Published
I was going through charts at work recently (chart checks, yay!) and found that nursing students were writing A&O x 4, WDWN in their notes. Now, I knew what A&O x 4 stood for but the WDWM puzzled my colleagues and I. I've now discovered that it stands for well developed, well nourished, but it's not something I would put in my individual patient notes and it's not an abbreviation I learned in nursing school. What do you all have to say about that? Was I just sheltered as a student?
Never heard of it before. Sounds dumb though - you can't tell if someone is "well nourished" by looking at them. I've had people who were plump but very malnourished via lab results etc.
I used to see physicians use it routinely. However, it was never intended as a final, definitive pronoucement on someone's nutritional status -- it was a reference to the person's physical appearance; the client appeared "well-nourished, well-developed" (of average/typical height/weight) on initial visual inspection (i.e., nothing obviously amiss). After all, you can't say someone looks normal -- now, that's really meaningless! It was (is?) just an attempt to say something a little more useful than "client looks normal."
i too, requested a copy of an er visit and it read "OMGWAHT".
after a lot of detective work, i found out it meant "oh my gawd, what a hot tamale"...
and that this er doc was actually an escaped pt from the upstairs psych unit.
no wonder he was wearing that silly groucho disguise.
leslie:rotfl::rotfl::rotfl:
i too, requested a copy of an er visit and it read "OMGWAHT".after a lot of detective work, i found out it meant "oh my gawd, what a hot tamale"...
and that this er doc was actually an escaped pt from the upstairs psych unit.
no wonder he was wearing that silly groucho disguise.
leslie:rotfl::rotfl::rotfl:
Don't let Kolohe get wind of this :yeahthat: . . .he'll have such fun with it. :roll
When I first became a nurse, I read "House of God" . . .which had many many abbreviations not fit to print here. :imbar
steph:D
Spidey's mom, ADN, BSN, RN
11,305 Posts
I know it didn't mean fat or obese-really. . . it still bugged me.
You know middle-aged women . . they take offense at the slightest thing. 
P.S. I've seen it in physician's notes for years . . written out . . .so it was no surprise to me but to see it written about me . . . ;-)
steph