DAR SCENARIO LOPEZ

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Centennial College *

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ENGLISH CO

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Communications

Date

Feb 20, 2024

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pptx

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Methods of Charting  SOAP:  Subjective data  Objective data  Assessment  Plan  PIE:  Problem  Intervention  Evaluation  ADPIE:  Adds two components to PIE:  A: analysis  D: diagnosis  DAR charting:  D: data  A: analysis and action  R: response

Mrs. Lopez – Class discussion For each scenario Chart using PIE, or DAR PIE:  Problem  Intervention ( PSW response)  Evaluation ( What ended up happening- the outcome of the sitauton )  DAR charting:  D: data ( Subjective and objective)  A: analysis and action( PSW response with actions )  R: response ( Over all what ended up happening- the outcome of the situation )

Mrs. Lopez – Class discussion 0715 : BP: 116/88 P: 66 T: 36.2 RR: 12 0 2: 98 0715 Mrs. Lopez awoke looking groggy and confused 0900 Mrs. Lopez only ate ¼ of her breakfast 1500 Mrs. Lopez refuses to go to her physiotherapy appointment

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Discussion 7 : 00 am: Mrs. Lopez awoke looking groggy and confused 7:00 am : D: Writer awoke client . Client looked groggy and confused, with dark circles under her eyes . Writer asked client how client was feeling. Client responded in a angry tone with “ I had a difficult time sleeping last night since Mrs. J was snoring most of the night .” A: Writer suggested to client if JL would like to sleep in until 0830. R: Client responded with “ that’s for sure,” and went back to sleep. Writer Will continue to monitor. Writer will also report clients concerns about Mrs. J snoring to evening PSW staff. K.Ibrahim SPSW

Mrs. Lopez continue  Whiles assisting Mrs. Lopez into her evening attire, you noticed a bruise on her right upper arm, purple-red discoloration and the size of an orange. Whiles questioning her, Mrs. Lopez stated that she tripped over her own feet and banged her arm on the well near her bathroom. She stated, “its quite sore” and rated the pain 5 out of 10 on the pain scale.  Her vital signs: BP: 90/55 P: 103 T: 37.2 O2: 94% RR: 22 What is your immediate response to this situation?

Reference  Sorrentino, S.A., Remmert, L., Wilk, M.J., Newmaster, R., (2018). Mosby Canadian textbook for the support worker, (4th Canadian ed.). Toronto:Elsevier

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DAR SCENARIO LOPEZ

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