In: Nursing
Prepare an F-DAR chart note with the following scenario;
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.
Fill the information using this chart.
Date/Time |
Discipline |
Focus |
DAR: Data, Action, Response |