Symptom: Weight Gain

Initial Grading Reminder

CTCAE grading of weight gain:

Grade 1 (Mild): 5 to <10% increase from baseline
Grade 2 (Moderate): 10 to <20% increase from baseline
Grade 3 (Severe): ≥20% increase from baseline

Assessment and Grading

Characterize the symptom (onset, pace)

Ask the patient:

Have you had issues with weight gain in the past? Is this a new or worsening symptom? When did it start or get worse? Has it developed gradually or suddenly? Have you recently started any new medications, OTCs, supplements, or marijuana?

Grade the symptom

Ask the patient:

How has your weight changed from baseline? Have you changed your diet recently? Your exercise routine?

Patient Query Regarding Other Symptoms/Red Flags

Ask the patient:

Are you having any difficulty swallowing? Do you feel like your heart is going real slow? Are you always cold?  Do you feel like yourself mentally (i.e., are you a bit depressed)? Is your hair dry or falling out? Your skin dry? Are you puffy?

 Do you have new or worsening shortness of breath, increased fatigue, chest pain, abdominal (belly) pain, or does your heart feel like it is racing or skipping a beat?

Patient Factors to Consider That Affect the Approach to Intervention

Consider the following in individualizing the intervention: Is the patient a good or poor historian? Any language barriers or cognitive deficits? Is the patient reliable (able to carry out treatment recommendations)? Does this patient have alcohol/substance abuse issues? Does the patient have transportation? Is there sufficient caregiver support?

  • Click Here for Telephone Triage

    Suggested Intervention

    Patients with new onset moderate or worse (or worsening) weight gain should be seen.

    Patients with any of the red-flag symptoms should be seen immediately.

  • Click Here for In-Office Triage

    Nursing Assessment of Potential Causes

    [tab category='Cardiotoxicity' header="Cardiotoxicity - Nursing Assessment" tab1='Look' tab2='Listen' tab3='Recognize'][tab category='Thyroiditis' header="Thyroiditis - Nursing Assessment" tab1='Look' tab2='Listen' tab3='Recognize']

    Differential Diagnosis

    What do you suspect is the cause of the weight gain?