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Methods of Documentation IV: Focus Charting
Focus charting is a systematic documentation approach for organizing health information in the patient's record.
It has three columns for recording information; the first is for the date and time.
Second, the focus column includes data about each focus, such as a nursing diagnosis, sign or symptom, patient behavior, special need, acute change in condition, or significant event.
Third, the progress notes column organizes information using the DAR format, which stands for data, action, and response.
The data category contains subjective and objective data that describes the focus, such as vital signs and patient behavioral observations.
In the action category, nursing actions are tailored to the patient's condition, and the care plan is updated based on the nursing evaluations.
Finally, the response category describes the patient's response to nursing or medical care.
Advantages of focus charting include minimizing duplicate entries, data organization, encouraging consistent documentation, and promoting clear communication.
One disadvantage is that nurses find organizing information in the DAR format challenging due to time constraints.
9.11:
Methods of Documentation IV: Focus Charting
Focus Charting, also known as the focus charting system or "focus documentation," is a systematic documentation approach used in healthcare to organize patient information in medical records.
It typically involves three columns for recording information:
- The date and charting column records the date and time of each entry, providing a chronological record of patient activities.
- Focus: The focus column includes information about specific patient concerns or issues, such as nursing diagnoses, signs or symptoms, patient behaviors, special needs, acute changes in condition, or significant events. Each entry in this column highlights a particular focus on the patient's care.
- Progress Notes (DAR Format):
- • The data category is like nursing assessment. This section documents subjective and objective data related to the corresponding focus. It may include vital signs, patient behavioral observations, laboratory results, or other relevant information.
- • The action category is the implementation phase of the nursing process, which encompasses planning, execution, and incorporating immediate and future nursing actions. This phase documents the actions taken in response to the corresponding focus, customized to the patient's condition and rooted in nursing assessments and evaluations. Furthermore, the care plan may be adjusted based on these assessments to ensure optimal patient care.
- • The response category represents the evaluation phase of the nursing process and encompasses the patient's response to nursing and medical care. This section details the patient's reaction to the care received, encompassing changes in their condition, improvements or worsening of symptoms, and any pertinent observations that indicate the effectiveness of the provided care.
The DAR format in progress notes organizes patient care activities and outcomes, streamlining documentation.
Advantages:
Focus Charting offers vital advantages. It saves nurses' time, reduces duplicate charting, improves data readability and organization, facilitates communication among care team members, encourages regular documentation of patient responses, and is adaptable to various clinical settings and documentation systems, including computer-based ones. It promotes efficiency, clarity, and precision in nursing documentation while focusing on the nursing process and individual patient needs.
Disadvantages:
The disadvantage of focus charting is that some nurses may need help to organize information in the DAR format due to time constraints. This format requires careful consideration and documentation of data, actions, and responses, which can be challenging to accomplish in busy clinical settings.