Question

Use the template to prepare an F-DAR chart note with the scenario below:

Date/Time	Discipline	Focus	DAR:     Data, Action, Response

SCENARIO A:

Mrs. Rose Tiny is a resident at Good View’s Nursing Home. She has dementia in the early stages. She takes direction well, but often must be assisted due to her memory problems. Sometimes she forgets to call for assistance when she needs to be toileted. You did her VS they are 100/68-37-64-20 and during that time, you noticed a smell. Mrs. Tiny is sitting in a geri chair by her bed. You noticed that she is a bit agitated and she started to cry. When you checked Mrs. Tiny you noticed that she was incontinent of both urine and stool. As the assigned PSW you will need to provide care for her but her care plan states she is times 2 assist in transfers..Document the care provided it is now 1400 hrs.

SCENARIO B:

At 09:30 hrs you complete your initial assessment. One of your clients Mrs. Kup is 90 years old. She had a fall at home & went for right hip surgery a week ago.

You notice that she is confused at times & she thinks she is at home. She is often trying to get out of bed to go to the bathroom. You gave her a bedpan & she voided. Her VS 140/76-88-16-36.9.. At breakfast, she refused half her meal, but she is drinking fluids as well. She said she is not hungry. Document the care provided it is now 1000 hrs.

Answer 1

F-DAR Charting:- It is a charting method which the nurses use, along with other disciplines. It help to focus on a specific problem of the patient, their concern, or event. It is a helpful charting method for nurses who have alloted a lot of patients and it is also is easier to read by other professionals & get information.

Date/Time	Discipline	Focus	DAR-Data, Action, Response
37/64/20 1400 hrs	Nursing (Dementia)	Hygiene	D- Patient is having dementia, she forgot to call for assistance when she needs to be toileted. Patient is bit agitated & started cry, after checking of patient she passed urine & stool. A-Patient is assisted to clean her skin & changing in clothes. Assist her to wear absorbent products such as pads, adult underwear or liners. Help her to apply Creams and powders in protecting skin from moisture overexposure. R- Patient gesture & facial expression shows that Patient anger & agitation reduced.
88/16/36.9 1000 hrs	Nursing	Nutritional status	D- Patient refuses to take meal & states that she is not hungry. Patient is having Loss of appetite. A- Monitor the intake & output of the patient. Ask & provide small & frequent meal to the patient. Provide a pleasant environment during eating food. Administer medication as prescribed by the physician. Provide food when she is hungry. Provide food according to like & dislikes of the patient. Clean & dry the skin of the patient after voiding. R- Help to maintain the nutritional status of the patient.