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Update on my client's patient



 
 
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  #1  
Old September 23rd, 2003, 04:20 AM
Julianne
external usenet poster
 
Posts: n/a
Default Update on my client's patient

I went to visit my client who had the extremely obese patient today and
learned that she had died.

For those of you who do not remember, this was a 40ish year old patient who
weighed close to 500 pounds. She was physically unable to feed herself and
her family seemed to mistake food for love. I spent an afternoon with the
agency trying to come up with a decent plan of care. We even went as far as
having the family sign a contract that they would abide by the written
dietary guidelines we provided. About two days later they called asking if
perhaps we could approach the MD about having a feeding tube inserted
because they were afraid she wasn't getting enough protein. Don't go there.

The food diary mirrored the dietary guidelines and no one ever knew how the
fast food wrappers got into her bed. The patient was extremely compromised
and needed to be up in the chair to breath. When the family got adamant
that she stay up in the chair, she activated her emergency alarm and
summoned 911 to put her back to bed.

It is tragic. It is not the story of those of us on ASD but it made me sad,
all the same. She has teenage kids. Thanks to everyone who responded with
good advice on how to motivate this patient.

For what it is worth, we did have elderly protective services involved. I
likened the patient to an alcoholic who's family poured vodka down their
throat until they passed out and as soon as the patient stirred, they poured
even more never giving the patient a sober moment to consider their choices.

j


  #2  
Old September 23rd, 2003, 04:54 AM
determined
external usenet poster
 
Posts: n/a
Default Update on my client's patient

I'm so sorry to hear that. Perhaps this is a lesson for the agencies
involved on what NOT to do next time... Sometimes we are powerless, ALWAYS
powerless over others. It's not a good feeling, sometimes we have to
practice surrender. The serenity prayer certainly seems applicable here.

det

"Julianne" wrote in message
news:IZObb.2201$k74.675@lakeread05...
I went to visit my client who had the extremely obese patient today and
learned that she had died.

For those of you who do not remember, this was a 40ish year old patient

who
weighed close to 500 pounds. She was physically unable to feed herself

and
her family seemed to mistake food for love. I spent an afternoon with the
agency trying to come up with a decent plan of care. We even went as far

as
having the family sign a contract that they would abide by the written
dietary guidelines we provided. About two days later they called asking

if
perhaps we could approach the MD about having a feeding tube inserted
because they were afraid she wasn't getting enough protein. Don't go

there.

The food diary mirrored the dietary guidelines and no one ever knew how

the
fast food wrappers got into her bed. The patient was extremely

compromised
and needed to be up in the chair to breath. When the family got adamant
that she stay up in the chair, she activated her emergency alarm and
summoned 911 to put her back to bed.

It is tragic. It is not the story of those of us on ASD but it made me

sad,
all the same. She has teenage kids. Thanks to everyone who responded

with
good advice on how to motivate this patient.

For what it is worth, we did have elderly protective services involved. I
likened the patient to an alcoholic who's family poured vodka down their
throat until they passed out and as soon as the patient stirred, they

poured
even more never giving the patient a sober moment to consider their

choices.

j




  #3  
Old September 23rd, 2003, 05:20 AM
Julianne
external usenet poster
 
Posts: n/a
Default Update on my client's patient

Are you a closet nurse?

j

p.s.
"determined" wrote in message
...
I'm so sorry to hear that. Perhaps this is a lesson for the agencies
involved on what NOT to do next time... Sometimes we are powerless,

ALWAYS
powerless over others. It's not a good feeling, sometimes we have to
practice surrender. The serenity prayer certainly seems applicable here.

det

"Julianne" wrote in message
news:IZObb.2201$k74.675@lakeread05...
I went to visit my client who had the extremely obese patient today and
learned that she had died.

For those of you who do not remember, this was a 40ish year old patient

who
weighed close to 500 pounds. She was physically unable to feed herself

and
her family seemed to mistake food for love. I spent an afternoon with

the
agency trying to come up with a decent plan of care. We even went as

far
as
having the family sign a contract that they would abide by the written
dietary guidelines we provided. About two days later they called asking

if
perhaps we could approach the MD about having a feeding tube inserted
because they were afraid she wasn't getting enough protein. Don't go

there.

