Accommodating a crazed family

Specialties Geriatric

Published

What do you all think of this. I have a resident who is the sweetest, happiest, most positive lady ever. She never complains, has mild cognitive issues but can make her own choices and has NOT been deemed incompetent. My problem is her family. She has gained about 20 pounds in the year she has been with us. Weighing her in at 180#. She is non-ambulatory d/t severe OA of the knees. (Surgery is not an option) The problem is, her daughter wants us to put her on a diet. The MD has documented the weight gain does not put her at any health risk. The daughter wants to choose mom's menu via email weekly. She wants her weighed daily! Food is all this lady has left. We have a restaurant style dining room, she makes her choices at each meal. Am I the only one who feels the residents rights are being violated here? Lab values, mainly cholesterol are within normal range. When the resident is asked, she replies, "my daughter wants me to lose weight but I am 90 years old, I can eat what I want". Now this daughter has sent a letter alluding to hiring an attorney. Has requested a meeting with the care plan team on a Saturday. My DON has tried to reason with this woman, but she insists on the meeting time. Saturday at 3pm. I know the regs state you have to accommodate the family if they are unable to make the scheduled CPC, but how far do we have to go? Any thoughts? dawn

OK.... The Surveyor Speaks! The Daughter's :devil: desires are not what the resident wants. By putting this resident on a diet because the family wants is just like putting on a restraint because the family wants. :nono: Has the Physician documented no medical indication warranting a weight reduction? Has the RD reviewed her record to determine if the weight loss is warranted? :confused: In comparison to her PAST NORMAL BODY WEIGHT, what is her weight now? What would the benefits be if the resident lost weight? What would be the negative effects of the weight loss? How would the resident react to being put on a diet against her will? Let her know while you guys appreciate her concern, until the resident's health becomes a concern because of the weight, the facility cannot put a resident on a weight reduction diet at this time. :idea: Maybe coming upwith a compromise to not gain anymore would be in the best interes for all. Good Luck!

Specializes in LTC,Hospice/palliative care,acute care.

Good luck tomorrow Bandaidexpert.I can't wait to hear how it all plays out.I would not hesitate to make an anonymous call to the ombudsman if I felt that the resident's own wishes and best interests were being ignored.I do wonder what kind of childhood this daughter had-maybe this is her way of controlling her mother and "making her pay" Even though it had no bearing on how she can treat her mother at the home....Gotta love these families that make the resident a pawn....

Specializes in MDS Coordinator, CWS.

catsrule, I always appreciate your input. Yes, RD has been invloved, Yes MD has documented no medical issues secondary to weight gain. The DON, myself, SSD, Activities,and Dietary met with the resident today. She understands what her daughter wants, but cognitive issues limit recall. She goes to DR next morning and demands a danish, eggs, bacon, toast and 3 glasses of cranberry juice. I am just so ticked that our team is jumping because "lawyer' was mentioned. I will deal with it just as I do everyday, but damn.

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