Reanal clinical nurse specialist
Bunbury Community Health Center
22 June 2011
Re:Mr Dallas Walters ,aged 51
I am referring Mr Walters who has been undergone insertion of continuous ambulatory peritoneal dialysis catheter procedure. He requires ongoing care and management from your facility following the discharge today.
On 16 June 2021,Mr Walters was admitted for the treatment of Chronic renal failure and underwent the aforementioned procedure. During hospitalization, he was hyperkalaemic for which cardiac monitoring was initiated for two days. Thogh, he has a successful catheter insertion, has a prolonged hospitalization due to Mr and Mrs Walters slow learning of CAPD management. Currently, his potassium level is normal at 4.0.
Mr Walters lives in demountable home in Bunwary caravan Park and depends on Disability support pension for schizophrenia. He has had chronic renal failure for the past four years and was recently worsened. Besides that, he has had diabetes for which he is on oral medication. Eventhough, he has mild chronic delusions, his mental status is relatively stable.
Inview of the above circumstances, regular monitoring of catheter site for any infection or signs of peritonitis is extremely beneficial. Education on low- potassium diet and the importance of contacting community aboriginal health worker to reinforce about CAPD or CRF is required for Mr and Mrs Walters. Observation for any signs of psychosis has been recommended.
If any additional information is required, please do not hesitate to contact me.