dar essay sample

DAR Essay Contest 2020-21

DAR Topic 2020-21

Frances Bland Randolph Chapter NSDAR

“The Boston Massacre”

March 5, 2020, marked the 250th anniversary of the Boston Massacre, considered to be a pivotal event that paved the way to the American Revolution.

Imagine that you are living in boston and, after witnessing the events of march 5, describe your family’s discussion about the boston massacre and what role it played in organizing the colonists against the british king and parliament..

Final Due Date: Monday October 12, 2020

Research sites for information to get you going:

Virtual American Revolution

http://virtualamericanrevolution.com/bmassacre.html

American Heroes - Video

https://www.youvisit.com/tour/videos/student23/115537?id=860661

History.com Boston Massacre and the Aftermath

https://www.history.com/topics/american-revolution/boston-massacre

https://www.history.com/topics/american-revolution/boston-massacre-helps-spark-the-american-revolution-video

Khan Academy article

https://www.khanacademy.org/humanities/us-history/road-to-revolution/the-american-revolution/a/the-boston-massacre

US History.org

https://www.ushistory.org/declaration/related/massacre.html

Constitution Center

https://constitutioncenter.org/blog/on-this-day-the-boston-massacre-lights-the-fuse-of-revolution

Open-ended Social Studies

https://openendedsocialstudies.org/tag/boston-massacre/

I encourage you to consider asking yourself a few questions for preplanning your story:

• Who are you? Man/woman/child? Age? (your feelings/experiences may be different depending on who you are)
• Who is in your "family" that is expressing their feelings in your story?
• What class of people is your family? (wealthy? servants? merchants?)
• What political feelings do you have about the King and Parliament?
• What are the feelings of the colonists in Boston in 1770?
• The prompt says you witnessed The Boston Massacre... what did you witness? (you need to know what happened at the Boston Massacre)
• How did the colonists feel after the Boston Massacre?

Writing the Bibliography can be tricky... students need to retain information from the resources they use to take notes. Then, they can format their bibliographies.

http://www.aresearchguide.com/12biblio.html

http://qofp.com/links_bio.htm

http://www.factmonster.com/homework/t8biblio.html

There are a lot more pages out there to help with Bibliographies, but these should get you started and keep you on track.

Here are some Bibliography Generators - put your information into it and they will generate your format:

http://www.citationmachine.net/mla/cite-a-book

http://www.bibme.org/

http://www.easybib.com/

Plagiarism Scavenger Hunt

http://edtech2.boisestate.edu/jenniferharris2/502/scavenger.html

Check for Plagiarism: (this is a paid site, but you can search Google for another option)

  https://www.grammarly.com/plagiarism?q=plagiarism&utm_source=bing&utm_medium=cpc&utm_campaign=Search&utm_term=plagiarism&matchtype=p

Sample for Title Page:

“TThe Boston Massacre”

Hopewell, VA 23860

Carter G. Woodson Middle School

Frances Bland Randolph Chapter of NSDAR

___________________________________________________________________________________________________________________________

Rubric for DAR Essay

All Essays 600-1000 words

Times New Roman font 12-14, or handwritten in black ink

• 78° Sunny

Winning DAR essay shared

• Drew Evans Fort Atkinson High School
• Mar 9, 2022
• Copy article link

Editor's note: This is the winning essay from the 2022 Fort Atkinson/Eli Pierce Chapter of the Daughters of the American Revolution's annual "Good Citizen" essay contest.

This year's question asked essay writers to expand on the following topic: “How do the qualities of a good citizen (dependability, service, leadership and patriotism) help support our nation?”

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Daughters of the American Revolution's 2024 essay contest winners announced

T he Joseph McDowell Chapter Daughters of the American Revolution presented four American History awards during the January meeting at the Champion Hills Clubhouse. Each student received a DAR bronze medal, a $200 check and a certificate for their winning essay.

The topic was “Stars and Stripes Forever.” Essay writers were asked to imagine they were a newspaper reporter for The Philadelphia Times on May 14, 1897. The newspaper editor asked them to attend and report on the first public performance of John Philip Sousa’s new march, “The Stars and Stripes Forever.”

The students were to tell about Sousa’s life and the story behind the song, reporting their thoughts about the music and how the audience reacted to what was seen and heard that day.

