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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