nutrition dieticians Katie

[Guest guest]

I try not to make waves. I have seen some of the

nurses grab the wrong tray and give to a different

patient. The head dietician doesn't seem to

understand Jello isn't vegetarian, she keeps telling

me it's a dessert.Same with those Rice Krispie

marshmallow things she tosses on the try. LOL So I

finally got her to understand Jellois full of

artificial food coloring and I don't want Mom to have

it and the Rice Krispie treats get stuck on her teeth

so I think I have those 2 things off her tray for now.

I do think that would be a very hard job since each

patient seems to be on a special diet.

Donna

--- Katie Mangan <kmangan33 wrote:

 

> Donna,

>

> I'm so sorry about your mom's diet issues, its a

> ghastly problem. I was a nursing home dietitian for

> 4 years and here's the thing, the chain of command

> is so long in a nursing home (or hospital) that

> things are bound to get screwed up. The chain of

> command goes something like this.

>

> dietitian recommends diet order based on diagnosis

> and patient preference

> MD writes prescription for diet order

> Diet order is sent down to the kitchen to be

> implemented, often times this is where it gets

> sticky. The kitchen staff are generally a very low

> paid, and therefore transient staff with limited

> education. They have a hard time deviating from the

> standard diet orders (ie regular, low sodium, low

> fat, etc) even though they may be written on the

> diet card.

> This is further complicated by the fact that they

> are generally overseen by 1 dietitian who attempts

> to check every tray that goes by. (although this is

> not always the case)

> By the time the tray makes it upstairs it may not

> resemble the original diet order at all.

>

> Its a ghastly system. Writing it all down

> reminds me why I left the nursing home and went into

> the wellness/prevention end of the nutrition

> business instead. I just thought it might help you

> to see all the different hands her diet info goes

> through and therefore all the opportunities for it

> to get messed up. Hugs and good luck!

>

>

> Katie

> http://frugalveggiemama.blogspot.com

>

>

>

>

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> [Non-text portions of this message have been

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>

>

 

 

Let me sleep all night in your soul kitchen

Warm my mind near your gentle stove

Turn me out and I'll wander baby

Stumblin' in the neon groves

Source: The Doors - Soul Kitchen

 

 

 

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