Why Mei is on the list
- Record review
- Review recommended
- Unplanned hospital episodes
- 1 in the past year
- Most recent 11 Aug 2026
- Care planning
- No advance care plan
- Not on the palliative care register in this record source
1 indicator present in the record
Unplanned hospital attendance on 11 Aug 2026: Poor intake, reduced urine output, nausea and worsening oedema
Shaped after SPICT general indicator (service use) REC_ADMISSION_RECENT
Recorded 11 Aug 2026
Screening
No screening has been run for this patient.
Record review
The record supports a prompt clinical review for a goals-of-care conversation.
Prompt human review for a priorities-and-care-planning conversation is supported. 5 kg unintentional weight loss, declining renal-function results, and subsequent arrival at an acute medical unit with uraemic symptoms and fluid retention. This supports offering a careful conversation alongside active assessment, not making a outlook.
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No active advance or palliative-care plan is documented in the available snapshot, but wishes, residence, function, support network and legal planning are largely unknown.
What the record shows
Progressive symptom and functional burden
Less appetite, increasing fatigue, intermittent nausea and ankle swelling progressed to nausea affecting meals, much less activity, reduced urine output and swelling above the ankles; this warrants timely clinician review and a patient-centred discussion of priorities alongside investigation and treatment.
1 source in the record
- Eligible
GP encounters describe worsening appetite, fatigue, nausea, oedema, reduced activity and reduced urine output.
Nutritional decline
Documented unintentional weight loss together with reduced intake adds concern about declining reserve, while its cause and duration remain incompletely characterised.
1 source in the record
- Eligible
A GP observation records weight 68.1 kg and approximately 1.5 kg unintentional loss since winter; encounters describe poor appetite and nausea affecting meals.
Renal deterioration with acute-care escalation
A report records urea 13 mmol/L, creatinine 120 micromol/L and eGFR 28, followed in the snapshot by acute medical unit arrival for symptoms attributed to uraemia and fluid retention. This requires active medical assessment and makes advance discussion reasonable without assuming irreversibility.
2 sources in the record
- Eligible24 Jun 2026
The declining renal function report records urea 13 mmol/L, creatinine 120 micromol/L and eGFR 28 mL/min/1.73m².
- Eligible11 Aug 2026
Hospital attendance records arrival at the acute medical unit with poor intake, reduced urine output, nausea and worsening oedema; the clinician field identifies the renal medical team.
What they and their family want
- Telephone is recorded as the patient's contact preference.
- The patient's understanding, priorities, acceptable trade-offs and desired level of family involvement are not documented.
- Family members, carers, decision-making capacity and any proxy decision-maker are not documented.
- No legal or advance-care-planning record is present in the available snapshot; existence elsewhere is unknown.
2 sources in the record
- Eligible
Administrative observations record telephone contact preference; the snapshot does not document wishes, family views, carers, capacity, proxy decision-makers or legal planning records.
- Collection manifest
The available coverage is one successful eligible snapshot containing 35 unique resources.
Care at present
Unknown; no residence or current discharge destination is documented in the available snapshot.
Baseline function and mobility are unknown. A recent GP encounter states that the patient had become much less active, but no activities-of-daily-living or mobility assessment is documented.
- GP contacts and diagnostics are documented.
- At the latest documented attendance, the patient had arrived at an acute medical unit and the clinician field identified the renal medical team.
- Current location and status after acute medical unit arrival are unknown.
- Residence, baseline activities of daily living, mobility aids and formal care services are unknown.
- Family, unpaid-carer and other support availability are unknown.
- Medication list, established diagnoses beyond the encounter reason, treatment decisions and response are not provided.
1 source in the record
- Eligible
The snapshot documents GP and diagnostic activity, recent reduced activity, and acute medical unit arrival under a renal medical team, but lacks residence, baseline function and support-network details.
Clinical decision support only. A named clinician decides. Generated 12 Sept 2026, committed for the demonstration; wording adjusted to Cairn's language rules where the review used terms Cairn avoids.