The winners were Lia Martinonis, fifth-grade, Bruce Drysdale Elementary; Susannah Dannals, sixth-grade, Hendersonville Middle School; Zia Cartrett, seventh-grade, Classical Scholars; and Zoe Ihde, eighth-grade, Classical Scholars. Ninety-one students entered the contest.

This article originally appeared on Hendersonville Times-News: Daughters of the American Revolution's 2024 essay contest winners announced

ELA Brave and True by Marilyn Yung

DAR Patriots of the American Revolution Essay Contest

High school essay contest

Looking for a high school writing contest this fall? Look no further than the Daughters of the American Revolution’s (DAR) Patriots of the American Revolution Essay Contest. In my previous teaching position, a few of my high school students participated in this contest as part of our Writer’s Workshop routine. Entering the contest was one of the options they could choose for their portfolios.

If you’re not familiar with the DAR, here’s a brief intro from the organization’s website: “The DAR, founded in 1890 and headquartered in Washington, D.C., is a non-profit, non-political volunteer women’s service organization dedicated to promoting patriotism, preserving American history, and securing America’s future through better education for children.”

My students have had great success with the  DAR Patriots of the American Revolution Essay Contest.  Within the last three years, two of my students have written essays that won at both the local and state level, where monetary prizes were awarded. Needless to say, I’m very proud of those students!

This year’s 2022-2023 contest guidelines sheet details the topic, length (800-1,200 for 6-8 grades), format, and bibliography details. (Note: Each DAR chapter designates their own individual due dates. Check with your local chapter by locating it here on the  national DAR website’s chapter locater. )

Here’s the high school essay prompt:

“Select a figure from the era of the American Revolution (1773-1783). Discuss how he or she influenced the course of the American Revolution, who he or she was and his/her contribution to the founding of a new nation. Your figure may be any person, whether a well-known figure or an everyday man, woman or child who supported the American Revolution in ways large or small.”

With that prompt in mind, here’s my advice to your students:

Choose a lesser known patriot. Go beyond the founding fathers to find and write about a patriot whom the judges won’t be as familiar with. My student who won at state last year, for example, wrote about the patriot Nancy Hart.

Download the contest guidelines by clicking the button below:

And here’s my last tip:.

Tell your students to get creative and go beyond the traditional informative essay. Blend genres, combining, for example, a journal entry with a biographical piece.

I encourage you to try the DAR Patriots of the American Revolution High School Contest with your high school students. It was a mainstay in my classes.

Thanks for reading!

Have you ever tried a DAR contest? Leave a comment below or send me a message via my  Contact Page.  If you need more info, please ask. I’ll be glad to help you however I can.

I thoroughly believe that  writing contests  can infuse ELA with relevance and a dash of project-based learning. Whenever students know their words will enter “the real world” and be reviewed by real people, it makes them take the work more seriously.

Need a new poetry idea?

Enter your email below and I’ll send you this PDF file that will teach your students to write Treasured Object Poems , one of my favorite poem activities. I know your students will enjoy it!

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DAR Essay Contest

American History Essay Contest

The American History Essay Contest was established to encourage young people to think creatively about our nation's great history and learn about history in a new light.

This contest is open to students in public, private, and parochial schools, and registered home-study programs. Students in grades five through eight are encouraged to participate. Each year, a selected topic for use during the academic year is announced, and contest instructions are published online and sent to schools by participating DAR chapters. Essays are judged for historical accuracy, adherence to the topic, organization of materials, interest, originality, spelling, grammar, punctuation, and neatness.

Participating chapters send one winning essay from each of the four grades for judging on the state level. The state will send one winning essay from each of the four grades to be judged on a divisional level. The winning essay from each of the four grades will then be judged on the national level and the winners are announced.

Each student participant receives a certificate of participation from the chapter and the chapter winners receive bronze medals and certificates. State winners receive certificates and silver medals. National winners receive special certificates, medals, and a monetary award.

NEW THIS YEAR - ALL ESSAYS ARE TO BE SUBMITTED ELECTRONICALLY

Click here for an informational PDF handout . For additional contest information or guidelines, please contact your  local DAR chapter .

Infomation from the DAR website found at:  https://www.dar.org/national-society/education/essay-contests.

Related Pages

Effective tips for writing DAR notes for nurses (With examples)

By Jamie Frew on Feb 29, 2024.

Fact Checked by Ericka Pingol.

