Dialysis Intake Referral Form
Before initiation of dialysis treatment for chronic kidney disease, a patient's case must be examined and assessed by a medical team.
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The Dialysis Intake Referral Form allows a physician and dietitian to document a patient's health status and justify a recommendation for dialysis treatment.
In addition to completing background health information on the patient including blood pressure and protein intake, physician lists medications and nutritional supplements used. This form offers a comprehensive list of referral criteria which allows the user to explain the reason for recommending dialysis treatment, including the nutrition intervention completed prior to completing the referral form. A medical team could use this form to effectively communicate the case of a patient being recommended for dialysis treatment in an effort to ensure the appropriate care for kidney disease patients.
Use this app in the case of chronic kidney failure to recommend the best course of action for a patient. As a hospital, identify and track medical problems that could lead to referring a patient for dialysis treatment. Promote top treatment, response, and care of clinical participants through managing medical records in this easy to use app.
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