# data[].attributes.headline
I can see that John has Heart failure which is associated with other comorbidities and will need referrals to different MDTs

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I can see that John has Heart failure which is associated with other comorbidities and will need referrals to different MDTs

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overall the hand over is okay but only worry is that the patient isn't willing to communicate, perhaps was disappoint on how his wife was taken care of before passing,   

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overall the hand over is okay but only worry is that the patient isn't willing to communicate, perhaps was disappoint on how his wife was taken care of before passing,   

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There is a lot going on with John that needs to be assessed/referral.

# data[].attributes.subject
There is a lot going on with John that needs to be assessed/referral.

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Diabetes
Heart Failure/Hypertension
Nutrition - SALT
Investigation into swallowing - Endoscopy team
Full A-E assessment
He has capacity however could be depressed due to passing of wife.
Sensitive soft approach.
any other family/home support

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John has to be referred to the MDT team due to several factors, first, we need a psychological evaluation of his state of mind, diabetes, cardiac and SALT to investigate his swallowing difficulties.

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John has to be referred to the MDT team due to several factors, first, we need a psychological evaluation of his state of mind, diabetes, cardiac and SALT to investigate his swallowing difficulties.

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befriend John to open up to me and overcome what ever misgivings he has about Health professionals which will now allow me to carry out initial assessment A-E, engage relevant professionals and then make necessary  referrals. we cannot do anything without john's participation since he has capacity.

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befriend John to open up to me and overcome what ever misgivings he has about Health professionals which will now allow me to carry out initial assessment A-E, engage relevant professionals and then make necessary  referrals. we cannot do anything without john's participation since he has capacity.

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hypertension, heart failure, John needs referral and urgent medical diagnosis

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hypertension, heart failure, John needs referral and urgent medical diagnosis

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john needs a doctor and nutrition review. he need a medicine for hypertension and need help to control his diabetes

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john needs a doctor and nutrition review. he need a medicine for hypertension and need help to control his diabetes

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Medical history of diabetes& hypertension that needs reviewing. Regular observations and assessment required. Interventions by other members of MDT eg dietician and social.

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Medical history of diabetes& hypertension that needs reviewing. Regular observations and assessment required. Interventions by other members of MDT eg dietician and social.

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John need to be assessed, observed and referral for struggling with swallowing so that they can investigate it.

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John need to be assessed, observed and referral for struggling with swallowing so that they can investigate it.

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John need to assess due to his condition  

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John need to assess due to his condition  

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John need to be observed accurately due to his condition 

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John need to be observed accurately due to his condition 

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May need referral to diabetic nurse, swallow assessment/SALT input, May need therapy referral as he recently suffer a loss, may need social input. Need to check if he is on any anti-hypertensive medications. 

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May need referral to diabetic nurse, swallow assessment/SALT input, May need therapy referral as he recently suffer a loss, may need social input. Need to check if he is on any anti-hypertensive medications. 

# data[].attributes.body
diabetes - poorly controlled look at diet as on a soft diet due to poor dental work and hard to swallow - salt assessment needed urgently
also a mental health assessment due to wife recently passing