Question

FDAR Method of Charting
Write an FDAR chartings from a case scenario provided.

An 80-year-old woman presents to her general practitioner (GP) with pain and swelling in her left knee. The pain began 2 days previously and she says that the knee is now hot,

swollen and painful on movement. In the past she has a history of mild osteoarthritis of the hips. She has occasional heartburn and indigestion. She had a health check 6 months

previously and was told that everything was fine except for some elevation of her blood pressure which was 172/102 mmHg and her Creatinine level, which was around the upper limit of normal. The blood pressure was checked several times over the next 4 weeks and found to be persistently elevated and she was started on treatment with 2.5 mg Bendrofluamethizide. The last blood pressure reading was 138/84 mmHg. There is no relevant family history. She has never smoked and her alcohol consumption averages four units per week. She takes occasional Paracetamol for hip pain.

Examination

Her blood pressure is 142/86 mmHg. The temperature is 37.5°C and the pulse 88/min.

There is grade 2 hypertensive retinopathy. There is no other abnormality on cardiovascular or respiratory examination. In the hands there are Heberden’s nodes over the distal interphalangeal joints. The left knee is hot and swollen with evidence of effusion in the joint with a positive patellar tap. There is pain on flexion beyond 90 degrees. The right knee appears normal.

1. CREATE one FDAR CHARTING. Format for FDAR Charting

F- FOCUS

D- DATA

A- ACTION

R- RESPONSE

2. Create an introduction about the case scenario and diagnosis. The introduction is composed of background information, prevalence rate, personal data, chief complaint and diagnosis. Below if the sample format.

Introduction
- Background information
- Prevalence rate
- Personal Data (if available)
- Chief complaint
- Diagnosis

Answer 1

Osteoarthritis is a long term of illness mainly affects jonts, cushion between cartilage became broken down and causes pain and stiffness and swelling.

FDAR is a chart that useds for assesing the client and helps to provide client oriented care.

FOCUS: CLIENT suffering

DATA which includes subjective data and objective data

ACTION: the treatment or management of a suffering

RESPONSE: how the patient responds to the health care provider's care

date and time	focus	progress
	Elevated blood pressure	D:she came for health check up for 6 months BP:170/102 mmof HG and elevated for consecutive for next 4 weeks A: she was commenced on bendroflumethizide 2.5mg R: The last BP was recorded 138/84 mm of Hg
	pain	D: she has pain and swelling in her left knee she has increased pain when flexing her knee beyond 90 degress. the left knee is hot and swollen. the left knee has effusion.positive patellar tap was positive presence of heberdens nodes over distal interphalangeal joints Temp: 37.5C0, BP:142/86mmof Hg Pulse:88/min

2. BACK GROUND INFORMATION: This 80 year old women has history of mild arthritis of the hips and had health check up 6 month before and was  found to have elevated blood pressue and creatinine.her blood pressure remain elevated for next weeks, there fore she was prescribed bendrofluromethizide 2.mg. after that her blood become controlled to normal. she has grade 2 hypertensive retinopathy

Prevalence rate:Oseoarthritis is more common in women than and it affects 50-60 years of people and increases with age

Personal data: she consumes alcohol four units per week.

Chief complaint:she has pain and swelling in left knee, started 2 days before. she has increased pain when she moves

Diagnosis: She has been diagnosed to have Osteoarthritis as she is positive for patellar tap and presence of heberdons nodes over the distal  interphalangeal joints .she has effusion, the effusion is due to osteoarthritis.because she has had history of osteoathritis