Reasoned writings for complex contexts

SUBJECT Request for Hospital Admission for Integrated Clinical Stabilization and Therapeutic Rehabilitation

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💡To prepare this letter, the requesting client completed a detailed medical questionnaire; medical reports and key laboratory tests were analyzed; and a concise reconstruction of the clinical history was carried out. The entire process included data organization, drafting a clear and relevant text for the healthcare recipient, and final review before submission.

For an assignment of this type, the mid-range fee is €150. The price also includes any necessary adjustments based on clarification requests from the healthcare facility.

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Dear Medical Directorate,

On behalf of Mr. [First and Last Name], born [dd/mm/yyyy], residing in [City – Province], we request the activation of an integrated pathway of clinical stabilization and therapeutic rehabilitation aimed at improving glycemic control, cardiovascular condition, and nutritional status.

Clinical Profile (Summary):
The patient, 63 years old, has type 2 diabetes mellitus diagnosed in 2002 and has been insulin-dependent since 2010.
He is in a condition of marked overweight (height 1.84 m, weight 101 kg, BMI 29.8) and presents average blood pressure values of 155/95 mmHg.

The most recent laboratory results, provided by the patient, show:

• HbA1c: 9.4% (target <7%)

• Fasting glucose: 198 mg/dl

• Triglycerides: 345 mg/dl

• Total cholesterol: 265 mg/dl (HDL 38 mg/dl – LDL 176 mg/dl)

• Creatinine: 1.7 mg/dl (eGFR 48 ml/min)

• Liver enzymes GOT/GPT: 61/74 U/L

Reported complications: peripheral neuropathy of the lower limbs, diabetic retinopathy, nocturnal hypoglycemia episodes, mild chronic kidney disease.

Specific Request:
We request admission for a scheduled hospitalization in a suitable ward/facility for:

• reassessment and optimization of insulin and pharmacological therapy;

• initiation of a personalized nutritional program;

• supervised physical activity for weight reduction;

• intensive therapeutic education for diabetes management;

• integrated monitoring of metabolic, renal, and cardiovascular parameters.

It is believed that a coordinated hospital intervention, with a multidisciplinary approach (diabetologist, dietitian, physiotherapist, psychologist), may allow the patient to leave hospitalization not only clinically stabilized but also more informed and motivated to manage his condition independently—thus reducing the need for future urgent interventions.

We look forward to your kind response and remain available to provide the necessary medical documentation and any further information useful for evaluation.

Respectfully,
[Signature and contact details]