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Mim is 91 and very frail and weak and I need to weigh her daiky for fluid buildup to determine lasix dosage …she can’t stand on scale even with walker or others holding her…what to do?
My mom had Parkinson’s disease. She had awful balance. She fell quite often. Falls are terrifying. Fortunately, mom never broke anything.
Why does your mom need to weigh herself?
The doctor’s office can safely weigh her.
Overall I was satisfied with my mother’s home health organization. The one thing I disagreed with was when they wanted mom to weigh on our home scale.
I knew that my mother would fall off of the scale. The nurse insisted that she weigh even though I gave her mom’s weight from her last doctor appointment.
So, at this home health nurse’s instructions, mom let go of her walker and stepped on the scale. She was very wobbly and nearly fell.
The nurse quickly told her that it wasn’t necessary for her to weigh herself.
Home health exercises did help some with balance and strength.
What is your concern about weight? Is it fluid retention or another matter?
My mom was never large and continually lost weight as she aged. She lost her appetite.
They make very large flat scales now. She should negotiate that just fine with a walker if she is able to walk at all with a walker, as there is no step up to it really. I would try that. Take a look at options on amazon and buy one with a substantial size square and no real step up to speak of. These scales are very quick as well. If she is truly not able to stand for even seconds with hands off the walker I don't have any ideas for you. I am surprised they haven't taught you some of the ways to check for fluid retention that don't have much to do with the scales, because pitting edema and an inability to lay flat and breath easily are the hallmarks for retention.
I found this guy on YouTube, maybe you could try to rig up something similar?
https://www.youtube.com/watch?v=8jf11nhHCFA
I found another idea - digital pet scales for large pets. The cost is pretty reasonable, much less expensive that similar ones designed for wheelchair users.
So Mom has CHF. You may want to tell the doctor that she cannot stand long enough to weigh her. Sometimes they forget patients have limitations. My Dad had to be weight too and was not allowed to gain too much. I think it was a pound. Really! I gain a lb eating pasta.
Sounds like it's time to bring hospice on board. They won't worry about weighing her, but will measure her upper arm and pay attention to where she's retaining fluid and adjust her Lasix accordingly. When my husband was completely bedridden and under hospice care for the last 22 months of his life, the nurse just measured his upper arm weekly and of course she and I both watched closely for any fluid build up and frequently adjusted his Lasix according to how much fluid he was retaining, not by how much he weighed. I think you're making this harder than it has to be. Even I as my husbands caregiver knew when we needed to up his Lasix and when we didn't just by looking at his body. It's not rocket science. And the hospice nurse and I were always on the same page on this issue. Your mom is 91 and deserves to live whatever time she may have left in comfort and peace and not have to worry about what kind of scale she should be getting on when she can barely stand. Please get hospice involved and they will watch her closely and adjust her Lasix accordingly. Plus she'll benefit by them supplying any and all needed equipment, supplies and medications all covered 100% under moms Medicare. They will also send aides to bathe her at least twice a week along with a nurse once a week to start. I wish you both the very best.
Not every sick elderly person qualifies for hospice …mom didn’t last minth …hospice is not akways the go to solution people think but eventually it will be …informing now about palliative care
MHill, if we are worrying about fluid that is collecting in the lungs, not the periphery, do know it is almost impossible to catch by scale. Fluid that collects in the lower extremities and abdomen is often due to RIGHT sided heart failure. It is dramantic but less deadly than the fluid in the lungs, which is LEFT heart failure. It can't really be safely caught by scale. I have seen people with the very very serious left heart failure (and some have failure on BOTH sides) go into what is called Flash Pulmonary Edema in minutes, and be in need of IV medications at once. I agree with those suggesting you see the cardiologist with Mom and discuss what side her heart failure is on, what can be done, and if you may be in need of Hospice in future if she wishes it. CHF is Congestive Heart Failure. The treatment is what you are attempting here to monitor, but the treatment will never change the fact that the heart is failing and that cannot be fixed short of transplant, something your Mom won't be doing. I sure hope you find the right scale. Remember how important the blood draws are for potassium measurement, for while that lasix is getting some of that fluid out it is also washing out the potassium and other electrolytes crucial to life. I sure wish you both the very best.
she has had systolic heart failure(for many years) - Heart failure with reduced ejection fraction (HFrEF) happens when the left side of your heart doesn't pump blood out to the body as well as normal. It's sometimes called systolic heart failure. Cardiologist always told me to weigh her(which i do) and look at ankles/feet...
Your Mom didn't qualify for Hospice when I assume has CHF? If she is retaining water to the point without meds she could drown in her own flipuids, that does not make sense. Try another Hospice.
You can also tell water retention by pushing on her leg with a finger. If the dent stays in, she is retaining. At Moms AL they had a chair that weighted residents. Her doctor needs to know how weak she is.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
My mom had Parkinson’s disease. She had awful balance. She fell quite often. Falls are terrifying. Fortunately, mom never broke anything.
Why does your mom need to weigh herself?
The doctor’s office can safely weigh her.
Overall I was satisfied with my mother’s home health organization. The one thing I disagreed with was when they wanted mom to weigh on our home scale.
I knew that my mother would fall off of the scale. The nurse insisted that she weigh even though I gave her mom’s weight from her last doctor appointment.
So, at this home health nurse’s instructions, mom let go of her walker and stepped on the scale. She was very wobbly and nearly fell.
The nurse quickly told her that it wasn’t necessary for her to weigh herself.
Home health exercises did help some with balance and strength.
What is your concern about weight? Is it fluid retention or another matter?
My mom was never large and continually lost weight as she aged. She lost her appetite.
Why does your mom need to weigh herself?
A. Mhillwt
I need to weigh her daiky for fluid buildup to determine lasix dosage
https://www.youtube.com/watch?v=8jf11nhHCFA
I found another idea - digital pet scales for large pets. The cost is pretty reasonable, much less expensive that similar ones designed for wheelchair users.
When my husband was completely bedridden and under hospice care for the last 22 months of his life, the nurse just measured his upper arm weekly and of course she and I both watched closely for any fluid build up and frequently adjusted his Lasix according to how much fluid he was retaining, not by how much he weighed.
I think you're making this harder than it has to be. Even I as my husbands caregiver knew when we needed to up his Lasix and when we didn't just by looking at his body. It's not rocket science. And the hospice nurse and I were always on the same page on this issue.
Your mom is 91 and deserves to live whatever time she may have left in comfort and peace and not have to worry about what kind of scale she should be getting on when she can barely stand.
Please get hospice involved and they will watch her closely and adjust her Lasix accordingly. Plus she'll benefit by them supplying any and all needed equipment, supplies and medications all covered 100% under moms Medicare. They will also send aides to bathe her at least twice a week along with a nurse once a week to start.
I wish you both the very best.
I agree with those suggesting you see the cardiologist with Mom and discuss what side her heart failure is on, what can be done, and if you may be in need of Hospice in future if she wishes it. CHF is Congestive Heart Failure. The treatment is what you are attempting here to monitor, but the treatment will never change the fact that the heart is failing and that cannot be fixed short of transplant, something your Mom won't be doing.
I sure hope you find the right scale. Remember how important the blood draws are for potassium measurement, for while that lasix is getting some of that fluid out it is also washing out the potassium and other electrolytes crucial to life.
I sure wish you both the very best.
You can also tell water retention by pushing on her leg with a finger. If the dent stays in, she is retaining. At Moms AL they had a chair that weighted residents. Her doctor needs to know how weak she is.