DAR charting

jmgrn65, RN · Feb 22, 2006

we use dart charting

D- data vital signs pt c/o's

A-action what you do for the pt, pain pills etc

R-response pt response pain pill effective?

T-teaching any teaching you did.

Does this help

Thunderwolf, MSN, RN · Feb 22, 2006

Moved to General Nursing Discussion forum.

zacarias, ASN, RN · Feb 23, 2006

I remember learning DAR and SOAP...I never got it perfect the first time according to my instructors....since then no supervisor/employer/colleague has ever complaines **knock on wood**

loramae32 · Jan 28, 2008

Hi there, I am hoping someone can tell me if this looks right for a DAR. I'm in my first semester of nursing and I'm so confused and I have to do my first skin/respiratory assessment and DAR with nursing diagnosis write up and have no idea if it's close to right. We have to make up our own each assessment, skin and respiratory has to include a normal geriatric variation and a regular abnormal variation.

Skin:

D - "I broke my wrist when I feel down a flight of stairs." Hair: loss of pigment, oily. Blanching: WNL, wrinkles around oral cavity, eyes, acrochordons right, left arms, hands, letigines right, left hand, skin: dry, petichiae right/left ankle, reduced tugor, edema 2, casted wrist dry, warm

A - Educate client about using emolient for dry skin, hydration, hair care for oiliness, sunscreen

R - Continue to monitor casted wrist, monitor input/output, continue to monitor vitals

Home Health Columnist / Guide · Jan 28, 2008

Your on the right track...

Cast impedes movement/circulation---include neurovascular assessment.

What about pain statements pre and post medication?

Response to pain mgmt, positioning, use of pillows to elevate extremity +decrease edema

Teaching regarding pain managment, s+s compromised circulation to report, along with cast care

Daytonite, BSN, RN · Jan 28, 2008

hi, jgookin, and welcome to allnurses!

elkpark · Jan 28, 2008

Hi there, I am hoping someone can tell me if this looks right for a DAR. I'm in my first semester of nursing and I'm so confused and I have to do my first skin/respiratory assessment and DAR with nursing diagnosis write up and have no idea if it's close to right. We have to make up our own each assessment, skin and respiratory has to include a normal geriatric variation and a regular abnormal variation.
Skin:
D - "I broke my wrist when I feel down a flight of stairs." Hair: loss of pigment, oily. Blanching: WNL, wrinkles around oral cavity, eyes, acrochordons right, left arms, hands, letigines right, left hand, skin: dry, petichiae right/left ankle, reduced tugor, edema 2, casted wrist dry, warm
A - Educate client about using emolient for dry skin, hydration, hair care for oiliness, sunscreen
R - Continue to monitor casted wrist, monitor input/output, continue to monitor vitals

In my experience of DAR charting, the "R" stands for "response" (the client's response to your actions listed under the "A"). The "R" section in your note doesn't sound like a client response -- it sounds like more nursing actions. Also, your "A" actions sound like future-tense actions, not what you have already done for the client (that's not wrong, but, if you only list future actions, it's hard to describe a client's response to things you haven't done yet). If, for example, your "A" section included that you had educated the client about increasing hydration and monitoring I/O, your "R" section might say that the client agreed to drink more water and to use the "hat" in her/his bathroom when voiding. If your "A" section included that you had medicated the client for pain (or a prn medication for any other reason), your "R" section would include something about how effective the medication had been, whether that would be something subjective (the client telling you that the pain was relieved) or something objective (a lower blood pressure or temperature reading).

Don't worry, the more you do this type of thing, the easier it gets. :)

87itachi · Jul 27, 2010

hello everyone :)

im a nursing student and I am hoping someone can tell me if this looks right for a DAR.

D- received lying on her bed conscious and coherent

- with skeletal traction @ left leg

- with long arm posterior mold @ right arm

- vital signs taken and recorded

A- bedside care done

- placed in a comfortable position

- back kept dry

DAT(diet as tolereted) - served and consumed share with fair appetite

- health teachings imparted with emphasis on:

a. importance of proper positioning to promote lung expansion

b. importance of proper hygiene to promote sense of well being

c. importance of eating nutritious foods

- kept traction weights hanging freely

- maintained alignment of extremeties

R- kept well rested

-endorsed with latest v/s

Does anyone have suggestions for me. Thank you :)

87itachi · Jul 27, 2010

hello everyone