The food diary mirrored the dietary guidelines and no one ever knew how

the
fast food wrappers got into her bed. The patient was extremely

compromised
and needed to be up in the chair to breath. When the family got adamant
that she stay up in the chair, she activated her emergency alarm and
summoned 911 to put her back to bed.

It is tragic. It is not the story of those of us on ASD but it made me

sad,
all the same. She has teenage kids. Thanks to everyone who responded

with
good advice on how to motivate this patient.

For what it is worth, we did have elderly protective services involved.

I
likened the patient to an alcoholic who's family poured vodka down their
throat until they passed out and as soon as the patient stirred, they

poured
even more never giving the patient a sober moment to consider their

choices.

j






  #4  
Old September 23rd, 2003, 07:30 AM
Owen Lowe
external usenet poster
 
Posts: n/a
Default Update on my client's patient

In article IZObb.2201$k74.675@lakeread05,
"Julianne" wrote:

I went to visit my client who had the extremely obese patient today and
learned that she had died.


I've followed your posts about her the past few weeks - what a sad and
disturbing story. I wonder if it would be possible to have a meeting
with those medical professionals involved to try to hash out a program
for any future patients in similar situations. Is there any sort of
mandatory hospitalization or commitment to a secure facility that the
patient could have been placed?

Maybe there's nothing any of you could have done differently... she and
her family were your strongest opposition and it appears they won the
battle.
  #5  
Old September 23rd, 2003, 08:24 AM
janice
external usenet poster
 
Posts: n/a
Default Update on my client's patient

What a very sad story Julianne. I just hope that something good may
come out of the lessons that should have been learned. It seems
ironic that people who exercise their own free will to eat in fast
food outlets can then decide to sue them for feeing them unhealthy
foods, whereas no one could take action to prevent this happening
within a family.

janice
233/161/133

On Mon, 22 Sep 2003 22:20:07 -0500, "Julianne"
wrote:

I went to visit my client who had the extremely obese patient today and
learned that she had died.

For those of you who do not remember, this was a 40ish year old patient who
weighed close to 500 pounds. She was physically unable to feed herself and
her family seemed to mistake food for love. I spent an afternoon with the
agency trying to come up with a decent plan of care. We even went as far as
having the family sign a contract that they would abide by the written
dietary guidelines we provided. About two days later they called asking if
perhaps we could approach the MD about having a feeding tube inserted
because they were afraid she wasn't getting enough protein. Don't go there.

The food diary mirrored the dietary guidelines and no one ever knew how the
fast food wrappers got into her bed. The patient was extremely compromised
and needed to be up in the chair to breath. When the family got adamant
that she stay up in the chair, she activated her emergency alarm and
summoned 911 to put her back to bed.

It is tragic. It is not the story of those of us on ASD but it made me sad,
all the same. She has teenage kids. Thanks to everyone who responded with
good advice on how to motivate this patient.

For what it is worth, we did have elderly protective services involved. I
likened the patient to an alcoholic who's family poured vodka down their
throat until they passed out and as soon as the patient stirred, they poured
even more never giving the patient a sober moment to consider their choices.

j


  #6  
Old September 23rd, 2003, 12:46 PM
Beverly
external usenet poster
 
Posts: n/a
Default Update on my client's patient

This is so sad. I know how frustrating this situation was to you. I only
hope this puts into motion some changes within the involved agencies to
change their procedures for future patients in a similar situation.

Beverly

"Julianne" wrote in message
news:IZObb.2201$k74.675@lakeread05...
I went to visit my client who had the extremely obese patient today and
learned that she had died.

For those of you who do not remember, this was a 40ish year old patient

who
weighed close to 500 pounds. She was physically unable to feed herself

and
her family seemed to mistake food for love. I spent an afternoon with

the
agency trying to come up with a decent plan of care. We even went as far

as
having the family sign a contract that they would abide by the written
dietary guidelines we provided. About two days later they called asking

if
perhaps we could approach the MD about having a feeding tube inserted
because they were afraid she wasn't getting enough protein. Don't go

there.

The food diary mirrored the dietary guidelines and no one ever knew how

the
fast food wrappers got into her bed. The patient was extremely

compromised
and needed to be up in the chair to breath. When the family got adamant
that she stay up in the chair, she activated her emergency alarm and
summoned 911 to put her back to bed.

It is tragic. It is not the story of those of us on ASD but it made me

sad,
all the same. She has teenage kids. Thanks to everyone who responded

with
good advice on how to motivate this patient.

