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    Nursing Program FDAR Charting Focus Data Action Response

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    Jear Romero
    The document summarizes a nurse's charting of care for a new mother experiencing sleep deprivation. It includes: 1) Subjective data from the patient stating she is very tired after a long labor with no sleep. 2) Objective data noting the patient looks pale, tired, and sleepy, with tremors resembling shivering. 3) The nurse's actions taken to address the patient's needs, including promoting sleep, establishing a sleep routine, providing comfort measures, and encouraging naps.

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    Nursing Program FDAR Charting Focus Data Action Response

    Uploaded by

    Jear Romero
    3K views2 pages
    The document summarizes a nurse's charting of care for a new mother experiencing sleep deprivation. It includes: 1) Subjective data from the patient stating she is very tired after a long labor with no sleep. 2) Objective data noting the patient looks pale, tired, and sleepy, with tremors resembling shivering. 3) The nurse's actions taken to address the patient's needs, including promoting sleep, establishing a sleep routine, providing comfort measures, and encouraging naps.

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    FDAR_ROMERO

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    The document summarizes a nurse's charting of care for a new mother experiencing sleep deprivation. It includes: 1) Subjective data from the patient stating she is very tired after a long labor with no sleep. 2) Objective data noting the patient looks pale, tired, and sleepy, with tremors resembling shivering. 3) The nurse's actions taken to address the patient's needs, including promoting sleep, establishing a sleep routine, providing comfort measures, and encouraging naps.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    3K views2 pages

    Nursing Program FDAR Charting Focus Data Action Response

    Uploaded by

    Jear Romero
    The document summarizes a nurse's charting of care for a new mother experiencing sleep deprivation. It includes: 1) Subjective data from the patient stating she is very tired after a long labor with no sleep. 2) Objective data noting the patient looks pale, tired, and sleepy, with tremors resembling shivering. 3) The nurse's actions taken to address the patient's needs, including promoting sleep, establishing a sleep routine, providing comfort measures, and encouraging naps.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Davao Doctors College, Inc.

    College of Allied Health Sciences


    Nursing Program

    FDAR Charting
    FOCUS DATA ACTION RESPONSE
    Subjective Data: Enhanced feelings of trust of the patient to be
    October 5, “Maam paaalagaan ko muna anak able to attain the highest comfort level. October 5, 2021;
    ko.” Sagad talaga ang pagod ko. 3:00 pm
    2021;
    “Mahigit sampung oras ako nag
    7:00 am labor” “At wala talaga akong tulog Provided and promote an environment that is The patient was able to:
    kagabi,kailangan ko ang tulog.” suited for the mother to improve her quality of
    as verbally stated by the patient. sleep by keeping the surroundings quiet as  State that she was able to
    possible, providing pillows and her own sleep and feels rested.
    Objective Data: possessions, and/or adjusting the light.
     Identifies techniques to
    induce sleep.
    ● Generally, the patient looks Established a new sleep routine incorporating old
    Sleep  Describes factors that
    pale, tired, and sleepy. patterns and new environments.
    Deprivation prevent or inhibit sleep.
     Evaluate the effectiveness
    ● The patient is also showing an of techniques to induce
    intense tremor that resembles sleep.
    Promote bedtime comfort regimens such as
    shivering from a chill.
    warm baths and massage.
    ● The patient seems
    uncomfortable upon vital signs
    Provided a warm blanket to the mother and
    assessment exhibiting signs of
    offered a warm drink if she is not nauseated from
    depressed mood from emotional
    an analgesic.
    letdown from labor, fatigue from
    sleep deprivation, and anxiety.

    Lowered the bed and position one side against


    the wall when possible. Avoid use of side rails.

    Encouraged position of comfort and assist in


    turning, if needed.

    Encouraged the mother to have a regular


    schedule of napping as a way to compensate for
    sleep deficiency whenever severely restricted
    sleep amounts cannot be avoided.

    Page | 1
    8:00
    7:00 AM
    9:28
    8:00AM
    AM
    AM DIFFICULTY
    CBC
    UA
    RAT DR. BONNA
    BLOOD OF BREATHING
    ULTRASOUND
    HBsAg TYPING EncourageDONE
    side-lying position and elevate the head
    DONE

    Davao Doctors College, Inc.


    College of Allied Health Sciences
    Nursing Program

    Evaluation:
    Fully Met _______
    Partially Met____
    Unmet_________

    ROMERO, JEAR F.

    Page | 2

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