You chart the following: (Problem) 1 pain related to surgical incision (Progress Note) S = States discomfort in L hip; O = Grimaces with movement to L side Requests pain med q3 hours;
A = No change; P = Continue pain meds prn
This is an example of which type of charting?
1. DAR (Data, Action, Response)
2. SOAP (Subjective, Objective, Assessment, Plan)
3. APIE (Assessment, Problem Identification, Interventions, Evaluation)
4. charting by exception
Question 2
You chart the following: 7/16/00 0900 C/o sharp, constant pain in L hip, requesting pain medication. BP 98/50, P 62, R 10. Oriented 3. Responds to verbal stimuli but easily returns to sleep.
Need to wait for pain medicine explained due to low BP & resp. and length of time since last injection 3 hours (order is for q4 hours). Will reassess in 15 minutes. What type of documentation is this?
1. an explanation of why medication is withheld
2. admit note
3. observation of psychosocial status
4. client teaching note
Electromagnetic Radiation Chart
Snellen chart.
Example of problem focused patient
Prevalence of Diabetes in the United States Based on Age and Sex Data from the American Diabetes ...
Physiology of pain perception
Gypsy moths native to Europe and Asia feed on oaks through much of the United States.