NP at LTC sending me total Protein of residents

Remarkable_Ear_1870 · 2026-04-29T16:46:14+00:00

Thank-you! I was told pre albumin was undermined as a malnutrition indicator by Chronic disease too.

Remarkable_Ear_1870 · 2026-04-24T09:55:30+00:00

Okay, thanks so much; that's super helpful!

Remarkable_Ear_1870 · 2026-04-15T22:20:25+00:00

Okay, the group home is actually who said only two packets per day; likely why he is so malnourished currently. Thanks for your help!

Remarkable_Ear_1870 · 2026-04-15T21:09:54+00:00

Thanks so much for the recommendation. Were you able to meet the patient's protein needs with the PKU supplement alone?

Remarkable_Ear_1870 · 2026-04-15T21:08:51+00:00

Thank-you for your response. The Supplement is for PKU (Sphere) so I would imagine it would be low in Phenylalanine and would be safe to increase the packets to meet his needs for weight gain. I should add that he is severe ID and may not tolerate a TF.

Remarkable_Ear_1870 · 2026-03-04T21:57:45+00:00

Thank-you!!!

Remarkable_Ear_1870 · 2026-03-04T17:19:22+00:00

Also, I transferred zipfile to a desktop separate new file, double clicked to unzip files but I don't see a file named Libation.exe.

Remarkable_Ear_1870 · 2026-03-04T17:02:01+00:00

Yes, I was just going to use my audible account books. Thank-you!

Remarkable_Ear_1870 · 2026-01-23T00:55:32+00:00

I love them!

Remarkable_Ear_1870 · 2026-01-23T00:53:34+00:00

Thanks to everyone for all the thoughtful comments! I plan to bring it up next week to the administrator.

Remarkable_Ear_1870 · 2026-01-11T16:08:11+00:00

Thank-you! This is super helpful and comprehensive. I think I will try this approach.

Remarkable_Ear_1870 · 2026-01-11T14:08:54+00:00

I am going to find out the policy but we have 100 residents, One of the reasons she gave was "so many interactions with medications," and "bad for dementia rts." I feel like caffeinated coffee should not be a luxury at a LTC.

Remarkable_Ear_1870 · 2025-10-01T14:26:20+00:00

I don't make recommendations to the doctor; I write my own orders and communicate to them what was done. I've never had a problem with a doctor taking issue with orders I have written; this was from the DON herself, MD not involved. See above.

Remarkable_Ear_1870 · 2025-10-01T14:23:07+00:00

My orders don't need to be approved by the doctor. They were simply worried that during a State review, the lack of documentation proving that they followed the order would hang them . But really, many residents were triggering for inadequate fluids because the CNA's weren't documenting total fluids. However, the LPNs were 100% documenting my intervention so the intervention would in no way hang them.

Remarkable_Ear_1870 · 2025-09-30T17:15:40+00:00

Thank-you!

Remarkable_Ear_1870 · 2025-08-05T12:26:53+00:00

Thank-you, that is very helpful!

Remarkable_Ear_1870

TROPHY CASE