FDAR

FOCUS, DATA, ACTIONS, RESPONSE
OVERVIEW OF THE NURSING PROCESS
Assessing
- Collection, validation, and communication of patient

data.
Purpose:
- Make a judgment about the patient's health status,
ability to manage his or her own healthcare, and
need for nursing.
- Plan individualized holistic care that draws on patient

strengths and is responsive to changes in the patient's
conditions.
Activities:
1. Establish the database:
●Nursing history
●Physical Assessment
●Review of patient record and nursing literature
●Consultation with patient's support people and healthcare
professionals
2. Continuously update the database.
3. Validate data
4. Communicate data
Diagnosing
- Analysis of patient data to identify patient strengths and

health problems the independent nursing intervention can
prevent or resolve.
Purpose:
- To determine actual or potential problems.
Actions:
1. Interpret and analyze patient data.

2. Identify patients strengths and health problems.
3. Formulate and validate nursing diagnosis
Outcome Identification and Planning
- Specification of (1) patient outcomes to prevent, reduce, or

resolve the problems identified in the nursing diagnoses;
and (2) related nursing interventions.
Purpose:
- Develop an individualized plan of nursing care.
Activities:
1. Establish priorities.
2. Write outcomes, and develop and evaluative strategy.
3. Select nursing interventions.
4. Communicate plan of nursing care.
Implementing
- Carrying out the plan of care.
Purpose:
Assist patients to achieve desired outcomes – promote

wellness, prevent disease and illness, restore health,
facilitate coping with altered functioning.
Activities:
1. Carry out the plan of care.

2. Continue data collection, and modify the plan of care as
needed.
3. Document care.
Evaluating
- Measuring the extent to which the patient has achieved the

outcomes specified in the plan of care; identifying factors
that positively or negatively influenced outcome
achievement; revising the plan of care if necessary.
Purpose:
- Continue, modify, or terminate nursing care.
Activities:
1. Measure how well the patient has achieved desired
outcomes.
2. Identify factors that contribute to the patient's success or
failure.
3. Modify the plan of care (if indicated).
What is FDAR Charting and Why is it used?
- A charting method used by nurses to help focus on a

specific patient problem, concern, or event.
- Saves time and decrease duplicate charting.
- Advisable for nurses who have a lot of patients and is

easier read by other professionals.
- It gives other professionals a snapshot of what went on

during your shift in a concise manner.
FDAR Example
Date/Time Focus Progress Note
2/6/2017 Risk for D-”Gusto ko na matapos
8 AM Injury akon kabuhi”as verbalized
directed by patient.
to self
A-Assessed client’s
behavior for signs of
increased agitation and
hyperactivity.
Used a calm and firm
approach,short simple
and brief statements.
Maintain a consistent
approach and structured
enviroment.
FDAR Example
Date/Time Focus Progress Note
6/28/21 A-Decreased enviromental
stimuli such as providing
calm enviroment.
12pm Administered medication
as ordered.
R-”Daw ok na pamatyag
ko nurse”,as verbalizedby
patient-Risk for injury
directed to self prevented.
F (Focus)
This is the subject/purpose for the note.
•Nursing Diagnosis
•Event (Admission, transfer, discharge teaching, etc.
•Patient event or Concern (Code Blue, vomiting,
coughing)
D (Data):
- Contains only subjective and objective data
- Lays the supporting evidence for why you are writing
the note.
- “This is what the patient is saying and what I’m
seeing”
A (Actions):
-“Verb area”
-What you did about the findings you found in the data
part
-Nursing interventions (calling the doctor,
repositioning, administering pain medication, etc.)
R (Response):
- How the patient responded to your action

Do’s and Don’ts
-Choose language which is:

•Objective
•Precise
•Specific
•Thorough
- Avoid inconsistencies
POOR WRITING GOOD WRITING
Eats Poorly Ate ½ the meal and drank 80 ml
fluid
Patient confused Patient unable to recognize
family
Uncooperative Refuses to assist with AM care
Patient complaining Complaining of constant, sharp
of pain RUQ abdominal pain
Good day Patient states has been pain free
with out medication and still able
to complete ADLs
Diuresing well furosemide (Lasix) 10 mg IV at
2:30 PM resulted in 1000 ml of
clear, yellow urine
Walking ad lib Walks around the unit, up to the
elevator and back to room
without any discomfort.
Client X, 35 years old, has been admitted to a psychiatric hospital for the 3rd time with a diagnosis of paranoid
schizophrenia. Client X had been taking haloperidol (Haldol), but had stopped taking it 2 weeks ago, telling the ER nurse
"because the pill is a poison that makes me sick". Today, Client X was brought to the hospital after neighbors called the
police because he had been up all night yelling loudly in the middle of the street. Neighbors reported him saying "I can't do it
anymore! We all deserve to die!" and shouting curses and foul words. In the ER, Client X appears guarded and suspicious,
and has very little to say to the ER staff. His hair is dirty and matted, has a strong body odor, and is dressed in several layers
of clothing. Client X has been refusing any offers of food and water. When the an ER nurse approached Client X with a dose
of haloperidol, he said, "You are poisoning me. Do you want me to die?"
Make an FDAR out of the following situation
A 26 y.o. pregnant female patient came in the emergency

department due to fever for 3 days. The patient has loss of
appetite and is vomiting on the day of admission. Vital
signs and perfusion are stable. Significant CBC results
revealed: Hct- 40%, WBC- 6/umL, platelet- 150,000 umL,
the rest are normal. IVF PNSS 1L X 400 cc/H X 2 Hrs was
started. Strict MIO and monitoring for signs and
symptoms of bleeding was ordered. CBC 6 hours after
admission was also ordered. Patient was placed on CBR
without bathroom privileges.

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FOCUS, DATA, ACTIONS, RESPONSE

OVERVIEW OF THE NURSING PROCESS

- Collection, validation, and communication of patient

- Plan individualized holistic care that draws on patient

1. Establish the database:

2. Continuously update the database.

- Analysis of patient data to identify patient strengths and

1. Interpret and analyze patient data.

- Specification of (1) patient outcomes to prevent, reduce, or

- Carrying out the plan of care.

Assist patients to achieve desired outcomes – promote

1. Carry out the plan of care.

- Measuring the extent to which the patient has achieved the

- A charting method used by nurses to help focus on a

- Saves time and decrease duplicate charting.

- Advisable for nurses who have a lot of patients and is

- It gives other professionals a snapshot of what went on

- How the patient responded to your action

-Choose language which is:

A 26 y.o. pregnant female patient came in the emergency

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