Reference no: EM133747317

Question

The team would like you to assist in facilitating weight loss. The problem is, the patient is not truthful about their intake. They are ordering out fast food multiple times daily, having family members bring them food, and calling down to the hospital kitchen for multiple additional trays, all of which is documented by nursing, and the family admits to, but the patient denies. The hospital is in a predicament as the patient needs to be discharged, but does not want to willfully engage in behaviors which will facilitate weight loss. They are unsure of which path to take. Initially the team placed the patient on a restrictive diet. Though the patient complained he was being starved, he gained weight. The next intervention by the team was to restrict ability to phone the kitchen. and alert staff not to provide the patient with additional foods - still he gained weight. As a result, the team next decided to place him on 1:1 (meaning a member of nursing staff was constantly at his bedside). The patient complained that this was cruel, invaded his privacy, and made a complaint to patient relations. A family meeting/ goals of care discussion (GOC) was held.