Re: Weighing Difficult Pt.

[Guest guest]

I will sometimes measure the waist.

Ro

________________________________

To: rd-usa

Sent: Thu, January 20, 2011 3:06:28 PM

Subject: Weighing Difficult Pt.

 

I have an elderly, severe MR client that is in a group home setting. She is

non-ambulatory and spends her day in the bed and in a wheelchair. She is getting

harder to get an accurate weight due to excessive movement when on the scales.

Bed scales are not a consistent option. What methods are others using to

estimate body weight when standing, bed scale, and wheelchair weighing is not

giving accurate results?

[Guest guest]

2 places I work at have had to get their scales (both wheelchair scales)

re-calibrated and fixed. Is there a reason why they seem to be

unreliable???

>

>

> I have an elderly, severe MR client that is in a group home setting. She is

> non-ambulatory and spends her day in the bed and in a wheelchair. She is

> getting harder to get an accurate weight due to excessive movement when on

> the scales. Bed scales are not a consistent option. What methods are others

> using to estimate body weight when standing, bed scale, and wheelchair

> weighing is not giving accurate results?

>

>

>

--

Ortiz, MS, RD

*The FRUGAL Dietitian* <http://www.thefrugaldietitian.com>

Check out my blog: mixture of deals and nutrition

Free 8X11 Classic PhotoBook from Snapfish – just pay shipping exp.

1/22<http://thefrugaldietitian.com/?p=12932>National

Wear Red Day for Heart Disease: February 4th,

2011<http://thefrugaldietitian.com/?p=12861>

**

<http://thefrugaldietitian.com/?p=12001><http://thefrugaldietitian.com/?p=10437>\

" Nutrition

is a science, Not an Opinion survey "

[Guest guest]

Here I go again dating myself. this is from the 1990 Ross Labs Knee Height

charts.

Females 60-80 years

white females - weight(kg)=[knee height(cm) x 1.09] + [MAC (cm) x 2.68 - 65.51

estimated weight +/- 11.42 kg of actual weight for 95% of white women

black woman - weight(kg)=[knee height (cm) x 1.50] + MAC (cm) x 2.58 - 84.22

estimated weight

+/- 14.52 kg of actual weight for 95% of black women

I used this formula once on a difficult patient and it did not seem to far off

visually, it was the best I had at the time.

I am assured that there are other newer more accurate methods. another possible

source may be and again this is from 2002 www.halls.md/chasrt/height-weight. I

remember one of the schools in the DC area was doing a lot with estimating

heights and weights on multiple amputee patients back about 10 years ago. They

had a formula for height based on femur length.

Google weight estimates and see where it takes you.

Jackie Chase RD

Dillingham AK

> 2 places I work at have had to get their scales (both wheelchair scales)

> re-calibrated and fixed. Is there a reason why they seem to be

> unreliable???

>

>

>

[Guest guest]

Here I go again dating myself. this is from the 1990 Ross Labs Knee Height

charts.

Females 60-80 years

white females - weight(kg)=[knee height(cm) x 1.09] + [MAC (cm) x 2.68 - 65.51

estimated weight +/- 11.42 kg of actual weight for 95% of white women

black woman - weight(kg)=[knee height (cm) x 1.50] + MAC (cm) x 2.58 - 84.22

estimated weight

+/- 14.52 kg of actual weight for 95% of black women

I used this formula once on a difficult patient and it did not seem to far off

visually, it was the best I had at the time.

I am assured that there are other newer more accurate methods. another possible

source may be and again this is from 2002 www.halls.md/chasrt/height-weight. I

remember one of the schools in the DC area was doing a lot with estimating

heights and weights on multiple amputee patients back about 10 years ago. They

had a formula for height based on femur length.

Google weight estimates and see where it takes you.

Jackie Chase RD

Dillingham AK

> 2 places I work at have had to get their scales (both wheelchair scales)

> re-calibrated and fixed. Is there a reason why they seem to be

> unreliable???

>

>

>

[Guest guest]

We have also had the scales recalibrated - it's not the scales that are giving

us unreliable results (We have also provided staff training on proper weighing

technique). It is the fact that this pt. is in movement most of the time and

cannot be still enough to get an accurate weight - her movements are jerky and

happen consistently while on the scale.

