Form NDP20E "Ineffective Mood Regulation/Bipolar" - Alabama

What Is Form NDP20E?

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 NDP20E 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 NDP20E "Ineffective Mood Regulation/Bipolar" - Alabama

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NDP 20e
July 2018
NAME __________________________________________________
Ineffective Mood Regulation/Bipolar
Date
Problem
Goal/Outcome
Interventions
Date
Evaluation
NOTES
Related To:
□ Appropriate
(Address all items listed
NURSING
in “goal/outcome”
□ Current
Interactions with
1. Assess psych
column. If goal not met,
Diagnosis
others daily
functioning, including
revise plan)
□ Hx of Inpatient
□ No aggression
SI/HI _______
treatment
□ Aware of
(state frequency)
□ Family Hx
feelings
2. Assess
□ Risk for Injury
□ No harm to self
environmental factors
□ Risk for
or others
affecting behavior/sleep
violence/Self
□ Well hydrated
3. Assess I & O and
Directed or Other
□ Sleep > 5hrs
amt. of caffeine intake
Directed
QHS
4. Assess person’s
□ Ineffective
□Taking meds as
perception of problem
Coping
ordered QD
5. Other (state)
□ Poor judgment
□ VS WNL QD
□ Total Self Care
□ Other (list)
□ Other (list)
DELEGATE
1. Assistance with meds
as ordered
2. VS QD
3. Encourage ADLs;
AEB:
Monitor I & O
□Mania
4. Observe for med SE
Irritability
5. Keep environ as calm
↑ energy
as possible
Excitability
6. Monitor for:
Flight of
aggression
Ideas
insomnia
Impulsivity
lack of ADLs
Agitation
SI/HI
Date last noted
Ineffective Mood Regulation/Bipolar
NDP 20e
July 2018
NAME __________________________________________________
Ineffective Mood Regulation/Bipolar
Date
Problem
Goal/Outcome
Interventions
Date
Evaluation
NOTES
Related To:
□ Appropriate
(Address all items listed
NURSING
in “goal/outcome”
□ Current
Interactions with
1. Assess psych
column. If goal not met,
Diagnosis
others daily
functioning, including
revise plan)
□ Hx of Inpatient
□ No aggression
SI/HI _______
treatment
□ Aware of
(state frequency)
□ Family Hx
feelings
2. Assess
□ Risk for Injury
□ No harm to self
environmental factors
□ Risk for
or others
affecting behavior/sleep
violence/Self
□ Well hydrated
3. Assess I & O and
Directed or Other
□ Sleep > 5hrs
amt. of caffeine intake
Directed
QHS
4. Assess person’s
□ Ineffective
□Taking meds as
perception of problem
Coping
ordered QD
5. Other (state)
□ Poor judgment
□ VS WNL QD
□ Total Self Care
□ Other (list)
□ Other (list)
DELEGATE
1. Assistance with meds
as ordered
2. VS QD
3. Encourage ADLs;
AEB:
Monitor I & O
□Mania
4. Observe for med SE
Irritability
5. Keep environ as calm
↑ energy
as possible
Excitability
6. Monitor for:
Flight of
aggression
Ideas
insomnia
Impulsivity
lack of ADLs
Agitation
SI/HI
Date last noted
Ineffective Mood Regulation/Bipolar
NDP 20e
July 2018
Date
Problem
Goal/Outcome
Interventions
Date
Evaluation
NOTES
______________
Lack of good
□Hx of Depression
judgment
Date last noted
7. Do not argue with
__________
person
8. Redirect aggression
□Mood swings
with physical outlets:
freq _________
Punching bag
□ exhaustion
Exercise
□ dehydration
Call MAS Nurse
□ Impaired
for PRN
Judgment or
9. Other (list)
thinking
□ Sleep <4hr/night
□ Current meds
□ Other (list)
RN SIGNATURE:
DATE:
Ineffective Mood Regulation/Bipolar
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