Form NDP20H "Impaired Urinary Elimination (Incontinence)" - Alabama

What Is Form NDP20H?

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 NDP20H 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 NDP20H "Impaired Urinary Elimination (Incontinence)" - Alabama

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NDP 20h
July 2018
NAME __________________________________________________
Impaired Urinary Elimination (Incontinence)
Date
Problem
Goal/Outcome
Interventions
Date
Evaluation
NOTES
Related To:
1. Urinary
(Address all items listed
NURSING
in “goal/outcome”
□ Reflex/Bladder
incontinence <
1. Assess pattern of
column. If goal not met,
hyperactivity
3 times/week
fluid intake and
revise plan)
□ Loss of voluntary
2. Verbalize at
urination (times,
control due to
least one
amount, activities,
__________
technique to
etc.)
□ Function/
decrease
2. Palpate abd for
Decrease level of
episodes of
bladder distention
Consciousness
incontinence
______ (freq)
due to
3. Verbalize how
3. Develop bladder
___________
to use
training - urination
□ Function/Inability
absorbent
plan/schedule
to communicate
underwear as
4. Assess need for
urge to urinate
needed
bedside commode
□ Function/
5. Facilitate
Impaired physical
communication with
mobility
others as needed
□ Stress/Leakage
6. Monitor I & O
due ↑ abd
7. Other (list)
pressure
□ other (list)
DELEGATE
1. Offer bedpan/urinal/
bedside commode,
bathroom every 2-4
AEB:
hours
□ enuresis
2. Monitor I & O daily
□ involuntary
3. Assist with
dribbling
positioning as
□ other (list)
needed to facilitate
bladder emptying
4. If difficulty speaking,
establish effective
method to
Impaired Urinary Elimination/ Incontinence
NDP 20h
July 2018
NAME __________________________________________________
Impaired Urinary Elimination (Incontinence)
Date
Problem
Goal/Outcome
Interventions
Date
Evaluation
NOTES
Related To:
1. Urinary
(Address all items listed
NURSING
in “goal/outcome”
□ Reflex/Bladder
incontinence <
1. Assess pattern of
column. If goal not met,
hyperactivity
3 times/week
fluid intake and
revise plan)
□ Loss of voluntary
2. Verbalize at
urination (times,
control due to
least one
amount, activities,
__________
technique to
etc.)
□ Function/
decrease
2. Palpate abd for
Decrease level of
episodes of
bladder distention
Consciousness
incontinence
______ (freq)
due to
3. Verbalize how
3. Develop bladder
___________
to use
training - urination
□ Function/Inability
absorbent
plan/schedule
to communicate
underwear as
4. Assess need for
urge to urinate
needed
bedside commode
□ Function/
5. Facilitate
Impaired physical
communication with
mobility
others as needed
□ Stress/Leakage
6. Monitor I & O
due ↑ abd
7. Other (list)
pressure
□ other (list)
DELEGATE
1. Offer bedpan/urinal/
bedside commode,
bathroom every 2-4
AEB:
hours
□ enuresis
2. Monitor I & O daily
□ involuntary
3. Assist with
dribbling
positioning as
□ other (list)
needed to facilitate
bladder emptying
4. If difficulty speaking,
establish effective
method to
Impaired Urinary Elimination/ Incontinence
NDP 20h
July 2018
Date
Problem
Goal/Outcome
Interventions
Date
Evaluation
NOTES
communicate the
need to urinate
5. Offer/encourage
fluids at spaced
intervals – no large
amounts at one time
6. Limit fluids in the
evening/night
7. Other (list)
RN SIGNATURE:
DATE:
Impaired Urinary Elimination/ Incontinence
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