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
Deja Vu! - I experienced a very similar scenario with a resident of a dementia unit a few years ago.The family just did not get it.She also had DJD which caused painful ambulation and she had mild dementia.The son wanted us to make her walk the halls for exercise and the daughter wanted her on a strict diet.But-THEY never set limits with her-so if we would have put her on a diet (which we did not do) they would have blown it with the Wednesday night hot fudge Sunday and the Saturday afternoon home made fudge....And the Tuesday eclairs and the Thursday donuts...But the weight gain was our fault...righto...I do not believe in strict diets for these people-food is one of their only pleasures.....I hate giving handsful of meds to 99 yr old ladies,too.....And restorative ambulating them down the hall-with max assist of 3-crying all the way...What is up with that?
Last edit by ktwlpn on Aug 5, '02