FDAR

BALQUIN, SHINLY THERESE JAO

FUENTES, MARY CAROL
 FDAR CHARTING

• A method of charting nurses use, along

with other disciplines, to help focus on a
specific patient problem, concern, or
event.

• FOCUS- the subject/purpose for the note.

–The focus can be:
• Nuring diagnosis
• Event(admission, transfer, discharge
teaching, etc.)
• Patient event or concern (code blue,
vomiting, coughing)
• DATA- written in narrative form and
contains only subjective and objective
data.
–Lays the supporting evidence.

• Action- what is done about the findings

found in the data part of the note. This
includes the nursing interventions.

• Response- How the patient responded to

the action.
 08/15/18 FOCUS DATA/ACTION/RESPONSE
6AM-2PM D- Patient verbalized "sakit gyud akong tiyan",
6:00 AM ABDOMINAL with a pain scale 8 out of 10 (1 as the lowest and
PAIN 10 the highest), facial grimacing, guarding
behavior, irritable and uncomfortable.
A- Encouraged patient to do deep breathing
exercises. Required patient to apply heating
pads. Positioned patient to where he/she is
comfortable. Encouraged patient to read a book
or something that he/she finds enjoyable that
won't cause too much movements.
2:00PM R- Patient reports pain was relieved with a pain
scale from 8 out of 10 to 4/10 (1 as the lowest
and 10 the highest).
DISCHARGE PLAN (USING
METHODS)
 As discharge can be an overwhelming time for
patients and families, there is high risk for medication
errors and misunderstandings. We can help patients
make a smooth transition from the hospital to their home
or care facility by providing comprehensive and clear
information.
M = Medication
• a comprehensive discharge medication list
• detailed medication information (generic
medication name, dosage form, dose, directions,
route of administration, regular and PRN
medication)

E = Environment
• assessment of the patient's home or health care
agency needs for after discharge and contacts
that will need to be made.
T = Treatments
 teach patient or family the purpose and techniques of
any treatments and activities that need to be done

H = Health Knowledge of Disease

 teach the patient about their disease, its signs and
symptoms and when they need to call the physician for
changes in their condition
O = Outpatient/Inpatient Referrals
 Referrals made by physicians for the patient's follow up
check-up.

D = Diet
• Teach patient of what to eat in her daily intake if the
physician declared any food limits or restrictions.
• Or creating a healthy meal plan for the patient for them
to be aware of the foods to be eaten that are not allowed
in their body.

S = Spiritual
o Relating to patient's religion or religious belief.
F- DISCHARGE PLANNING

D1- Dr. Taguba

M- Cefuroxime 500mg/tablet; tablet 2x daily for 5 days

- Celecoxib 200mg/tablet; tablet 2x daily as needed for pain

E- Encouraged maintenance of cleanliness on surroundings.

T- Instructed daily bath and dry incision site.

H- Advised for lots of rest, activities to increase gradually,

and do post surgical deep breathing and coughing exercises.

O- Advised for follow-up check-up at RHU on July 11, 2018 or

anytime if with unusualities.

D- Encouraged to eat healthy foods, such as foods rich in protein.

S- Encouraged to continue praying and believing their God.