SQ injections in emaciated pts

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I have a very frail thin 103 yr old resident. Who has practically no SQ tissue . Her skin is very loose. She gets Lovenox injections daily , and all I can grasp is loose skin. I have tried all SQ injection areas and don't know what to do. Any suggestions??

I'm confused! All of the literature I've read, included from the company itself, states that Lovenox injections are to be given ONLY in the abdomen, outside of the 2 inch area surrounding the umbelicus. Where else are you giving them?:confused:

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