2.  I did call and talk with doctor at hospital.  We discussed different options.  We have decided to have the patient eat the evening meal at the nursing home also and have her take a supplement drink such as Ensure at breakfast time.  Connie will weigh the patient once a week and I will go ahead and see the patient in one month.  We can see how she is doing at that time.  If she continues to lose weight despite eating better, then I think we will need to do further evaluation.