Professional Documents
Culture Documents
Charting
Charting
Charting
OF
NURSING PRACTICE
PRESENTED BY:
JOMUEL T. OBIDA
SAMANTHA NICOLE T. MENDOZA
WHAT IS F-DAR CHART?
A table that nurses and other medical
professionals commonly use to track a patient's
progress. This chart helps nurses, doctors and other
specialists communicate with each other throughout
different shifts by organizing a patient's information
in a standard format.
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IMPORTANCE:
▫ F-DAR charting is important because it shows patients' current
health and progress updates in an organized document.
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What
FDAR stands for ;
is F-DAR?
▪ Focus (F)-The focus is the issue that the nurse addresses when visiting the patient. This
can be a diagnosis, pain monitoring or health lesson and patient event or concern.
▪ Data (D)- Data is the information about the patient's current status. This can include the
patient's vital signs or a noticeable change in the patient's condition or behavior
F
T
▪ Action (A)- In this section, you are going to write here what you did about the findings
you found in the data part of the note. This includes your nursing interventions (calling the
doctor, repositioning, administering pain medication etc.
▪ Response (R )-This is the response that the patient shows after receiving any
treatment. For example, this might include a change in the patient's vital signs after receiving
medication.
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What are the main parts of an F-DAR chart?
2. Focus
3. Progress notes
What does FDAR charting look like?
“
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What is SOAP chart?
This is the assessment of the patient's status
through analysis of the problem, possible
interaction of the problems, and changes in the
status of the problems. A method of documentation
employed by health care providers to write out
notes in a patient's chart, along with other common
formats, such as the admission note.
S O A P
Subjective Objective Assessment Plan
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SOAP
CHART
Subjective Objective Assessment Plan
---waist circumference Client's losing weight Refer client to a local
SOAP CHART
Feeling "deprived" =42 inches (has droppe
d 1inch) at target rate per week registered dietitian for
onself imposed diet - weight=190lb 2lb less t
han last week (1-2lb) menu planning and
-
RHR has decreased 75 Healthy food alternative
Inquired blood bpm to 70bmp since 2/1 s
0/22 Client's physical
cholesterol changes Schedule client grocery
therapist indicated
resulting from exercisin store tour to help client
g progressing to lowerbod
y-closed-chain nutritional content of
exercise.. various food
Client has.
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