FDAR

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
 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).
Date/Hour Focus Progress Notes

3/7/2010 Focus of •Data

8:00pm care, this •Action
may be: •Response
a nursing
diagnosis
a sign or a
symptom
an acute
change in
the
condition
behavior
 Progress Notes
Data (D)
The data category is like the
assessment phase of the nursing
process. It is in this category that you
would be writing your assessment
cues like: vital signs, behaviors, and
other observations noticed from the
patient. Both subjective and objective
data are recorded in the data
category.
 Progress Notes
Action (A)
The action category reflects the
planning and implementation phase
of the nursing process and includes
immediate and future nursing actions.
It may also include any changes to the
plan of care.
 Progress Notes
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.
 Date/Hou Focus Progress Notes
r
5/20/201 Pain D: Reports of sharp pain on the
08:00am abdominal incision area with a pain scale
of 8 out of 10. +Facial grimacing and
guarding behavior. The patient is restless
and irritable
A: Administered Celecoxib 200mg IV.
F-DAR for Encouraged deep breathing exercises and
Pain 10:00am relaxation techniques
R: Patient reports pain was relieved

Signature
Name
 Date/Hou Focus Progress Notes
r
5/20/201 Hyperthermia D: Temperature of 38.9 OC via axilla.
0 Skin is flushed and warm to touch
8:00pm A: Tepid Sponge Bath (TSB) done.
Administered 500mg IV Paracetamol prn
for fever as per doctor’s order.
Encouraged adequate oral fluid intake.
F-DAR for Encouraged adequate rest.
Hyperthermia 10:00pm R: Temperature decreased from 38.9 to
37.1 OC

Signature
Name
 Date/Hour Focus Progress Notes

5/21/201 Risk for D: With incision site in front of left ear

5 infection extending down and around the ear and into
8:00am neck approximately 6 inches in length,
without dressing, Jackson-Pratt drain in left
neck below ear secured in place with suture.
A: Assessed sites for signs of infection,
emptied Jackson Prat drain and maintained
F-DAR for on negative pressure, instructed patient not
Risk for to touch the incision sites, taught signs and
symptoms of infection.
infection 3:00pm R: No swelling or bleeding; bluish
discoloration left ear noted. JP drained 20
mL bloody drainage, patient states
understanding of teaching given.

Signature
Name
 Date/Hou Focus Progress Notes
r
4/20/202 Edema D: Swelling of upper extremities noted, non-
1 pitting, latest albumin level of 1.98 g/dl dated
8:00am August 3, 2015
A: Monitored intake and output strictly,
intravenous fluid regulated at 40cc/hr; followed-
up requested 50 cc Human Albumin 20%,
monitored for signs and symptoms of pulmonary
F-DAR for congestion and progression of edema, added
Edema 6:00pm Prosure and egg whites to feeding as ordered.
R: Still with swelling of upper extremities noted,
clear breath sounds noted upon auscultation, with
no signs of pulmonary congestion.

Signature
Name
 Date/Hour Focus Progress Notes

4/10/2021 Nausea D: “I feel like my stomach is filling up with

8:00pm pressure again and I’m nauseated”, abdomen
round and soft, gastrostomy bag at body level,
rare bowel sounds noted.
A: Keep gastrostomy bag lower than body
level, abdominal status monitored closely,
documented time, amount of drainage and
F-DAR for 6:00am discomfort, instructed to report for recurrence
Nausea of nausea and abdominal discomfort.
R: “I feel better now”, approximately 200 cc of
golden watery feces removed and flatus noted.

Signature
Name
 Date/Hou Focus Progress Notes
r
1/2/2021 Chest Pain D: “Gasakit ang dughan ko” with complaints chest
8:00am pain graded as 8 in a scale of 10, radiating to jaw
and relieved by rest as claimed, with BP of 90/60
mmHg, cardiac rate of 106 beats/min, synchronous
with pulse rate.
A: Instructed to maintain on complete bed rest, Dr.
Ruiz, MROD, informed, Isordil 5 mg SL given,
F-DAR for started oxygen at 2 liters /min via nasal cannula,
stat ECG taken, Troponin I taken, attached to
6:00pm
Chest Pain cardiac monitor, instructed to report progression of
chest pain.
R: Severity of pain decreased to 5/10 as claimed,
resting comfortably in bed, ECG revealed ST
elevation MI, with troponin result of 3.

Signature
Name
Date/Hou Focus Progress Notes
r
1/6/202 Decreased level D: GCS 3, no eye opening, no verbal output, and
no motor response, anisocoric pupils, with
1 of temperature of 39oC
9:00am consciousness A: Monitored neurologic status and vital signs
closely, Dr. Cruz, MROD was notified, head of the
bed at 30 degrees elevation, body maintained on
neutral position, continuous ice bath performed,
due dose of Mannitol 175 cc IV bolus given, will
closely monitor for further deterioration of
9:30am Unresponsivene neurologic status.
D: Pulse and BP unappreciated, no spontaneous
ss breathing with oxygen saturation of 89%; fixed
dilated pupils of 8mm; ventricular fibrillation
noted on the monitor.
A: High quality CPR done, Dr. Cruz, MROD seen
and examined the patient, significant others were
appraised of patient’s condition; ventilation via
bag mask at 10 liters/mi given, defibrillation at 36
joules done by Dr. Cruz, MROD, Epinephrine 1 mg
given with 3 minutes interval for 3 doses, flushed
with 20 cc normal saline and arm raised
thereafter, monitored for return of spontaneous
Date/Hou Focus Progress Notes
r
-continuation-
9:45am Asystole D: Flat line tracing on the monitor, pulse
unappreciated, patient’s family opted to stop
resuscitative measures
A: Waiver for DNR and refusal for emergency
medications secured and signed by patient’s wife,
rhythm strip taken, pronounced clinically dead by
Dr. Cruz, MROD, post mortem care done; brought
to morgue via canvass by Mr. Jose Fernandez
(Orderly on duty)

Signature
Name
 Avoid phrases like:
• “Monitored for any untoward signs
and symptoms”
• “Referred accordingly”
• “Made comfortable in bed”
• “Due meds given”
• “Provided calm and restful
environment”
Thank You!