A speech theapist made a recommendation to either place a G-tube or not feed a resident and then they contacted the resident's guardian and I'm not sure how this was explained but supposedly the guardian chose to with hold food and water, a telephone order was obtained and followed for 11 days. This resident was eating 100% of food and had no weight loss in previous 6 months and several of the nurses tried to find out why the order was obtained and by who, for what, apparently an MDS coordinater ask the attending physcian for order on the speech therapsist say so no nurses notes were charted. After following the chain of command I received no clarification and finally spoke to the resident's guardian after she returned to town she had been rushed into the decision by MDS coordinator and when an option for thickened liquids and pureed diet was offered she gladly accepted the alternative. I am writing this to assure that the hands on Nursing staff are the ones to talk with families and assure that families and guardians are well informed in these cases. Please let me know if there are other cases like this out there or if this was an isolated incident.