A nursing home resident weighed 160 lb 30 days ago and weighs 151 lb today. Using the CMS guidelines for significant weight change, how should the CDM interpret this?
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Answer: A
5.6% loss in 1 month: significant; refer to the RDN and team: Correct. (160 − 151) ÷ 160 × 100 = 5.6%. A loss of 5% or more in 1 month is significant and calls for prompt referral and care plan review.
5.6% loss in 1 month: not significant until it reaches 7.5%: Wrong. 7.5% is the 3-month threshold. The 1-month threshold is 5%.
6.0% loss in 1 month: significant; refer to the RDN and team: Wrong. 6.0% divides by the current weight (9 ÷ 151). Percent change uses the previous weight (160).
9.0% loss in 1 month: severe; begin a supplement right away: Wrong. 9 is the number of pounds lost, not the percent, and adding a supplement needs an order and assessment.
Significant weight loss (CMS): 5% in 1 month, 7.5% in 3 months, 10% in 6 months. % change = (previous − current) ÷ previous × 100.