Nurses use DAR notes as a form of focus charting to record significant events or an acute change in the patient's condition that arises within patient care. 😷

F-DAR is an acronym that stands for focus, data, action, and response. 

Focus charting assists nurses in documenting patient records by providing a systematic template for each patient and their specific concerns and strengths to be the focus of care. It is always important to remember the note's focus, whether it's stated or not. The focus of the note is the subject or purpose for creating the documentation; one reason might be something like the nursing diagnosis. Events that might require documentation such as an admission, discharge, or a change in the patient's condition such as acute pain or a shift in the patient's pathophysiology.

What is a F-DAR chart?

The F in F-DAR stands for focus and it refers to the underlying reason behind the documentation. This may be a diagnosis, change in treatment or pain monitoring. 

As we know, the D in DAR charting refers to data. This section is similar to the frequently used SOAP notes . The data section requires gathering subjective data from the patient about their current state and care plan. Subjective data won't be visible to you, and you need to ask the patient about their experience. One way to ensure you are keeping truly subjective progress notes is to make direct quotes of their answers to ensure you are accurately depicting their answers. 🎶

The next part of the information needed is the objective data section. Objective refers to what you can see and observe. It's essential here to remember that the second half of the data is not your subjective opinion but rather try to be as neutral and professional as possible in your observations. Objective data may include vital signs, test results, and other assessment forms of the patient you may conduct within your documentation process. 

Action refers to the nursing interventions you conducted in response to the data gathered in the previous section. Some of the things you may include here could be administering medication, requesting the patient be seen by another healthcare professional or other medical care. 

The response is how the patient responded to the nursing care plan you actioned. This may not be documented for some time following the execution of the plan of care as the care plan may extend over minutes, hours, or even days.

Are DAR notes similar to charting?

Essentially, DAR notes are components of charting. They are designed to be short, concise extracts of information pertaining to specific events with a patient. We’ll go over the different components of a DAR chart in a moment, but they typically include demographic information and conclude with a brief paragraph describing the patient’s current condition. These notes are the formal documentation that a nurse takes during their shift, and they belong to the patient’s health chart.

Why is it important for nurses to use a F-DAR charting? 

Using F-DAR charting has a variety of benefits for both nurses and their patients, including the following: 

• Efficiency : F-DAR charts provide an organized template for the production of important documentation. It can be difficult for nurses to keep up with maintaining their notes, and using a proven method for the structure of these documents is time-efficient without compromising on quality. 
• Easily understood : Patient charts are often shared between relevant healthcare providers. In order to improve the quality and coordination of care for a patient, it is absolutely essential that important medical data is recorded. Using F-DAR charts ensures that different providers can quickly and easily access important information pertaining to patient care. ‍
• Clinical outcomes: At the end of the day, the health status of the patient is of utmost priority. In order to guarantee the best clinical outcomes possible, the patient’s health providers should be able to rely on medical charts. Using F-DAR charts ensures that nurses are quickly and appropriately informed about changes to a patient’s medical condition, helping them to respond efficiently and effectively.

When should nurses use a DAR note? 

There are a range of different events that may influence a nurse to use a DAR note. These include:

Response to treatment

Treatment response refers to when a patient’s health condition improves or declines as a response to specific treatment. When this occurs, it is important that the nurse records the manner of the change and the relevant medications that are prescribed. 

When a patient receives a medical diagnosis, this needs to be recorded. Knowing diagnoses can help medical professionals develop an informed treatment plan and monitor the progress of a patient's condition. 

Pain levels 

If a patient is receiving in-patient care and has been reporting pain, the nurse should monitor pain levels using DAR notes. Recording this information can help providers understand the patient’s condition, leading to accurate diagnosis and improved clinical outcomes. 

Patient event

Typically, a patient event refers to anything unexpected that involves the patient. This could include vomiting, seizing or sudden changes in vitals.

What are the main components of a DAR note?

Although every nurse will have their own preferred method for writing documentation, the essential main components of a DAR note can be separated into the following three sections: 

Date, time and credentials 

Every DAR note needs to begin with the date, time and relevant credentials. This helps to ensure transparency and accuracy when it comes to monitoring the patient’s condition and medication dosages. 

The focus section is usually a very brief overview of the focus of the DAR note. It includes why the information is being recorded, and helps providers scan through documentation to find the relevant note. 

