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AD.09. Manikanta Thota - Mr Dallas Walters


Renal Clinical Nurse Specialist

Community Health Centre


22 June 2011

Dear Nurse

Re: Mr Dallas Walters, aged 51

Mr Dallas Walters, who underwent continuous ambulatory peritoneal dialysis and catheterisation for chronic renal failure. I am referring Mr Walters for continuous monitoring and appropriate management into your care facility following the discharge today.

During hospitalisation, The successful catheterisation is performed. Mr Walters and his wife are reported slow to learn management of continuous ambulatory peritoneal dialysis. Hyperkalaemia is noticed as 3.5-4.8 during discharge, so continuous cardiac monitoring is imperative. Still birth mental health liaison is present, but recently acute changes have been experienced with psychosis.

In addition, health education regarding chronic renal failure and continuous ambulatory peritoneal dialysis to the couple is highly advised, therefore, a social worker would be appreciated. Potassium rich diet is highly restricted. Observation regarding signs of elevated psychosis and referral as per requirement is suggested. Medications record is forwarded with this letter for your kind perusal.

Mr Walters has had type-2 diabetes mellitus which is well manageable on oral medications. Heavy smoking and alcohol consumption has been noticed from past three years. Family is managing on disability support pension for schizophrenia.

Based on the aforementioned circumstances, regular follow-up and expert management of Mr Walters health condition would be profoundly beneficial. In case any additional information is required, please do not hesitate to contact me.

Yours faithfully

Charge Nurse

Renal Ward

Charles Gardiner Hospital


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