Early morning weights to monitor CHF patient's fluid status is common practice but there is a lack of evidence that this is the best practice. The purpose of this study is to determine if there is a difference in net weight gain or loss for hospitalized patients with CHF who are weighed in the evening instead of early morning.

This is a quasi-experimental pilot study with prospective cohort design. Study subjects will be weighed in the early morning and then again in the evening for a minimum of three days. Analysis will be accomplished on data by analysis within-subjects data utilizing the paired t test. Other data to be collected includes dates of hospitalization, demographics, dose and timing of medications, lab results and documentation of comorbid conditions.

Inclusion Criteria:

• 18-85 years old
• Admitted to hospital with a primary diagnosis of heart failure or fluid overload
• Ambulatory with a medical order to be out of bed
• Able to stand on a scale
• Have no problems with balance

Exclusion Criteria:

• Patients with a primary diagnosis other than heart failure or fluid overload
• Patients diagnosed with renal failure
• Non-English speaking
• Unable to follow directions or consent due to cognitive impairment
• Medical order for bed rest
• Involved in another study

Pilot study with small sample size in one patient population.