HealthWeight Management Flow Chart
A SelectSmart.com Flowchart by Nikik
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Explain the process related to weight loss

               
Significant weight change? (Reweigh within 72 hours & document)
NO
Monitor weights and nutritional intakes
 
 
 

YES








NOTIFY MD & RN DOCUMENT INTERVENTION(s): Intake study, Supplements, Weekly weights, finger foods Assess medications (MD/Pharmacy) Assess functional status (Occupational Therapy) Assess social factors (Social Work)
Reassess monthly with each weight
 
 
 









Continued weight loss
Weight gain
Analyze weight gain & care plan. Was weight gain expected?
 
 





NO

YES



Unavoidable / irreversible weight loss (expected outcome)
 
Assess for fluid overload Initiate planned weight loss program if desired Notify MD
Document and monitor monthly Reassess monthly Start process over
 

NO

YES







Continue weekly weights Determine type of weight loss
Review Advanced Directives. Notify MD. Review with Medical Team & family. Document on Resident's Plan of Care
 
 
 









Unintended weight loss
Expected Weight Loss (CHF, ESRD/CKD, N/V)
Assess for dehydration
Implement hydration protocol Notify MD
 









Notify MD/RN Consider change in interventions Consider significant change MDS