Dietetics · Referral letter · Task 2

Coeliac disease and shared kitchen barriers

You are a dietitian. The case notes below record your work on 5 September 2026. Write to Ms Priya Lane, Community Dietitian, Community Nutrition Team, 17 Station Road, Brookfield. Ask the community dietitian to review intake and the feasibility of the current plan. Select the information this recipient needs and write approximately 180-200 words in the body.

Patient: Owen Price

Case notes

• N01Date: 5 September 2026. Patient: Owen Price.
• N02Diagnosis: coeliac disease confirmed by gastroenterology; summary enclosed.
• N03Initial understanding: gluten-free diet required; bread and pasta replaced.
• N04Current barriers: shared toaster/utensils; does not check shared use; confusion over packaged-food labels.
• N05Current choices: unnecessary exclusion of several foods; limited meal range in diary; not attempting weight loss.
• N06Weight: stable over past month. No current vomiting/swallowing difficulty reported.
• N07Work: irregular shifts; often misses lunch if suitable food unavailable.
• N08Housing: shared accommodation; willing to discuss kitchen arrangements with housemates.
• N09Consent boundary: does not want employer contacted.
• N10Practical: limited budget; appointments after 16:00 Tuesdays.
• N11Plan: Ms Priya Lane, Community Dietitian; affordable shopping, labels, meal planning and shared kitchen arrangements; share agreed goals for reinforcement.
• N12Background: collects football programmes; moved to accommodation last year.