DAR (data, action, response)

Lastly, the note needs to include information regarding data, action and response. Essentially, this is the progress note component and should include the details of the patient’s vital signs and condition, the nurse’s relevant action, and the patient’s consequent response.

How do you write good DAR notes? 

Using DAR, anyone, even a first-year nursing student, can write good client notes . 🧑‍🎓

The difficulty lies in writing GREAT DAR notes, which means writing concisely and efficiently. 

Make note-taking an easy part of your nursing process by using a nursing software platform like Carepatron . Instead of using Google docs or Microsoft to create a new document each time a note is required, you can access different templates within a simple app. This means you won't have to worry about formatting or forget to incorporate any aspects of your FDAR charting. Additionally, using a software platform such as Carepatron will mean that you no longer need to worry about losing patient notes on your messy desktop. Finally, Carepatron has an AI-powered voice transcription capability which will reduce the time taken to create DAR notes. Helping to ensure you can stay up to date and spend the maximum amount of time with your patients.

Implementing note-taking software into your practice will undoubtedly streamline your documentation process. Additionally, it can be a good idea to have a look at examples of how other nurses write their notes (and we also have a list of 8 useful examples for you to check out). Don’t be afraid to seek advice from those who have more experience, as there are always new ways for you to improve. We also highly recommend writing your notes in a timely manner - this means getting information down as soon as possible, to ensure that your DAR notes are as accurate as possible. Remember that this form of documentation can be used in legal environments, so it is absolutely essential that they contain accurate and transparent information.

8 useful samples of F-DAR notes for nurses

Without having access to examples and templates, it can be challenging to know what you are trying to achieve. We've created and compiled several different resources to help you write the best DAR notes. 

DAR Note Example #1

DAR Note Example #2

DAR Note Example #3

DAR Note Example #4 

DAR Note Example #5 

DAR Note Example #6

DAR Note Example #7 

DAR Note Example #8 

Top benefits of DAR notes

The advantages to focus charting are threefold. They encourage habitual patient care documentation and progress, meaning you won't put your care notes off until the end of the week. You can note down the patient responses to care as they occur.📝

Focus charting also helps nurses organize their documents to be concise and precise within their note-taking process. This means that any other practitioner who may come across the notes can quickly get up to date with the patient's care history. 

Finally, DAR notes are great because they can be adapted to online documentation systems with ease. Therefore, transferring patients' notes from their charts to an online software platform such as Carepatron can occur seamlessly.

Common DAR note mistakes

Accurate and complete information is an integral part of providing the best care and demonstrating best practice as a nurse. To avoid treatment error or potential issues with malpractice liability, some common mistakes to avoid when authoring DAR notes are listed below: 

• Documenting pertinent health or drug information incorrectly 
• Failing to note discontinuation of medication 
• Recording the DAR note on the wrong patient's chart 
• Omitting a medication that has been administered 
• Failing to complete the note altogether 

It's only natural to feel as though you are pressed for time in a healthcare setting. But making a mistake like one of these could result in a life or death situation for a patient or a possible malpractice liability for you. Using DAR notes religiously and a helpful software platform such as Carepatron will mean you are far less likely to make mistakes.

Tips for writing excellent DAR notes 

Figuring out how to perfect your DAR notes may seem challenging, but with the right tips in mind you will be well on your way. Although every practitioner has their own documentation preferences, here are some of the best strategies for you to employ:

Conciseness : DAR notes are designed to be brief. You should keep your notes concise and only include essential information. 

Write after every event: The best way to ensure the information in your documentation is accurate is to write immediately after every event. If you wait until your notes pile up, you risk including misinformation and harming coordination of care.

Avoid assumptions: Speculation should never be included in DAR notes. Ensure you are conveying exactly what the patient has experienced - it can also be a good idea to incorporate direct quotes from the patient.

Shorthand : If you are jotting down notes while talking to a patient, you can always write in shorthand. After you have finished speaking to the patient, you should translate these into longform so they are easily understood by other providers.

Avoid unnecessary abbreviations: Although shorthand is good for writing notes to yourself, DAR notes shouldn’t include abbreviations. This is to ensure that other nurses and health providers can understand the relevant information and treat the patient accordingly.

Create effortless DAR notes using Carepatron

Carepatron is the ultimate all-in-one tool to create, organize and store notes.

