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Pelvic Floor Risk Ass 12/10/05 3 34 pm Page 1 PromoCon Pelvic Floor Risk Assessment Tool Surname. Forename. This will serve to give guidance in future management. Comments Please refer to continence service at - SUPPORTED BY AN EDUCATIONAL GRANT FROM NEEN HEALTHCARE This Risk Assessment Tool is the property of PromoCon and should not be altered without permission 10/05. Address. D. O. B. Consultant. Hospital Number. Part 1 Antenatal Assessment To be completed at booking Date of Assessment. Professional Signature. Print Name. Tick Previous history of bladder and bowel problems including bedwetting Age 35 Body Mass Index 30 Chronic constipation - needing to strain or use laxatives Multiparity Antenatal Score Total ACTION Currently incontinent- refer to continence service. If previous history of bladder and bowel problems discuss delivery options. If score 3 make a note in antenatal records that PELVIC FLOOR IS AT RISK and review management options. Part 2 Postnatal Assessment Date of Pos....

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How to fill out the Promocon online

Completing the Promocon pelvic floor risk assessment tool online can help ensure accurate patient evaluation and management. This guide provides comprehensive and user-friendly instructions to assist users in filling out the form effectively.

Follow the steps to complete the Promocon online form.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin with the first section labeled ‘Surname’ and fill in the required surname of the individual being assessed. Follow this by entering their forename in the corresponding field.
  3. Move to the consultant’s name and the hospital number fields, completing each as per the given details.
  4. Calculate the antenatal score total based on the indicated criteria, and record any necessary actions according to the score achieved.
  5. Total the postnatal score and indicate the appropriate action based on the score range. Finally, fill in any comments as necessary.
  6. Once all information has been entered accurately, save changes to the form. You may also choose to download, print, or share the completed document as required.

Complete your Promocon pelvic floor risk assessment online today for effective evaluation and management.

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