DAR Note Help

[remedies]

So long story short my teacher just kind of reads slides and doesnt teach she has asked used to do dar notes for these following scenarios, if anyone could possibly give me what they think the dar note would be for them so i can compare to see if i have done it right before i hand it in , it would be a lot of help. Thanks in advance.

1. You go to your patient's room and find her quietly crying slumped over a bedside table. When you inquire of her what is wrong she states "it doesn't matter any more, my life is over". You offer her a tissue and after some coaxing she reveals that her partner has told her he cannot go through chemotherapy with her "it's just too much".
   
   

1. You check vital signs on a 56 year old male. You find T 39.5, P 132, RR 22, BP 154/84. His face is flushed, his skin is hot and clammy and he states he has had a sore throat now for 3 days. He has been taking Tylenol, but has not found it to be very effective. You give the patient a glass of ice water and report your findings to the physician on call.
   

1. Your 18 year old patient has been admitted with Alcohol Poisoning. Today is the day she is to be discharged. You provide her with some pamphlets regarding the dangers of binge drinking and the number for the counselling service at the college she attends.
   

1. When you enter your patient's room you find him lying without covers and blankets. His bed is soaked in urine and his skin is cold and clammy. You cover him with warm blankets and check vitals signs. BP 82/50, RR 12, T 35.2, P 63. His lips are dry and cracked and he is not responding to your questions. An R.N has called the physician on call as as per his orders she starts 2/3 & 1/3 at 100cc hr in his left hand. You insert the catheter as per drs orders and obtain a urine specimen for C&S. 2 hours later his BP is 100/50, he is weak but responding to questions and requesting fluids.
   

1. Today at 0800hrs your patient tells you that he is nauseated, he states that he hasn't eaten much over the last 2 days. While you are auscultating his abdomen he vomits a large amount of coffee ground emesis, you make him comfortable and collaborate with the R.N
   

1. You hear yelling from a room and quickly enter to find a patient clutching her abdomen. You then see that her clothing is soaked in blood. You get her into bed and assess her abdomen finding the incision has dehisced (open). You quickly apply sterile N/S soaked gauze to wound
   

[springchick1, ADN, RN]

No one is going to give you the answers. People will help but you have to tell us what you think first. (I'm starting to sound like Grntea and Esme!) Does anyone do their own school work anymore? I feel like a lot of people just expect to be given the answers.

[remedies]

Data: 56 year old male patient has vital signs that show :T 39.5, P 132, RR 22, BP 154/84. His face is flushed, his skin is hot and clammy and he states he has had a sore throat now for 3 days. He has been taking tylenol for his symptoms but claims that it has not helped. ( not sure if the tylenol part for this one would be put into action or not)

Action: I gave the patient a glass of ice water and reported my findings to the physician on call.

Response: As for this part for this particular scenario, there was really no response? unless i put that i reported to the physician on call and continued to monitor the patients vitals , signs and symptoms every 2 hours or something.

Data: upon entering the room the Patient was found lying without any covers or blankets. His bed was soaked in urine and his skin appeared to be cold and clammy. After covering the patient I checked his vitals , the results are as follows BP 82/50, RR 12, T 35.2, P 63. Upon retrieving his vitals i found that his lips were dry and cracked and was not responding to any of my questions.

Action: A RN called his physician and started him on 2/3 & 1/3 at 100cc hr in his left hand as per ordered. While she was administering the drugs, I put a catheter in to obtain a urine specimen for a C&S.

Response: 2 hours later we rechecked his vitals and his BP is 100/50. He is still weak but is now responding to questions and requesting fluids. I will continue to monitor this patient every 2 hours until his vitals become normal and he verbally states he is feeling better.

[springchick1, ADN, RN]

first off i did do it i have a very high average so please don't comment unless you are actually going to help me. I didnt post my answers because im new to this site and don't want to sound like an idiot and have people like you comment things like this.[/quote']

Sorry you were so offended. I'm just telling you what every other person is going to tell you.

[kp1987]

No P in DAR? We uses DARP for our focus charting

D- data

A-action

R- response

P- plan

Go through your questions and pull anything out that is subjective or objective data and that would be D. Then any action that you would take for that D. Example D) pt had pain A) gave morphine. Then response is the outcome of the Action so R) pt no longer has pain.

If you are able to do this and then post what you came up with I would gladly give you some feedback :) but you'll never learn if we tell you all the answers! Use those critical thinking skills I know you have!

[Esme12, ASN, BSN, RN]

No one is going to give you the answers. People will help but you have to tell us what you think first. (I'm starting to sound like Grntea and Esme!) Does anyone do their own school work anymore? I feel like a lot of people just expect to be given the answers.

and that is not a bad thing! LOL

OP We are happy to help but we want you to become the best nurse you can be. Show us what you think the DAR note would be for each scenario and we will correct you where you don't understand.

dar is a form of focus charting and the dar stands for data-action-response. it ensures documentation that is based upon the nursing process. routine nursing tasks and assessment data is documented on flow sheets and check lists.

your

focus

is a nursing diagnosis, or in place of a nursing diagnosis you can use a problem, sign or symptom (nausea, pain, etc), behavior, special need, an acute change in the patient's condition or a significant event. your progress note is written in the dar form.

d (data)

- includes subjective and objective information the describes the focus.

a (action)

- includes immediate and future nursing actions based on your assessment of the patient's condition and any changes to the care plan you deem necessary based on your evaluation.

r (response)

- describe the patient's response to nursing or medical care.

[nurseprnRN, BSN, RN]

OP, we regularly say what aubgurl predicted. (Thanks, aubgurl-- I guess we've been doing our job :) )

It's not to be mean, but it's because we don't do homework for people. We help you learn by finding out where you're coming from and heading you down the right path.

If you have (or anybody has) already done this assignment, the best thing to do is to share your answers and ask for clarification on what you don't understand. You will find us very willing and able to work with you that way.

Could you tell us where you are in school, and what kind of program? That would help too. For example, someone who isn't in a program leading to ADN or BSN would not be expected to have the same level of assessment and response, and no responsibility for developing a patient plan of care.