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Is there anything that can be done with the dietary dept. in a nursing rehab facility to follow a diabetic and dialysis diet. I've complained to the DON and head of the dietary dept and keep getting lip service. I have even provided a printed list of renal foods but the kitchen keeps serving unhealthy meals like a corndog and a pickel was for their dinner. This has been going on for 5 months now.

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I'd be impressed with any facility that actually provides an appropriate diet. Much of the food in my mother's nursing home looks and tastes as if it came from a typical fast-food restaurant (i.e., full of fat, grease and salt, and sometimes sugar). A dietitian there commented that they are making an effort to emphasize "comfort food" which, I suspect for many residents, is essentially junk food because I don't believe this area is known for health-consciousness (not that the area she moved from was necessarily much better!).
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Put it in writing that your elder has a restricted diet. Even so, meals get mixed up in Nursing Homes. My mother was served a taco. She had no idea what to do with it. Even my not-so-with-it brother said to me "this is cold." I said "well, of course it is; it's salsa." I then demonstrated how to eat it. Place a sign on her bedpost visible to all who serve food "DIETARY RESTRICTION."
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Were you there when they served the corn dog and pickle? Or did he tell you this. We are told all the time that my mother in law wasn't given a meal or that they just gave her some tiny thing ,but it's another story when we actually talk to the care providers.
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I would call his doctor and have him call the facility doctor and explain the situation.
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I would ask one more time, in writing sent via certified mail return receipt, directly to the facility adminstrator(s), director of nursing & director of the dietary department requesting that the person you are referencing be given a diabetic/renal diet as per doctor's orders. Give them a week or two to receive and review the letter, and then personally set up a meeting with those people to discuss the contents of the letter. Be perfectly clear with them to let them know that they WILL serve that type of diet to the person you are talking about within 48 hours, or you will file a complaint with the state Department of Health. That will light a fire under their behinds. I can guarantee you that.
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Rehab facilities and long term care facilities usually are required to employ services of registered dietitian Special diets should be part of the services for any "healthcare " facility. AL operates under different rules and widely vary from state to state.
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Eating the wrong food could be a life-threatening situation. My husband's rehab facility accommodated his dietary needs, even as far as serving him a double portion of protein because he is a large man. His lunches were often more substantial than suppers were, but I never remember a "corndog and a pickle". Even if he orders his own food, he should be given a menu that adheres to his dietary needs. Most facilities have a dietician or at least a kitchen manager. Call a Care Conference meeting (as is your right) and ask about his meals. He needs your intervention.
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In many ALs, food is served restaurant style, with the guests ordering what they want. Is this true in your loved one's facility?

It may be that they are not able to refuse a client what s/He wants.
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This is a very bad thing. Chances are that the facility doesn't have the ability to serve dialysis patients. It is inconvenient, but I would see about having the person moved to a skilled facility that will follow the diet plan.
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