Susan Kelly-Weeder1, Meredith Kells2, Karen Jennings3, Julie Dunne4, Barbara Wolfe5. 1. 1 Susan Kelly-Weeder, PhD, FNP-BC, FAANP, Boston College, Chestnut Hill, MA, USA. 2. 2 Meredith Kells, MSN, RN, CPNP, Boston College, Chestnut Hill, MA, USA. 3. 3 Karen Jennings, PhD, RN, PMHNP-BC, University of Chicago, Chicago, IL, USA. 4. 4 Julie Dunne, MSN, RN, PMHNP-BC, Boston College, Chestnut Hill, MA, USA. 5. 5 Barbara Wolfe, PhD, RN, PMHCNS-BC, FAAN, University of Rhode Island, Kingston, RI, USA.
Abstract
BACKGROUND: Weight assessment is a key component of nursing care for individuals with the acute illness of anorexia nervosa (AN). However, there is little data to guide protocols and procedures regarding weight assessment. OBJECTIVE: To describe institutional practices regarding weight assessment of individuals during acute illness of AN. DESIGN: Treatment facilities ( N = 24) completed a survey about written protocols and procedures regarding weight assessment and disclosure of weight to patients. RESULTS: The majority of facilities ( n = 22; 92%) have written protocols for weight assessment. Weight assessments occurred mostly in the morning ( n = 23; 95.8%), in hospital gowns ( n = 21; 87.5%), and after voiding ( n = 14; 58.3%). Respondents described mixed practices for disclosing weight to patients. CONCLUSION: Results indicate widespread variability in weight assessment and disclosure of weight. Further research is necessary to help develop evidence-based guidelines about weighing practices during acute illness for individuals with AN.
BACKGROUND: Weight assessment is a key component of nursing care for individuals with the acute illness of anorexia nervosa (AN). However, there is little data to guide protocols and procedures regarding weight assessment. OBJECTIVE: To describe institutional practices regarding weight assessment of individuals during acute illness of AN. DESIGN: Treatment facilities ( N = 24) completed a survey about written protocols and procedures regarding weight assessment and disclosure of weight to patients. RESULTS: The majority of facilities ( n = 22; 92%) have written protocols for weight assessment. Weight assessments occurred mostly in the morning ( n = 23; 95.8%), in hospital gowns ( n = 21; 87.5%), and after voiding ( n = 14; 58.3%). Respondents described mixed practices for disclosing weight to patients. CONCLUSION: Results indicate widespread variability in weight assessment and disclosure of weight. Further research is necessary to help develop evidence-based guidelines about weighing practices during acute illness for individuals with AN.
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