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Definition

Focus Charting of F-DAR is intended to make the client and client concerns and strengths the focus
of care. It is a method of organizing health information in an individual’s record. Focus Charting is a
systematic approach to documentation.

Focus Charting Parts
Three columns are usually used in Focus Charting for documentation:


Date and Hour
Focus
Progress Notes

The progress notes are organized into (D) data, (A) action, and (R) response, referred to as DAR
(third column).
Here is an example of a format of Focus Charting or F-DAR

Date/Hour
3/7/2010
8:00pm

Focus
Progress Notes
Focus of
 Data
care, this
 Action
may be:a
 Response
nursing
diagnosis
a sign or a
symptom
an acute
change in the
condition
behavior

Progress Notes
Data (D)

It is in this category that you would be writing your assessment cues like: vital signs. Response (R) The response category reflects the evaluation phase of the nursing process and describes the client’s response to any nursing and medical care. F-DAR for Pain The focus of this problem is pain. Date/Hour 5/20/201 08:00pm Focus Pain Progress Notes D:     Reports of sharp pain on the abdominal incision area with a pain scale of 8 out of 10 Facial grimacing Guarding behavior Restless and irritable . It may also include any changes to the plan of care. behaviors. Focus Charting (F-DAR) Samples Listed below are sample focus charting for different problems. and R are written. Both subjective and objective data are recorded in the data category. and other observations noticed from the patient. Action (A) The action category reflects the planning and implementation phase of the nursing process and includes immediate and future nursing actions. A. Notice the way how the D.The data category is like the assessment phase of the nursing process.

A:    Administered Celecoxib 200mg IV Encouraged deep breathing exercises and relaxation techniques Kept patient comfortable and safe R:  Patient reports pain was relieved F-DAR for Hyperthermia Date/Hour 5/20/2010 8:00pm Focus Progress Notes Hyperthermia D:   Temperature of 38.9 OC via axilla Skin is flushed and warm to touch A:  Tepid Sponge Bath (TSB) done 7:30pm    Administered 250mg IV Paracetamol as per doctor’s order Encouraged adequate oral fluid intake Encouraged adequate rest .

F1: Ineffective Breathing Pattern D1: increase respiratory rate of 24 cpm D2: use of accessory muscle to breath D3: presence of nonproductive cough F2: Hyperthermia D1: skin warm and flush to touched D2: increased body temperature of T= 38. This is a very good variation.9 to 37.9 degree celsius/axilla F3: Fatigue D1: less movement noted A: 9:00am    monitored v/s and charted regulated IVF and charted morning care done .net.1 OC Another Variation This is DAR made by Jay-D Man of Slideshare. with some modifications made.R: 10:00pm  Temperature decreased from 38.

Name/Time        M – advised SO to give the ff.independent) past.it also contains collaborative orders Response– Evident patient outcomes or response .statements contain objective and/or subjective information. progress towards goals. Focus– identifies the content or purpose of the narrative entry and is separated from the body of the notes in order to promote easy data retrieval and communication Data .      assessed patient needs and performed handwashing before handling the patient advised SO to always stay on patient bedside promote proper ventilation and a therapeutic environment elevated the head of the bed (moderate high back rest) provided comfort measures and provide opportunity for patient to rest due meds given 9:30am   tepid sponge bath done instructed SO to provide blanket and let patient wear loose clothing F4: Discharge Plan (12:00nn) D1: discharged order given by Dr. black fury tongue and foul odor discharges D – encouraged to eat fresh vegetables and fish S – advised to continue praying to God and hear mass on Sunday 2:00pm – out of the room per wheelchair with improved condition References/Sources: FDAR charting: Focus Data Action Response. dose. meds at the right time. Action– statements that contain nursing interventions (basic.. frequency and route E – encouraged to maintain cleanliness of the house and surroundings T – advised to go to follow-up consultations on the prescribed date H – encouraged to do chest tapping to facilitate mobilization of secretion O – observed for signs of super infections such as fever. and response to interventions. present or future.describes the patient's perspective and focuses on documenting the patient's current status. FOCUS CHARTING. perspective.

4) To provide concise entries that would not duplicate patient information already provided on flow sheet/checklist. -DON'T throw away notes with an error on them. -DON'T make or sign an entry for someone else. -DON'T write in the margin. 3) To improve time efficiency with documentation. -DO be factual and complete. -DON'T squeeze in a missed entry or “leave space” for someone else who forgot to chart.RESPONSE)should be used only as they are RELEVANT or AVAILABLE.” -DO use only approved abbreviations-DO use next available line to chart. 2) To facilitate communication among all disciplines. DO use ink. -DO document patient's current status and response to medical care and treatments.ACTION. all appropriate information should be included to ensure complete documentation Purpose of FDAR charting 1) To easily identify critical patient issues/concerns in the Progress Notes.When is FDAR necessary 5) To describe a patient problem/ focus/ concern from the care plan 6) To document an activity or treatment that was carried out 7) To document a new findings 8) To document an acute change in patient's condition 9) To identify the discipline making the entry as well as the topic of the note 10) To describe all specifics regarding patient/family teaching 11) To document a significant event or unusual episode in patient care DOCUMENTATION DO’S AND DONT’S -DO time and date all entries. -DON'T chart procedures or cares in advance. -DON'T clutter notes with repetitive or frequently changing data already charted on the flowsheet/checklist. DO use accepted chart forms. DONT’S -DON'T begin charting until you check the name and identifying number on the patient's chart on each page. Sign and initial every entry. -DO use flowsheet/ checklist. -DO record exactly what happens to patient and care given. -DON'T try to cover up a mistake or incident by inaccuracy or omission. Mark this entry as “error and-sign your name.INFORMATION FROM ALL THREE CATEGORIES (DATA. -DO write your own observations and sign your own name. -DON'T “white out” or erase an error. . Keep information on flowsheet/checklist current -DO chart as you make observations.However. -DO write legibly. -DO draw a single line thru an error. -DON'T label a patient or show bias. -DON'T change and entry because someone tells you. -DO describe patient's behavior and use direct patient quotes when appropriate.

-Indicate the date and time of entry in the first column. Action and Response on the third column.-DON'T use meaningless words and phrases. -Sign name for every time entry-Document only patient’s concern and/or plan of care e.g. GENERAL GUIDELINES -Focus charting must be evident at least once every shift. Data. Focus note written on the second column. such as “good day”or “no complaints”-DON'T use notebook paper or pencil.b. -Focus charting must be patient-oriented not nursing task-oriented. -Separate the topic words for the body of notes:a. healthteaching per shift. .