Unlike your old EHR or paper template, we don't hide it. Because we're proud of it! 😎

Use Carepatron for free and create red-hot notes that nobody can resist! 🌶️

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DAR Notes | Comprehensive Guide with Examples

For nursing students and new nurses, mastering nursing note-taking is fundamental to future success in the profession. In this article, we’ll cover one of the most widely-accepted forms of nursing documentation, DAR Notes. Nursing Students Student Assist Knowledge

• Nursing Notes

Updated: Mar 16, 2023  

What are DAR Notes?

The DAR framework is a form of focus charting, and it stands for Data, Action, and Response. This system is a great way to organize notes, understand patients' priority issues, and assist with communication between the myriad of healthcare providers involved in patient care and follow-up.

Table of Contents

• Overview of DAR Notes
• Key Components
• DAR Notes and F-DAR Notes
• Examples of Nursing Notes
• What Not to Put
• Benefits of F-DAR

What's the Difference Between F-DAR and DAR Notes?

The key difference between DAR and F-DAR is the requirement of the "Focus" component in F-DAR (FDAR), which provides a clearer context and prioritization of the patient's needs. In some instances, nurses may incorrectly label their notes as "DAR notes", but in reality they are F-DAR Notes and DAR is just the progress note component of their patient chart.

In the instances when there's a distinction between the two, the choice between DAR and FDAR nursing notes depends on the healthcare setting, nursing practice, and potentially individual preference. Both methods aim to create organized, concise, and informative nursing documentation. Ask your nursing school or employer about their protocols if you are not sure which framework to use.

Given the high degree of overlap between the two, we will discuss both in this article and use them fairly interchangeably.

Key Components of DAR Notes and F-DAR Notes

Before proceeding with your charting, let's take a moment to understand this documentation method. For illustration and instructional purposes, the examples below do not use medical abbreviations. You can incorporate approved medical abbreviations into your writing when you document actual FDAR or DAR nursing notes in your patients' charts.

Again this component is likely not included in DAR notes, but is a key requirement in F-DAR Notes.

The Focus of your note is the issue or need being addressed by your nursing intervention. This note can be a:

• Nursing diagnosis
• Change in the patient's condition
• Patient events
• Patient education needs
• The symptom being monitored, or 
• Other material reasons you are interacting with your patient. 

The focus section should be concise and to the point. It may be helpful for you to ask yourself, "What is the purpose of this nursing note?” or "Why am I writing this note?” when determining how to state your focus.

Here are a few examples of the focus part of a nursing note:

• Abdominal pain
• Wound care and post-operative teaching
• Post-operative nausea and vomiting

The data included in your DAR notes is the information you gather from assessing your patient. These notes can consist of both objective data and subjective details. An easy way to remember this is to ask yourself, "What is currently happening with my patient?” and "Why do I need to intervene?”

Here are some examples of the data part of a nursing note:

• Patient noted to be grimacing and complains of left-sided abdominal pain upon getting out of bed. Blood pressure elevated at 140/94. Pulse elevated at 110 bpm.
• Patient inquired as to how to take care of his incision when he goes home. He stated this was his first surgery, and he is concerned about developing a post-operative infection.
• Patient requested something to alleviate her post-operative nausea and vomiting. She is not able to tolerate anything by mouth.    

In this space, you document your nursing intervention(s) in detail. The nursing actions included in your DAR notes indicates how you assisted your patient. An easy way to remember this is to ask yourself, "What did I specifically do to address the information that I documented in the data part of this nursing note?” and "How did I help my patient?”

Here are some examples of the action part of a nursing note:

• Patient was given Acetaminophen 650 mg IV for persistent abdominal pain. Patient education was provided regarding deep breathing exercises and using a pillow to splint the abdomen when coughing. He was repositioned in a recliner for comfort.
• Patient educational materials on the subject of post-operative wound care and the signs and symptoms of infection were reviewed with the patient and his family. Appropriate wound care was demonstrated for them.
• Patient was given Compazine 5 mg p.o. for persistent nausea and vomiting. Patient education was provided regarding the slow introduction of small amounts of clear liquids orally, as tolerated.

R = Response

The patient response in your DAR notes includes information regarding the patient's outcome as a result of the action that you have taken. An easy way to remember this is to ask yourself, "How did my action (intervention) help my patient?” or, more specifically, "Did my action result in the desired outcome?” This step involves using your nursing assessment skills and is a crucial part of the nursing process.

