Explain the process related to weight loss
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Significant weight change?
(Reweigh within 72 hours & document)
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NO
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Monitor weights and nutritional intakes
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YES
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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)
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Reassess monthly with each weight
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Continued weight loss
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Weight gain
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Analyze weight gain & care plan. Was weight gain expected?
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NO
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YES
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Unavoidable / irreversible weight loss (expected outcome)
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Assess for fluid overload
Initiate planned weight loss program if desired
Notify MD
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Document and monitor monthly
Reassess monthly
Start process over
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NO
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YES
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Continue weekly weights
Determine type of weight loss
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Review Advanced Directives. Notify MD. Review with Medical Team & family. Document on Resident's Plan of Care
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Unintended weight loss
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Expected Weight Loss (CHF, ESRD/CKD, N/V)
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Assess for dehydration
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Implement hydration protocol
Notify MD
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Notify MD/RN
Consider change in interventions
Consider significant change MDS
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Weight Management Flow Chart
