GrandMasterClassAC.38. Sithara Jayathunga - Mr Dallas Walters
The Renal Clinic Specialist
Community Health Centre
Bunbury
22 June 2011
Dear Nurse,
Re: Mr Dallas Walters, aged 51
I am referring Mr Walters, who underwent continuous ambulatory peritoneal catheter insertion
due to chronic renal failure, for continuing care and appropriate management following the
discharge today.
Mr Walters had been treated for mild chronic renal failure for four years, which worsened
recently. On 16 June 2011, he was admitted to the hospital, subsequently, continuous ambulatory
peritoneal catheterization was performed and the procedure was unremarkable.
During hospitalization, potassium level has been stable; however, continuous cardiac supervision
for a fortnight along with a low potassium diet has been recommended. Even though Mr Walters
and wife have slow progress of learning skills, education regarding the disease condition,
management of the catheter including, prevention of infections and signs of peritonitis has been
provided.
Mr Walters lives with a supportive wife who is intellectually disable. Although he has a history
of schizophrenia, currently, he is mentally stable except mild chronic delusions. The signs and
symptoms of psychosis need to be observed .He also has had type two diabetes mellitus, for
which he takes oral diabetic agents.
Based on the aforementioned circumstances, providing ongoing care and necessary assistance
would be extremely beneficial to improve Mr Walters’ health condition. A community aboriginal
worker could be arranged for reinforcement of education when needed. Nonetheless, medications
should be forwarded by a medical officer.
If any additional information is required, please do not hesitate to contact me.
Yours faithfully,
Charge Nurse
Renal Ward
Chales Gardiner Hospital