Form NDP20B "Alteration in Bowel Elimination/Constipation" - Alabama

What Is Form NDP20B?

This is a legal form that was released by the Alabama Department of Mental Health - a government authority operating within Alabama. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on July 1, 2018;
  • The latest edition provided by the Alabama Department of Mental Health;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form NDP20B by clicking the link below or browse more documents and templates provided by the Alabama Department of Mental Health.

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Download Form NDP20B "Alteration in Bowel Elimination/Constipation" - Alabama

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NDP 20b
July 2018
NAME __________________________________________________
ALTERATION IN BOWEL ELIMINATION/CONSTIPATION
Date
Problem
Goal/Outcome
Interventions
Date
Evaluation
NOTES
Related To:
(Circle all that apply)
(Address all items listed
NURSING
1. Passage of
in “goal/outcome”
(Check/circle all that
1. Initial and ongoing
column. If goal not met,
soft formed
apply)
nursing
revise plan)
□ Diagnosis of
stool
assessment/Review
(state)
according to
of Systems
normal
□ inactivity/
2. Assess VS
(T/P/R/BP)
pattern/at
immobility
________
(frequency)
least q3days
3. Assess wt. ______
2. Verbalizes no
□ inadequate fluid
(frequency)
problems
4. Assess abd for
intake/dehydration
during BM
distention at least
3. VS within
_______
(frequency)
□ medications
normal limits
5. Assess abd for
4. No impaction
bowel sounds at
□ ↓ dietary fiber
noted
least _____
(frequency)
6. Assess abd for pain
□other (
)
state
at least _____
(frequency)
7. Assess fluid and
fiber intake/ID
AEB:
factors contributing
(Check/circle all that
to constipation
apply)
□ hard formed stool
8. Plan bowel training
program
□ BM < 3XW
9. Other (
)
state
□ ↓bowel sounds
□ verbalized feeling
of rectal fullness
/pressure
Constipation
NDP 20b
July 2018
NAME __________________________________________________
ALTERATION IN BOWEL ELIMINATION/CONSTIPATION
Date
Problem
Goal/Outcome
Interventions
Date
Evaluation
NOTES
Related To:
(Circle all that apply)
(Address all items listed
NURSING
1. Passage of
in “goal/outcome”
(Check/circle all that
1. Initial and ongoing
column. If goal not met,
soft formed
apply)
nursing
revise plan)
□ Diagnosis of
stool
assessment/Review
(state)
according to
of Systems
normal
□ inactivity/
2. Assess VS
(T/P/R/BP)
pattern/at
immobility
________
(frequency)
least q3days
3. Assess wt. ______
2. Verbalizes no
□ inadequate fluid
(frequency)
problems
4. Assess abd for
intake/dehydration
during BM
distention at least
3. VS within
_______
(frequency)
□ medications
normal limits
5. Assess abd for
4. No impaction
bowel sounds at
□ ↓ dietary fiber
noted
least _____
(frequency)
6. Assess abd for pain
□other (
)
state
at least _____
(frequency)
7. Assess fluid and
fiber intake/ID
AEB:
factors contributing
(Check/circle all that
to constipation
apply)
□ hard formed stool
8. Plan bowel training
program
□ BM < 3XW
9. Other (
)
state
□ ↓bowel sounds
□ verbalized feeling
of rectal fullness
/pressure
Constipation
NDP 20b
July 2018
Date
Problem
Goal/Outcome
Interventions
Date
Evaluation
NOTES
□ verbalize
DELEGATE
straining/pain
1. Assist with meds as
during BM
ordered
2. Vital Signs
□ fecal impaction
(T/P/R/BP)
noted
3. Monitor
I&O/Elimination
□ abdominal
pattern as directed
distention
>
a. Encourage a minimum of
32 oz. of fluid/day
b. Notify MAS Nurse if no BM
□ N/V/passage of
in 3 days
liquid fecal
4. Encourage daily
seepage
exercise according
to ability
□ other (list)
5. Implement bowel
training program
Encourage/assist
with regular toileting
time
Provide privacy
Provide at least 30-
45 minutes for
toileting
Provide daily fiber
5. other (
)
state
RN SIGNATURE:
DATE:
Constipation
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