I had a patient like this in homecare, he was autistic and mobile and big like this. He had seizures, that's why he had an RN. He would get violent if he didn't get what he wanted, so I was always supported by a tss worker. I have to admit that when I got pregnant I gave him non-stop candy during my shift. And when I was about 6 mo, I asked for a new placement. Not that it's excusable that the parents don't feed heir children properly, he should never have been allowed to get big enough that he could smother me to death.