Form NDP20O "Risk for Impaired Skin Integrity" - Alabama

What Is Form NDP20O?

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 NDP20O 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 NDP20O "Risk for Impaired Skin Integrity" - Alabama

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NDP 20o
July 2018
NAME __________________________________________________
Risk for Impaired Skin Integrity
(Pressure Sores/Ulcers/Bed Sores/Decubitus)
Date
Problem
Goal/Outcome
Interventions
Date
Evaluation
NOTES
1. Skin intact
Related To:
NURSING
(Address all items
circled in “goal/
□ Current decubitus
1. Assess skin _______
outcome” column. If
____________
(freq)
goal not met, revise
(location & stage)
2. Assess awareness of
plan)
□ Immobility
sensation of pressure
□ Incontinence
3. Assess ability to
□ vascular
move
insufficiency
4. Assess bowel/bladder
□ Altered sensation
control
□ Other
5. Post turning schedule
as appropriate
6. Encourage use of
pressure relieving
AEB:
□ break in skin
devices as
□ wheel chair/bed
appropriate
bound
7. Keep skin clean, dry
□ Diagnosis of
and moisturize skin
Diabetes
as appropriate
□ Incontinent of
8. Encourage adequate
urine/bowel
nutrition and
□ Hx of radiation
hydration
□ Overweight
□ Poor circulation
DELEGATE
□ Other
1. Monitor skin daily
2. Assist with position
changing as directed
3. Keep skin clean, dry
and moisturize skin
as directed
4. Use pressure
relieving devises as
directed
Risk for Impaired Skin Integrity
NDP 20o
July 2018
NAME __________________________________________________
Risk for Impaired Skin Integrity
(Pressure Sores/Ulcers/Bed Sores/Decubitus)
Date
Problem
Goal/Outcome
Interventions
Date
Evaluation
NOTES
1. Skin intact
Related To:
NURSING
(Address all items
circled in “goal/
□ Current decubitus
1. Assess skin _______
outcome” column. If
____________
(freq)
goal not met, revise
(location & stage)
2. Assess awareness of
plan)
□ Immobility
sensation of pressure
□ Incontinence
3. Assess ability to
□ vascular
move
insufficiency
4. Assess bowel/bladder
□ Altered sensation
control
□ Other
5. Post turning schedule
as appropriate
6. Encourage use of
pressure relieving
AEB:
□ break in skin
devices as
□ wheel chair/bed
appropriate
bound
7. Keep skin clean, dry
□ Diagnosis of
and moisturize skin
Diabetes
as appropriate
□ Incontinent of
8. Encourage adequate
urine/bowel
nutrition and
□ Hx of radiation
hydration
□ Overweight
□ Poor circulation
DELEGATE
□ Other
1. Monitor skin daily
2. Assist with position
changing as directed
3. Keep skin clean, dry
and moisturize skin
as directed
4. Use pressure
relieving devises as
directed
Risk for Impaired Skin Integrity
NDP 20o
July 2018
Date
Problem
Goal/Outcome
Interventions
Date
Evaluation
NOTES
5. Monitor I & O
6. Assist with meds as
directed
7. Notify MAS Nurse of
any changes/signs of
infection
RN SIGNATURE:
DATE:
Risk for Impaired Skin Integrity
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