{"text":"NHS Confidential: Persoral dala nbouta patient \n' www. nhstanarkshire. org.uk Community Dietetics N H S \nDepartment of Nutrition and Dietetics 14 Beckford Street ) \n01698 754800 Hamilton . \nML3 0TA Lanarkshirev \nRachel Hunt : Date Dictated: 23\/11\/2022 \nDietitian Date Typed: 19\/01\/2023 \n\u00a2+ University Hospital Monklands Ref: 42910 \nMLG 0JS . Letier Ref? \n\" CHI Barcode: H \nfwv \nw4 \nRN \nDear Rachel \nPatient Name: Patricia\u2019 Hunl \nPatient date of 12\/09\/1982 \nbirth: \nPatient Address: 22 Cuilmuir View, Croy, Glasgow, G65 9HH \nThank you for your referral of the above patient to the Community Dietetic Depanm\u00e9nt, for nutrition \nsupport. \nPMHx: Fe anaemia, gastritis, acute renal failure \nMs Hant attended Kilsyth Health Centre on the 9% November 2022 and her weight was recorded as \n46.8kg (BMI: 18.1kg\/m?) and so has been relatively stable in the Jast 3 months. - \nShe reports that she has had a cold\/virus for the last 2 weeks and migraine for a week so reduced \nappetite and not finishing meals recently. She also mentioned that she stopped taking the Terrous \nFumarate as this upset her stomach, but did confirm that she may be due for an iron infusion later this \nmonth, \nShe continues to smoke 20 cigarettes per day, but stated that she was on patches during her inpatieut \nadmission and is keen to stop, so sign-posted 1o the smoking cessation services, \nNo regular eating patterns reported and frequently misses [unch, Also estimated fluid intake of \napproximately 6,000mls per day, which is 370% of her estimated minimum fuid requirements. Ms \nHunt is aware that excess fluid and smoking will be having a significant impact on her appetite, \nAs there is scope to improve her dietary intake, I reinforced the importance of regular eating patterns \nfor general health, mood and energy levels. I also recommended that she aim for a maximum of 3 \nlitres of fluid per day and include nourishing options, such as fufl cream milk, fruit juice or smoothies \n- ingtead of water. Also to avoid caffeine drinks around mealtimes (o aid iron absorption, \nA review appointment has been arranged for the 11\u201d\u2018 January 2023, If you wish any further \ninforntation, please do not hesitate o contact me, \nYours sincerely \nKaren 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