I have not done it for a patient, but I would do that for my mom all the time. When she was in long-term care they put her on a puree diet. I was like no way. I am an RN and understand all the implications etc. I and my sister both signed a form releasing the care center from any legal issues if my mom wanted something that was not puree. Mom had Alz. disease and my theory was when mom goes I want her to be as happy as possible. If she went while eating cake or a grilled cheese so be it. That said my sister or I were there everyday for at least one meal usually supper and we both brought in numerous burgers, shakes, cookies, cakes etc and always supervised her with them. Mom loved to go to Donalds as she would call it and loved to drink soda, so once or twice a week and every weekend if mom was up to it we took her out and to eat , shop, church etc. We tried to keep her life as normal as possible. The only reason we even went to long term care was mom started having seizures and it became a safety issue. Well anyway. I don't think you did anything wrong and you made a resident very happy. Sometimes it is these things that keep them going. I always brought mom birthday cake and cupcakes etc at holidays just so she knew what time of year it was and that she was still a huge part of our lives. Yes there is a need for rules, but rules can be bent sometimes.