Weighing a Client, Mobile and Immobile

 

A clients weight is an essential piece of data used in monitoring his response to a variety of therapies. Changes in a clients weight could necessitate an alteration in the assessment and intervention plans. An accurate weight is important, therefore, to ensure appropriate care

 

ASSESSMENT

1. Assess the clients ability to stand independently and safely on a scale. Consider factors requiring the use of a sling scale: the client is somnolent or comatose; paralyzed; too weak to stand; or unsteady when standing.

2. Determine if clothing is similar to that worn during previous weight measurement to help determine accuracy of the new weight.

Standing Scale

1. Wash hands.

2. Introduce yourself to client and explain what you would like her to do.

3. Place scale near client.

4. Turn on scale and calibrate to zero.

5. Ask client to step up on the scale and stand still (see Figure 22).

Electronic scale: Read weight after digital numbers have stopped fluctuating.

Balance scale: Slide the larger weight into the notch most closely approximating the clients weight. Slide the smaller weight to the notch such that the balance rests in the middle.Add the two numbers to read the clients weight.

6. Ask client to step down and assist client back to the bed or chair, if necessary.

7. Wipe scale with appropriate disinfectant.

8. Wash hands.