Height And Weight NURS 1090 PDF

Height and Weight NURS 1090 Concepts  Assessment  Metabolism  Clinical Decision Making Unit Outcome  Demonstrate the ability to safely and accurately measure height and weight.  Height and Weight  Why measure height & weight?  These measurements can reflect the patient’s overall hea...

Height and Weight NURS 1090 Concepts  Assessment  Metabolism  Clinical Decision Making Unit Outcome  Demonstrate the ability to safely and accurately measure height and weight.  Height and Weight  Why measure height & weight?  These measurements can reflect the patient’s overall health  Compare pt. readings to that of general population  Indicate probability of some disease processes  Assist in determining causes of problems  Assist in developing plan of care  Height When to measure? At HCP appointment and/or on admission to healthcare facility Actual or stated Why measure height? Estimates general health and body proportion Children graph height and weight on growth chart Older Adults loss in stature occurs with age and/or medical conditions  Measuring Height  Done with a measuring stick on wall or L-shaped sliding arm on scale  Patient to remove shoes; place clean paper towel on platform  Patient to stand straight, looking forward with heels together  Lower sliding arm until it rests on patient’s head  Conversions  Conversion factor for height:  1 inch = 2.5 cm.  Example  Height 5 foot 7 inches  67 inches  67 x 2.5 cm = 167.5 cm or 168 cm  Weight Always done on admission to health care facility Obtain baseline Normally weight varies daily Due to fluid gains/losses Daily weights are done to: Track trends Assess fluid gains and/or losses Assist in nutritional assessments Calculate medication dosages The dose for many medications is based upon the patient’s body weight in kg Accurate Weight Balance scale before each use Measurement Measure weight: Same scale Same clothing Same time of day (before breakfast is best) Empty bladder prior to weighing Remove Shoes Use paper towel on platform Weight In general Changes Weight gain more than 5 pounds (2.3 kg.) in a day can indicate FLUID Retention problems Weight loss More than 5% of body weight in a month More than 10% of body weight in 6 months Need to assess why?  Scales Chair scale Digital Scales Bed Scale  Bed Scale  Bed scale  Conversion Factor for Weight  ****1 kg = 2.2 pounds ****  1 lb. = 0.454 kg.  **Remember, your weight in kilograms is always a smaller number than your weight in pounds  How to Calculate pounds to kilograms  The patient weighs 172 pounds  172 (lbs.) 2.2 (kg)= 78.18  78.2 kg.  Weight in kilograms is ALWAYS rounded to the tenths (first decimal) place How to Use an Upright Scale  https://www.youtube.com/watch?v=b6G88qVl3m8  BMI Measurement Measure of body fat based on height and weight that applies to adult men and women.  BMI Categories:  Underweight = < 18.5  Normal weight = 18.5-24.9  Overweight = 25-29.9  Obese - BMI of 30 or greater