Quote from T-Bird78
I work in a specialist office but what do you do in the hospital if a pt refuses to get on the scale? It's not as big a deal with us, although I get tired of pts asking why they need to be weighed when they're seeing us for a sinus infection, but if someone's coming into the ER couldn't weight be a factor? We can document "pt refused" for the weight, or "pt states she weighs 125 lbs" but at what point, if ever, is a pt made to get on the scale? Women tell us their weight and they're typically way off, either under (in denial) by 10 pounds or over-estimating by 15-20. I know they have the right to refuse, I can cover the numbers on the scale when they're on it, and I can even have their family member stay back where they can't see the scale, but it bugs me when they cop an attitude about it. Just wondering what you all think about it. No harsh comments or judgements.
Yes, it can be a bit disconcerting not to have that data. Let me share with you why I don't get on the scale. It has nothing to do with embarrassment or ego or denial, honestly. I'm not obese either.
I was taught in Nursing school, the best time to get an accurate weight is first thing in the morning, after the patient voided or had a BM, and before they got dressed. That was how we did it in the hospital and in LTC.
There can be as much as a 4 pounds or more difference, due to clothing, shoes, eating, fluid intake, etc. so it wouldn't be accurate anyway, even if the scale was a good one.
Due to my own regimen with my doctor, he prefers that I keep track of it for accuracy due to a tricky thyroid and such.
With his endorsement, there is a certain plan that I follow which involves keeping track of weekly weights. I do that faithfully and that is what the Dr. uses, as it is more accurate.
We all know that the patient has the right to refuse. Of course, if we are dealing with someone with dicey circulation or renal issues that can be scary if they do refuse.
But rather than charting "refused," which sometimes has a negative connotation, I chart "declined".
I think too, that part of it is the privacy concern. It's too bad that they don't put scales in the treatment rooms instead. They might get more cooperation if they did.
Try not to take it personally. You are doing the best you can!