrolyte imbalance was also noticed.
Based on the aforementioned circumstances,your expert nutritional assessment and appropriate management to fulfill the nutritional requirements of Maxwell’s health condition would be profoundly beneficial. In case any additional information is required,please do not hesitate to contact me.
Your sincerely
Charge Nurse
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