thisissnowflake

I am a LTC nurse of one year and I am having issues with understanding some rationales behind some orders. I have an elderly dementia resident who recently fx there hip and under went surgery which in turn led to an illius. They spent a total of 2ish weeks in the hospital and upon returning it showed they had lost ~16 lbs. They started daily weights and dc'd tge residents exelon patch and started supplements. Resident isnt really wanting to eat and the family requested the exelon patch to be restarted. The PA restarted the exelon patch and changed the weights from daily to weekly. The facility is freaking out. They called me asking why we changed to weekly weights and why we restarted the exelon patch. I explained what I knew. I understand why they are concerned about the exelon patch, because common side effects are weight loss. I'm not really understanding why the daily weights seeing as how the resident doesn't have CHF or a compatible disease process. Can someone please help me understand the rationale for a daily weight for weight loss?