Ncs diet vs lcs diet for diabetics in nursing homes? If family request a no sugar diet is dietary at legal ris

dietary manager upset because she feels she will be cited if she does not follow the diets set up by the management co she says no such thing as no sugar. she is tired of nursing telling her what to do however there is a DR's order
Any info out there?

Most nursing homes give diabetics regular diet with no concentrated sweets. If the "responsible party" or Power of Attorney or the patient (he if is mentally competent) requests a no sugar diet then you have to abide by their wishes.It's called patient rights.As long as the physician is made aware and it is documented in the nurses notes and in the dietary notes then the dietary manager is not responsible and can not be cited.The unit manager should call the M.D. and ask him to change the diet to a no sugar and quite frankly I don't see a problem with the dietary manager calling him.Also this needs to be brought up in the next care planning meeting and addressed on the care plan.

The dietary staff has to by law follow what this Doctor 's orders say . If resident's family want for their loved one to have a different diet then they need to speak to Dr. and see if he will change the diet . I think that nursing can request different diet such as clear liquids, ( If resident is ill) but they have to notify the Dr. and that would be only for short time .. If I was manager I would check residents chart and see what diet Dr. has orders for and stick to it .