C visited Rachael to see how she is getting on. Rachael told her that she feels weak and hungry. After some discussion C said to increase the amount of feed she has to 700ml to be take over seven and a half hours. C will order some 1000ml sachets for Rachael and told her not to worry about the 300ml that is wasted. She wants her to use two of the 500ml sachets that she has for the time being.
C also made a note of the amount of liquid that Rachael has during the day.
Rachael told C that she also suffers from constipation and diarrhoea. She thinks that Oramorph makes her constipated. C agreed that Rachael's medications could be causing her constipation and diarrhoea to some extent. She will contact Rachael's GP about this.
C took a list of Rachael's medications and left a feeding plan for Rachael.
C will visit Rachael again in two or three weeks time. She asked Rachael to ring her if she has any problems in the mean time.