My admission (LTC Rehab unit) last night... I get a phone call close to the end of first shift- getting a new admission. Under 50 years old. Knee surgery. My first question: Is she morbidly obese? Get told by the admissions coordinator that just because she had a knee operation doesn't mean she's obese. In fact, it was worker's comp. Okay. Therapy brings over a wheelchair. I tell them they should probably get a bigger one. They ask me if I have her weight but I didn't have the d/c summary yet and leave the regular one. She was supposed to arrive at 5, doesn't get there until 7. Hadn't eaten lunch since 1130 probably. First words out of her mouth: Where's my dinner!?"  Another resident went out for dinner so we happened to have an extra we heated up because she was NOT settling for PB & J (kitchen is closed). She wouldn't let anyone assess her until she was done scarfing her food down. NOM NOM NOM. My nurses were disgusted with the way she chewed. I didn't dare to find out. We had to have time to look for a "big girl" cuff anyways. Finally find one, and it doesn't work (It's LTC - nothing works and no we don't have money for another!). My LPN brings it to me and I bring my leg up to the desk and slap it around my upper thigh to test it but cuff was too big. I pumped it up anyways and the needle was just not working. I went to go take her BP on her lower arm instead. This was the first time I saw her... her face was so large and she was still shoving food into it. She scolded me for interrupting her feed. Sorry honey, my shift ended only 2 hours ago! This will be the last time you see an RN for any sort of assessment before 10 because our supervisor is swamped; speak now or forever hold your peace! I asked her if I could help her with anything. "My gown doesn't fit". Well no, and I should have made sure we had XXL gowns. My bad for not being prepared. We'll obviously get some for her. I NEED PAIN MEDICINE IT HURTS SO BAD. OW THIS CUFF IS HURTING ME WHY ARE YOU PUTTING IS BELOW MY ELBOW OW IT'S TOO TIGHT. THIS BED IS UNCOMFORTABLE. WHY IS THIS GOWN SO SMALL? I'M GOING TO NEED A NEW WHEELCHAIR.  My assessments... abdomen- obese- BMI 51.... nutrition- excellent. Supervisor to complete skin check because I'm checking out! She's going to be just PEACHY for her stay. Certainly not our largest; we had one 500+ lb lady fall on my tiny ward clerk when she was working as a CNA once. But she's got a personality to match her BMI.