FDAR Sample
FDAR Sample
FDAR Sample
From the NCP you submitted on Module 3: Nursing as a Science, create a chart entry using the
same scenario:
Mr. P, a 73-year old male client diagnosed with chronic obstructive pulmonary disease is
admitted in Room 321, under the service of a pulmonologist, Dr. Leonardo Lumanlan, due to
difficulty of breathing. As you approach him, you notice that he sits on a tripod position,
diaphoretic, and uses his accessory muscles to breath. He further tells you “Mejo hirap ulit ako
huminga, Neng”. You take his vital signs and got the following: T: 36.5C, PR: 118 bpm, RR: 26
cpm, BP: 130/90 mmHg.
Upon chart rounds, you read the doctor’s order:
Nurses’ Notes