Care Plans: Fluid Balance Chart

Fluid Balance Form

All our patients had a Fluid Balance Form. The Form was filled in at our Nursing Home as and when required.
The form was initially filled in by the senior nurse on duty at the time of admission when it was judged to be needed.
This form is to detail the fluid intake and elimination of the patient in sufficient detail that a diagnosis can be made and the planning of the care process can begin. What fluid was taken and how often. A check on the urine is also needed, is it normal, its colour, smell or blood. Notes about the medication, special treatments and diets, specialist equipment such as a catheter and so on can be included.