Alfonso is a 67-year-old male. He is admitted to the hospital due to an infection. Alfonso only speaks Spanish and has trouble communicating with the healthcare staff. He has dysphagia, difficulty swallowing and must meet his nutritional needs via a tube feeding. At home, he is very self-sufficient and does his own bolus feedings. He has been in the hospital for nearly forty-eight hours. The nursing notes indicate that he has been tolerating his tube feeding well and administering it himself, however, when he meets with the dietitian, the patient admits that he has not had any tube feeding. The dietitian looks in the room and does not see any tube feeding products. The dietitian speaks with the RN and the Nurse Manager to discuss the situation.

Alfonso is a 67-year-old male. He is admitted to the hospital due to an infection. Alfonso only speaks Spanish and has trouble communicating with the healthcare staff. He has dysphagia, difficulty swallowing and must meet his nutritional needs via a tube feeding. At home, he is very self-sufficient and does his own bolus feedings. He has been in the hospital for nearly forty-eight hours. The nursing notes indicate that he has been tolerating his tube feeding well and administering it himself, however, when he meets with the dietitian, the patient admits that he has not had any tube feeding. The dietitian looks in the room and does not see any tube feeding products. The dietitian speaks with the RN and the Nurse Manager to discuss the situation.