Dietary policy- vent
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This is a discussion on Dietary policy- vent in Nurse Colleague / Patient Relations, part of General Nursing ... Quick little vent. When I was sitting most recently, dietary came in to see what pt wanted for...
by RN in training Jun 29, '12Quick little vent. When I was sitting most recently, dietary came in to see what pt wanted for lunch. Pt is 350lb female. Dietary suggested several different possible meals, some of which were balanced (others of which I could buy at McDonald's). Pt wants something from several meal choices. Hamburger steak, grilled cheese, Mac and cheese, loaded baked potato, broccoli with cheese sauce (yay?) and apple cobbler with diet Pepsi and whole milk. Dietary didn't say a word, just entered it in computer. Really? Really?! No contempt for the pt because MAYBE pt doesn't know any better... But shouldn't there be something in place that pts can order one entree item, 2 veggie-ish sides and maybe a dessert and that's it? Come on. Ugh. Cheers, pt. Cheers to your next hospital-sanctioned obesity-related health crisis.
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- Jun 29, '12 by RN in trainingAlso, what is up with hotdogs, cheeseburgers, grilled cheeses, frenchfries etc being on the everyday menu for pts? I thought hospitals were here to fix health problems and promote future health. Or at the very least not contribute to health problems...
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Jun 29, '12 by MunoRNWelcome the world of HCAHPS. Even though there no actual questions on food, food quality/quantity/and options are the biggest "variable" that decide HCAHPS scores from patients (single vs double rooms is #2). Hospitals are well aware of this and are more than happy to give patients whatever food they want at any time of day and in any amount if it means good HCAHPS scores. -
Jun 29, '12 by dudette10What diet did the doctor order? That would have restricted the choices that dietary cited to the patient.TakeTwoAspirin and Not_A_Hat_Person like this. - Jun 29, '12 by RN in trainingShe's on regular diet. Is HCAHPS r/t press gainey? I'm still a NS so I haven't learned all that yet...
- Jun 29, '12 by MunoRNQuote from dudette10An ordered diet is a treatment and therefore the patient is free to refuse, making it little more than a suggestion.What diet did the doctor order? That would have restricted the choices that dietary cited to the patient.
- Jun 29, '12 by MunoRNQuote from RN in trainingPress-Gainey is one of a few certified vendors approved to collect HCAHPS data and they also have their own patient surveys that are not HCAHPS. HCAHPS is a specific set of questions CMS uses to gauge performance, Press-Gainey and other consulting companies also send out other surveys to patients to help hospitals improve both their HCAHPS scores as well as their general patient satisfaction.She's on regular diet. Is HCAHPS r/t press gainey? I'm still a NS so I haven't learned all that yet...RN in training likes this.
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- Jun 29, '12 by RN in trainingSide note: l am not a skinny person by any means- this is not a fat- hate thread :-)VivaLasViejas likes this.
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Jun 29, '12 by minnymihow mad would you be if your mother/father/child/brother who hadn't eaten in DAYS or maybe a week finally got to order what they wanted to eat. they wanted mac and cheese (a side item) mashed potatoes (side item) and mixed veggies.....NOPE! sorry! you only get two side items!
why? because someone who has lost control of their weight has to have restrictions put on how many entrees they can order?
it's frustrating to watch someone kill themself with nicotine, alcohol, or food....but there's not much anyone can do about it. thank goodness we still have the freedom to choose.Not_A_Hat_Person likes this.
