A target weight procedure for disordered water balance in long-term care facilities.
1. Water intoxication is a severe complication of disordered water balance. Hyponatremia precedes water intoxication and can be identified through abnormal diurnal weight variation. 2. The St. Louis Target Weight Procedure (STWP) is a nonintrusive method that includes a client's baseline weight, frequent weights throughout the day, a target weight of 5% above the baseline weight, and restricted fluids if the target weight is exceeded. 3. The STWP was positively related to an increase in urine concentration; thus it is successful in restoring normal fluid balance.
Boyd
M A
MA
Southern Illinois University, School of Nursing, Edwardsville 62026-1066.
Williams
L
L
Evenson
R
R
Eckert
A
A
Beaman
M
M
Carr
T R
TR
D000328:Adult; D001835:Body Weight; D002940:Circadian Rhythm; D005260:Female; D006801:Humans; D008134:Long-Term Care; D008297:Male; D001523:Mental Disorders / Q000150:complications*; D008875:Middle Aged; D009730:Nursing Assessment / Q000592:standards*; D015403:Nursing Evaluation Research; D011568:Psychiatric Nursing / Q000379:methods / Q000592:standards*; D014869:Water Intoxication / Q000209:etiology / Q000451:nursing* / Q000517:prevention & control