Here are some examples of the response part of your note:

• Patient is no longer grimacing and states that his pain has been alleviated. Vital signs are stable and within normal limits.
• The patient and his family were able to perform good return demonstrations of wound care and can reiterate the signs and symptoms of infection.
• Patient states, "I feel much better.” She is informed that she is no longer nauseated. She has tolerated ice chips and a plain cracker with no recurrence of nausea or vomiting.

As nurses do with all nursing notes, starting each note with an accurate date and time and ending every note with your professional signature is crucial. If your place of employment does not include the "focus" part of their notes, you can proceed with DAR notes and document them in the Data, Action, and Response sections of your nursing notes. It is always a good idea to ask one of your mentors or managers if you require clarification and/or examples to assist you in mastering this skill.

How to Write DAR Notes and F-DAR Notes

Now that you know the key components, how do you actually chart the information in a DAR or F-DAR Note? 

With a DAR Note there are typically two sections:

• Date and Time
• Progress Notes: This is where you add your Data, Action, and Reponse

With an F-DAR Note, there is simply one additional section for Focus:

Examples of F-DAR Nursing Notes

Some institutions have these notes in a table format, and others use the structure below; you can check with your particular institution to ensure you are being compliant with their requirements.

• Date/Time: 03/03/2023, 0900
• Focus: Abdominal pain
• Data: Patient was noted to be grimacing and complained of left-sided abdominal pain upon getting out of bed. Blood pressure was elevated at 140/94. Pulse was elevated at 110 bpm.
• Action: The patient was given Acetaminophen 650 mg IV for persistent abdominal pain at 0930. Patient education was provided regarding deep breathing exercises and using a pillow to splint the abdomen when coughing. Patient was repositioned in a recliner for comfort.
• Response: Patient is no longer grimacing and states that her pain has been alleviated. Her vital signs are stable and within normal limits.
• Date/Time: 03/04/2023, 1430
• Focus: Wound care and post-operative teaching
• Data: Patient inquired as to how to take care of his incision when he goes home. He stated that this was his first surgery, and he is concerned about developing a post-operative infection.
• Action: Patient educational materials on post-operative wound care and the signs and symptoms of infection were reviewed with the patient and his family. Appropriate wound care was demonstrated for them.
• Response: The patient and his family were able to perform good return demonstrations of wound care and can reiterate the signs and symptoms of infection.

What Not to Put in F-DAR or DAR Notes

While FDAR and DAR notes are beneficial in providing a quick and helpful means by which to document our nursing notes, nurses should avoid including the following:

• Medical diagnoses. Always use approved nursing diagnoses.
• Information that is outside the focus and data areas. For instance, if your documentation under the focus and/or data headings relates to post-operative pain, you would not want to document an action related to the patient's nutritional status.
• Lengthy narratives, complete histories, or unapproved abbreviations.

Be sure to refer to the approved policies and procedures at your place of employment for the best outcomes when documenting FDAR or DAR notes.

To facilitate learning more about focus charting, reviewing an FDAR charting pdf and additional examples can be very helpful.

Remember that FDAR and DAR notes require the same compliance with documentation requirements as all other types of nursing notes.

Benefits of Using DAR Notes

A 2017 study worked to quantify the impact of focus charting models on nursing staff's documentation skills across different maternity hospitals. The study aimed to

• Identify the most common nursing documentation errors.
• Assess the effectiveness of applying the DAR model.
• Determine the factors that hinder nurses from utilizing better documentation skills.

One of the advantages of DAR charting discussed in this article is that using the acronym "DAR" helps the nurse to organize their critical thinking and break down documentation into the categories of data, action, and response.

The above-noted study concluded that nurses improved their documentation skills after implementing the DAR format nursing notes. The recommendation was that nurses receive on-the-job training and thorough follow-up.

Nursing is a busy and demanding profession that requires accurate documentation of the nursing process of assessment, nursing diagnosis, planning, implementation, and evaluation. As the common adage in the profession goes, "If you didn't document it, you didn't do it.” Updated documentation methods like FDAR and DAR notes provide user-friendly, concise means by which nurses can remain organized and focused in creating their nursing notes, leading to higher job satisfaction and increased time at the bedside.

STAFF NOTE: Original Community Post

This article was created in response to a community post. The comments and responses have been left intact as they may be helpful. Here's the original post:

Quote Can someone please help me with writing a DAR Note? I understand that this is a simple idea, but I am really struggling with writing one.

