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Date: | Wed, 26 May 2004 10:31:55 -0700 |
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Our public health nurses use the less expensive scales most of the time - as
they are just monitoring "gross" weight changes (week to week or month to
month). However, we also have 2 of more expensive scales (one for each
Public Health Nursing office) for when I make home visits or when they are
monitoring a mom for me and are observing a feeding and doing pre-post
weight checks. The less expensive models will not measure that kind of
change (correct to 2 grams vs. correct to 7-10 grams), which we need to see
for that type of evaluation.
.and before anyone says I'm becoming too "equipment oriented" - I've been an
LC since 1985, an LLLL since 1975 and USED to think that I could evaluate
good intake by observing a feeding - until I started using the scale and
realizing how much I was missing (in both directions - thinking a baby had
gotten little, when they had gotten quite a bit, as well as thinking a baby
had swallowed quite a bit and finding only .3 oz change).
I DO NOT use this with every mom - it's not necessary! However, with these
early preemie discharges and moms with medical conditions such as PCOS, I
believe I am providing more complete information to the mom and in my
charting when I can document that on my visit on Thursday I measured .3 oz
intake and my visit on Saturday I observed and measured 1.5 oz intake,
together with my other documentation of infant appearance and behavior and
mom's evaluation and reports. (In this case a mom with a 32 week-er who was
PCOS!)
Jeanette Panchula, BSW, RN, PHN, IBCLC
I have had to change my e-mail address. It is now:
mailto:[log in to unmask]
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