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DARP Charting: Date Time Discipline Focus Press Notes Data

An 88-year-old male client was admitted to the unit with a bed sore on his left buttock involving the bone. The HCA noticed blackish streaks on the client's hip bone with a foul smell while cleaning the wound, and the client did not respond to voice commands or feel sensation in the wound. The HCA checked the client's vital signs, which were within normal ranges except for an elevated blood pressure, and found in the client's records that Tylenol was prescribed PRN for pain. The HCA finished dressing the wound, rechecked normal vital signs, and administered the Tylenol pain medication.

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189 views1 page

DARP Charting: Date Time Discipline Focus Press Notes Data

An 88-year-old male client was admitted to the unit with a bed sore on his left buttock involving the bone. The HCA noticed blackish streaks on the client's hip bone with a foul smell while cleaning the wound, and the client did not respond to voice commands or feel sensation in the wound. The HCA checked the client's vital signs, which were within normal ranges except for an elevated blood pressure, and found in the client's records that Tylenol was prescribed PRN for pain. The HCA finished dressing the wound, rechecked normal vital signs, and administered the Tylenol pain medication.

Uploaded by

AliSabit
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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DARP Charting

A comatose and drowsy Male client Mr. Ulcer 88 years old, admitted in unit # 95, R# 03 and bed
# 02. HCA is taking care of the wound of the client. Client has bed sore on left buttock with
bone involved. During cleaning HCA noticed blackish streaks on hip bone with foul smell and
client is not responding to vocal command of HCA. During cleaning of wound client does not
feel sensation on wound. HCA checked VS and P.77, BP. 160/ 110 mmhg, RR. 18, O2 sat 95%.
HCA read MPR and found PRN medicine Tylenol 500 mg 6H for 6 days. HCA finished wound
dressing and checked VS found normal and gave pain medication PRN.

Date Time Discipline Focus Press notes

DATA

S.

O.

A.

R.

P.

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