References‌‌

• Salt, C. (n.d.). FDAR - Nurses Notes. Scribd. https://www.scribd.com/doc/48486340/FDAR-Nurses-Notes
• Farag, F. A. K., & Saad, H. A. (2017). Focus charting model: Effect on nursing staff's documentation skills in different maternity hospitals. The Malaysian Journal of Nursing (MJN), 9(2), 78–86. https://ejournal.lucp.net/index.php/mjn/article/view/438
• Russell, J. (2019, February 6). If it's not documented, it's not done. But what if it is documented and it's not done? Minnesota Nurses Association. https://mnnurses.org/if-its-not-documented-its-not-done-but-what-if-it-is-documented-but-its-not-done/

About Michelle M. Crook, BSN, RN

Michelle M. Crook, BSN, RN, CCM, BCPA received a Bachelor of Science in Nursing degree from Northern Illinois University.

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deeDawntee, RN

1,579 Posts

It stands for data, action, response:

Here would be a simple example:

? Patient's temperature at 1305 was 101.5 (oral). The rest of his vitals were stable and he was in no acute distress.

A: Called Dr Smith and he ordered blood cultures X2, a CBC and a portable chest X-ray. After blood cultures were drawn, patient was given Tylenol at 1400.

R: By 1500 patient's temperature was 99.8 (oral). Lab and X-ray results are pending. Will continue to monitor closely.

So, the Data part is just what is going on...(and sometimes what is not going on, to show that you were checking the whole patient...like above).

Action: What you did about it.

Respose: What was the response of your action?

I almost always add "will monitor or continue to monitor" to show that I intend to stay on top of the situation.

I hope that answers your question. Do you have any examples you want to ask about?

Daytonite, BSN, RN

1 Article; 14,604 Posts

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 checklists.

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.

Here are four examples of DAR charting:

Focus -  nausea related to anesthetic

D -  Pt. states she's nauseated. vomited 100ml clear fluid at 2255 A - Given compazine 1mg IV at 2300. R -  Pt. reports no further nausea at 2335. no further vomiting.

Focus : risk for infection related to incision sites

D - Incision site in front of left ear extending down and around the ear and into neck--approximately 6 inches in length--without dressing. jackson-pratt drain in left neck below ear secured in place with suture. A -  Assess site and emptied drain. taught patient s&s of infection. R - No swelling or bleeding; bluish discoloration below left ear noted. jp drained 20ml bloody drainage. patient states understanding of teaching.

Focus -  Delayed surgical recovery

D - Patient reported dizziness after trying to get oob to use the bathroom. A -  Assisted patient back in bed and with use of bedpan. taught patient how to dangle legs and get oob slowly. also taught coughing and deep breathing exercises, turning in bed, and use of entiembolism stockings. R -  Patient voided 200ml in bedpan. did cough and deep breathing appropriately. lungs clear bilaterally. using antiembolism stockings.

Focus -  acute pain related to surgical incision

D - Patient reports pain as 7/10 on 0 to 10 scale. A -  Given morphine 1mg IV at 2335. R -  Patient reports pain as 1/10 at 2355.

All of the above is from page 678 of Portable RN : The All-In-One Nursing Reference, Third edition, published by Lippincott, Williams & Wilkins

Thank you! I have a follow-up question. How about if the patient has several problems like you had in your examples, is it necessary to separate each problem and then proceed with the next? In the ward, where I am assigned at, I observed that my colleagues just write everything under Data like the assessment, the problems etc. and in the Action all of the things that they did in response to Data were also written under it.

Is this correct?

nurseprnRN, BSN, RN

1 Article; 5,115 Posts

Yes, you would note what you assessed and did and plan to do for each problem. Whether you do it one at a time or in aggregate, in my opinion, is entirely up to you. What's the purpose of your documentation? To show that you are observing, acting, and planning about your patient. If your documentation does this completely and accurately -- and legibly-- you're doing fine.

AgentBeast, BSN, RN

1,974 Posts

I was instructed that it is completely inappropriate to chart "Will continue to monitor." That's your job! To monitor the status of your assigned patients and their response to treatments. That's what I have been instructed at least. Which makes complete sense.

D: Patient Bleeding Profusely

A: Told patient to stop bleeding.

R: Patient still bleeding. Will continue to monitor.

