Dietetics · Referral letter · Task 1

Reduced intake during head and neck treatment

You are a dietitian. The case notes below record your work on 4 September 2026. Write to Ms Elena Ross, Oncology Dietitian, Oncology Nutrition Service, 16 Station Road, Brookfield. Request oncology dietetic review, prioritising the intake and weight concerns in the notes. Select the information this recipient needs and write approximately 180-200 words in the body.

Patient: Miriam Cole

Case notes

• N01Date: 4 September 2026. Patient: Miriam Cole.
• N02Current treatment: radiotherapy for head and neck condition; eating painful; intake reduced.
• N03Weight: 54 kg today; 58 kg four weeks ago.
• N04Intake: small quantities of smooth food/drinks; avoids prolonged chewing. Three-day food record enclosed.
• N05Previous supplements: disliked taste; stopped taking them.
• N06Swallowing: no choking reported; treating team has scheduled assessment.
• N07Home: sister prepares meals; willing to join review with patient permission.
• N08Patient concern: reporting difficulties may delay cancer treatment.
• N09Explanation given: referral supports nutrition during treatment; oncology schedule decisions belong to treating team.
• N10Practical: daily hospital travel tiring; initial telephone appointment acceptable.
• N11Plan: early review by Ms Elena Ross, Oncology Dietitian; assess intake, explore acceptable options, coordinate nutrition plan with oncology; do not assume restart of same supplement.
• N12Background: formerly worked in a bakery; enjoys crossword puzzles.