Does protein and calorie provision need to be included in discharge instructions?

• A. Yes
• B. No
• C. It Can Be Provided If the Patient Wishes
• D. It Must Be Included for All Patients

Answer: (C)

Discharge planning for nutrition should be tailored to the patient’s individual needs and preferences. If a patient wishes to have concrete protein and calorie targets and a clear plan to meet them, those details should be included in the discharge instructions, along with any necessary resources and follow-up with a dietitian or nutrition support team. If the patient prefers not to have explicit targets or if the plan isn’t ready, provide general guidance on meeting energy and protein needs and arrange ongoing follow-up, documenting the patient’s wishes and the plan for reassessment after discharge. This patient-centered approach respects autonomy and acknowledges that some patients need detailed, specific targets while others do not. It wouldn’t be appropriate to mandate such details for all patients or to omit them universally, hence the option that it can be provided if the patient wishes is the best fit.