>

> >

> >

> > I have an elderly, severe MR client that is in a group home setting. She is

> > non-ambulatory and spends her day in the bed and in a wheelchair. She is

> > getting harder to get an accurate weight due to excessive movement when on

> > the scales. Bed scales are not a consistent option. What methods are others

> > using to estimate body weight when standing, bed scale, and wheelchair

> > weighing is not giving accurate results?

> >

> >

> >

>

>

>

> --

> Ortiz, MS, RD

> *The FRUGAL Dietitian* <http://www.thefrugaldietitian.com>

> Check out my blog: mixture of deals and nutrition

> Free 8X11 Classic PhotoBook from Snapfish – just pay shipping exp.

> 1/22<http://thefrugaldietitian.com/?p=12932>National

> Wear Red Day for Heart Disease: February 4th,

> 2011<http://thefrugaldietitian.com/?p=12861>

> **

<http://thefrugaldietitian.com/?p=12001><http://thefrugaldietitian.com/?p=10437>\

" Nutrition

> is a science, Not an Opinion survey "

>

>

>

[Guest guest]

You can always just obtain a MAC.  Its not the best but at least you will have

a measurement to compare month to month.

>

>

> I have an elderly, severe MR client that is in a group home setting. She is

> non-ambulatory and spends her day in the bed and in a wheelchair. She is

> getting harder to get an accurate weight due to excessive movement when on

> the scales. Bed scales are not a consistent option. What methods are others

> using to estimate body weight when standing, bed scale, and wheelchair

> weighing is not giving accurate results?

>

> 

>

--

Ortiz, MS, RD

*The FRUGAL Dietitian* <http://www.thefrugaldietitian.com>

Check out my blog: mixture of deals and nutrition

Free 8X11 Classic PhotoBook from Snapfish – just pay shipping exp.

1/22<http://thefrugaldietitian.com/?p=12932>National

Wear Red Day for Heart Disease: February 4th,

2011<http://thefrugaldietitian.com/?p=12861>

**

<http://thefrugaldietitian.com/?p=12001><http://thefrugaldietitian.com/?p=10437>\

" Nutrition

is a science, Not an Opinion survey "

[Guest guest]

You can always just obtain a MAC.  Its not the best but at least you will have

a measurement to compare month to month.

>

>

> I have an elderly, severe MR client that is in a group home setting. She is

> non-ambulatory and spends her day in the bed and in a wheelchair. She is

> getting harder to get an accurate weight due to excessive movement when on

> the scales. Bed scales are not a consistent option. What methods are others

> using to estimate body weight when standing, bed scale, and wheelchair

> weighing is not giving accurate results?

>

> 

>

--

Ortiz, MS, RD

*The FRUGAL Dietitian* <http://www.thefrugaldietitian.com>

Check out my blog: mixture of deals and nutrition

Free 8X11 Classic PhotoBook from Snapfish – just pay shipping exp.

1/22<http://thefrugaldietitian.com/?p=12932>National

Wear Red Day for Heart Disease: February 4th,

2011<http://thefrugaldietitian.com/?p=12861>

**

<http://thefrugaldietitian.com/?p=12001><http://thefrugaldietitian.com/?p=10437>\

" Nutrition

is a science, Not an Opinion survey "

[Guest guest]

You can always just obtain a MAC.  Its not the best but at least you will have

a measurement to compare month to month.

>

>

> I have an elderly, severe MR client that is in a group home setting. She is

> non-ambulatory and spends her day in the bed and in a wheelchair. She is

> getting harder to get an accurate weight due to excessive movement when on

> the scales. Bed scales are not a consistent option. What methods are others

> using to estimate body weight when standing, bed scale, and wheelchair

> weighing is not giving accurate results?

>

> 

>

--

Ortiz, MS, RD

*The FRUGAL Dietitian* <http://www.thefrugaldietitian.com>

Check out my blog: mixture of deals and nutrition

Free 8X11 Classic PhotoBook from Snapfish – just pay shipping exp.

1/22<http://thefrugaldietitian.com/?p=12932>National

Wear Red Day for Heart Disease: February 4th,

2011<http://thefrugaldietitian.com/?p=12861>

**

<http://thefrugaldietitian.com/?p=12001><http://thefrugaldietitian.com/?p=10437>\

" Nutrition

is a science, Not an Opinion survey "