{"text":"NHS Confidenlial: Personal data about a patiant ' ' \nwww.nhstanarkshire. org.uk Community Dietetics N H S \nDepartment of Nutrition and Dietetics 14 Beckford Street \n01698754800 - Hamilton Nesgren, ges? \nML3 0TA Lanarkshire \nRachel Hunt Date Dictated: 09\/11\/2022 \nDietitian - Date Typed: 04\/01\/2023 \nUniversity Hospital Monklands Ref: 42638 \nML6 0JS ' Ref: PL \nLetter Ref: \nCHI Barcode: . H \nAR \n2 \n* \nDear Rachel Hunt \nPatient Name: \" Patricia Hunt \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 Department for nutrition \nsupport. . ' \nPMHzx: Iron deficiency anaemia, gastritis and acute renal failure \nMs Hunt attended Kilsyth Health Centre on 09\/11\/2022 and her weight' was\u2019 recorded as 46.8kg \n(BMI:18.1 kg\/m?) so weight stable in the fast 3 months since discharge from hospital, \nShe mentioned having cold\/virus 2 weeks ago and migraine for last 5 days and so reduced \nappetite\/smaller portions. - \nMo recent changes to medications reported. but she did state that she had stopped taking Ferrous \nFumarate as upset stomach, but may be scheduled {or an Iron infusion af the end- of this month, \ntogether with up-to-date bloods. I also note that a scope has been recommended as QFit > 400, but \nMs Hunt is not keen to schedule until renal investigations complete. \nBowels are regular \u2014 opening 1-2\/d. Stll smoking 20\/d but had been on patches as IP and keen to \nstop, so sign-posted to Smoking Cessation services, \nFrom diot history, regular breakfast and dinner, but oflen misses lunch and only occasional \nextras\/snacks\/puddings. However, excessive fluid intake as estimated intake 3,51, - = 6,514 (Coflee: \n3-4\/d, Tea - 2-3\/d, FCM - 2-3 pints\/d + water - 3L\/d), which is 340% of estimated minimum \nrequiyements. \nAs there is scope to improve dietary intake \u2014 I reinforced nourishing food and fluid options, including \nfortification, together with the importance of regular eating patterns for general health\/mood and \nenergy levels, with written information 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