In the year 1775 my life was turned upside down. I was born in Manhattan, New York, in the year 1760. Life was wonderful for my first 15 years. My father owned a print shop and his business thrived. Everything started to change when my brother, Abiel, and father, Jonas, left to join The Continental Army in December of 1775. Britain's power over the Colonies was troubling many people, including my dad. My father had always complained about the how the Stamp Act affected his business negatively and that the British are no good. When he joined the army, he had to sell off the shop to another family and left my mother and me with a dilemma; how would we support ourselves and our family? At the time of his departure I had a sister named Amity who was nine and a baby brother who was almost one. I had always assumed I would live in wealth until I married. However, nothing was guaranteed. I realized I was going to have to put in lots of effort to get my life back to how it was before, if that was even possible. My younger sister and I went door to door asking if anyone could use help in the kitchen, with a child or cleaning their house. We desperately needed money. Almost every house said no because money was tight in war time and hardly anyone could afford extra help. Finally we found work! The first was a house was like ours, where the husband had left his pregnant wife to join in the Revolution. She unexpectedly had twins, and had no family to help her. The second job was at a tavern. My sister and I had to clean the tables and floor. Together we earned $.10 each a day. I remember our first day. We walked four miles to our first destination and because I had been pampered all my life, I was not at all used t... ... middle of paper ... ...ed a message. Father and Abiel, my brother, were deceased. They had both been shot by canon in the Battle of Princeton. I remembered when he left that my father had given me a letter and told me that if he ever passed, to read it. This is what it said: Dear my young, strong, daughter Cornelia, When you have to read this letter I hope you realize that I died fighting for our families rights. I wanted very badly to be free from Britain's power. As you go on in life, make sure you remember to advocate for yourself and do what is right for your people. Do not let my death be in vain. Work hard in life for what you want. Love, Jonas Davenport

Shays Rebellion

“In the first years of peacetime, following the Revolutionary War, the future of both the agrarian and commercial society appeared threatened by a strangling chain of debt which aggravated the depressed economy of the postwar years”.1 This poor economy affected almost everyone in New England especially the farmers. For years these farmers, or yeomen as they were commonly called, had been used to growing just enough for what they needed and grew little in surplus. As one farmer explained “ My farm provides me and my family with a good living. Nothing we wear, eat, or drink was purchased, because my farm provides it all.”2 The only problem with this way of life is that with no surplus there was no way to make enough money to pay excessive debts. For example, since farmer possessed little money the merchants offered the articles they needed on short-term credit and accepted any surplus farm goods on a seasonal basis for payment. However if the farmer experienced a poor crop, shopkeepers usually extended credit and thereby tied the farmer to their businesses on a yearly basis.3 During a credit crisis, the gradual disintegration of the traditional culture became more apparent. During hard times, merchants in need of ready cash withdrew credit from their yeomen customers and called for the repayment of loans in hard cash. Such demands showed the growing power of the commercial elite.4 As one could imagine this brought much social and economic unrest to the farmers of New England. Many of the farmers in debt were dragged into court and in many cases they were put into debtors prison. Many decided to take action: The farmers waited for the legal due process as long as them could. The Legislature, also know as the General Court, took little action to address the farmers complaints. 5 “So without waiting for General Court to come back into session to work on grievances as requested, the People took matters into their own hands.”6 This is when the idea for the Rebellion is decided upon and the need for a leader was eminent.

Personal Narrative: Overcoming Postpartum Anxiety

I had stopped working after our daughter was born to be a full time stay at home mom, so it was just going to be me and her 24/7 for the next two weeks. For weeks leading up to his trip it was all I could think about and it kept me up at night. My husband had been in the Navy for almost 8 years at this point and had been on two Middle East deployments in our marriage so I was no stranger to being alone, but this time was different, this time I had another tiny human being that I loved more than anything in this world to keep

Stephen F. Austin

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D. A. Re Essay

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Eulogy for My Father

Each of you here had your own relationship with my Dad, each of you has your own set of memories and your own word picture that describes this man. I don’t presume to know the man that you knew. But I hope that, in this eulogy that I offer, you will recognise some part of the man that we all knew, the man that is no longer amongst us, the man who will never be gone until all of us here have passed.

Mother Savage & Desirees Baby-Compare and contrast

This letter has a sad story to tell you. Your boy Victor was killed yesterday ...

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