Tube Feedings

Michael is still receiving tube feedings (Glucerna). I discussed this with the dietitian. She said the Michael will still require the feedings until he is eating well. She said the daily feedings will be discontinued and just night feedings would be necessary. She also said that Michael would get a bolus of Glucerna after breakfast and after dinner. It is necessary to discontinue 24 hour feedings or Michael won't be hungry. The nurse came in to reattach his feedings at 5 PM, before dinner! Michael said that isn't appropriate. How would he be hungry if the feedings continue? The nurse was nice enough to tell him that she could wait until 6 or 7 PM. Michael was told night feedings mean 6PM until 6AM. I will discuss this with the clinical dietitian tomorrow, because that isn't my idea of night feeding.
This afternoon Michael's tube feeding was discontinued because he left his room for his test. When he got back from his test he was told he could eat and was given food. After he finished, the CNA came in to check his blood sugar! I told the CNA that was not appropriate, because he just ate. He would need to wait 2 hours after Michael ate to check his blood sugar. His blood sugar was high and the RN came in to give him an insulin shot. I told her that wasn't appropriate as he just finished eating and he was off his tube feeding. She agreed that his blood sugar should have been checked before he ate, but gave him the insulin anyway as it was only 3 units.
Michael was brought food for dinner. He waited until someone came to check his blood glucose because he did not want a repeat of this afternoon's fiasco. Not surprisingly, it was really low, way too low! They gave him a bolus of Glucerna.
Food was ordered from the East Side Kosher deli for dinner tonight and breakfast tomorrow, however the food Michael got wasn't from the deli. I had left some items for him so he did have something to eat. I called the Deli, they had indeed sent the food to PSL. I called the floor, they didn't know what happened to the food from the deli. I left a message for the dietitian in charge of food service at PSL and asked her to contact me in the morning.