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F-DAR Nursing Progress Notes Guide

The document describes two patients' conditions using the F-DAR (Focus-Data-Assessment-Response) format. For the first patient experiencing pain, data showed a pain level of 8/10, grimacing, and restlessness. Celecoxib and relaxation techniques were administered, relieving the pain. The second patient had a fever of 38.9°C; paracetamol and sponge baths were given, reducing the fever to 37.1°C. The document provides an example of using F-DAR to document patient assessments and interventions.

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jaypee
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1K views4 pages

F-DAR Nursing Progress Notes Guide

The document describes two patients' conditions using the F-DAR (Focus-Data-Assessment-Response) format. For the first patient experiencing pain, data showed a pain level of 8/10, grimacing, and restlessness. Celecoxib and relaxation techniques were administered, relieving the pain. The second patient had a fever of 38.9°C; paracetamol and sponge baths were given, reducing the fever to 37.1°C. The document provides an example of using F-DAR to document patient assessments and interventions.

Uploaded by

jaypee
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
  • F-DAR for Pain
  • F-DAR for Hyperthermia
  • Additional Variations

F-DAR for Pain

The focus of this problem is pain. Notice the way how the D, A, and R are written.

Date/Hour Focus Progress Notes

5/20/201 Pain D:

08:00pm  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

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 Focus Progress Notes

5/20/2010 Hyperthermia D:

 Temperature of 38.9 OC via axilla


8:00pm  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

R:

10:00pm

 Temperature decreased from 38.9


to 37.1 OC

Another Variation

This is DAR made by Jay-D Man of Slideshare.net. with some modifications made. This
is a very good variation.

[divider]

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= 38.9 degree celsius/axilla

F3: Fatigue

D1: less movement noted

A: 9:00am

 monitored v/s and charted


 regulated IVF and charted
 morning care done
 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.Name/Time

 M – advised SO to give the ff. meds at the right time, dose, 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, 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

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