For what it is worth, we did have elderly protective services involved.

I
likened the patient to an alcoholic who's family poured vodka down their
throat until they passed out and as soon as the patient stirred, they

poured
even more never giving the patient a sober moment to consider their

choices.

j




  #7  
Old September 23rd, 2003, 01:35 PM
cplus
external usenet poster
 
Posts: n/a
Default Update on my client's patient

This is the first I've heard the story (I haven't been reading posts
religiously, just been picking and choosing through the masses) but to hear
it truly saddens me. It's so sad to hear of someone that was in such dire
need of help and support lose a battle that so urgently needed to be fought.
My heart goes out to everyone who tried their hardest to save her.


"Julianne" wrote in message
news:IZObb.2201$k74.675@lakeread05...
I went to visit my client who had the extremely obese patient today and
learned that she had died.

For those of you who do not remember, this was a 40ish year old patient

who
weighed close to 500 pounds. She was physically unable to feed herself

and
her family seemed to mistake food for love. I spent an afternoon with the
agency trying to come up with a decent plan of care. We even went as far

as
having the family sign a contract that they would abide by the written
dietary guidelines we provided. About two days later they called asking

if
perhaps we could approach the MD about having a feeding tube inserted
because they were afraid she wasn't getting enough protein. Don't go

there.

The food diary mirrored the dietary guidelines and no one ever knew how

the
fast food wrappers got into her bed. The patient was extremely

compromised
and needed to be up in the chair to breath. When the family got adamant
that she stay up in the chair, she activated her emergency alarm and
summoned 911 to put her back to bed.

It is tragic. It is not the story of those of us on ASD but it made me

sad,
all the same. She has teenage kids. Thanks to everyone who responded

with
good advice on how to motivate this patient.

For what it is worth, we did have elderly protective services involved. I
likened the patient to an alcoholic who's family poured vodka down their
throat until they passed out and as soon as the patient stirred, they

poured
even more never giving the patient a sober moment to consider their

choices.

j




  #8  
Old September 23rd, 2003, 01:55 PM
Jayjay
external usenet poster
 
Posts: n/a
Default Update on my client's patient

God, how sad - and inferiating at the same time.

Unfortunately the family is probably to ignorant to realize that they
killed their family member

On Mon, 22 Sep 2003 22:20:07 -0500, "Julianne"
wrote:

I went to visit my client who had the extremely obese patient today and
learned that she had died.

For those of you who do not remember, this was a 40ish year old patient who
weighed close to 500 pounds. She was physically unable to feed herself and
her family seemed to mistake food for love. I spent an afternoon with the
agency trying to come up with a decent plan of care. We even went as far as
having the family sign a contract that they would abide by the written
dietary guidelines we provided. About two days later they called asking if
perhaps we could approach the MD about having a feeding tube inserted
because they were afraid she wasn't getting enough protein. Don't go there.

The food diary mirrored the dietary guidelines and no one ever knew how the
fast food wrappers got into her bed. The patient was extremely compromised
and needed to be up in the chair to breath. When the family got adamant
that she stay up in the chair, she activated her emergency alarm and
summoned 911 to put her back to bed.

It is tragic. It is not the story of those of us on ASD but it made me sad,
all the same. She has teenage kids. Thanks to everyone who responded with
good advice on how to motivate this patient.

For what it is worth, we did have elderly protective services involved. I
likened the patient to an alcoholic who's family poured vodka down their
throat until they passed out and as soon as the patient stirred, they poured
even more never giving the patient a sober moment to consider their choices.

j


  #9  
Old September 23rd, 2003, 04:15 PM
determined
external usenet poster
 
Posts: n/a
Default Update on my client's patient


"Julianne" wrote in message
news:zSPbb.2256$k74.2084@lakeread05...
Are you a closet nurse?


Hmmm... No. But a born caregiver. Taking care of others has always been
second nature to me. And thinking I can fix everything and everyone...
Well, we know what THAT's called.... Anyways, my prayers are with you.

det


  #10  
Old September 24th, 2003, 02:36 AM
Chris Braun
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Posts: n/a
Default Update on my client's patient

I'm sorry about this woman's death, Julianne. It's distressing to
think that things like that happen despite the attempts to help. It
seems like such a waste.

Chris

 




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