Dietetics · Referral letter · Task 3

Diabetes dietary advice complicated by food access

You are a dietitian. The case notes below record your work on 6 September 2026. Write to Ms Jo Wells, Community Dietitian, Community Dietetic Clinic, 18 Station Road, Brookfield. Request individual dietary review, distinguishing recorded information from assumptions. Select the information this recipient needs and write approximately 180-200 words in the body.

Patient: Harriet Bell

Case notes

• N01Date: 6 September 2026. Patient: Harriet Bell.
• N02Recent diagnosis: type 2 diabetes. GP medical review next week; no medication change at today's dietetic consultation.
• N03Belief: all carbohydrate must be avoided; following online plan; substantially reduced portions.
• N04Current intake: tea for breakfast; sometimes no food until evening.
• N05Home: lives alone; no car; weekly shopping with neighbour's lift; fresh food may run out.
• N06Equipment: working freezer/microwave; painful hands make lengthy preparation difficult.
• N07Support: daughter could order groceries if patient agrees.
• N08Discussion: eating plan to reflect practical circumstances and treating team's advice; patient agrees short food record.
• N09Consent: willing to discuss local food support.
• N10Plan: Ms Jo Wells, Community Dietitian; practical, affordable meals; check understanding; avoid interpreting missed meals as lack of motivation.
• N11Background: watches gardening programmes; formerly volunteered in a charity shop.