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Focus charting is a method of documenting a patient's health information using nursing terminology to describe their status and care. It involves documenting the patient's focus or concern, relevant data, the nurse's actions, and the patient's response. A focus note includes the patient's subjective and objective information, nursing interventions, and the patient's response to care. General survey information includes the patient's appearance, any attachments like IVs, and vital signs. The example focus note addresses the patient's pain, administering pain medication, and the improved pain level in response.
Focus charting is a method of documenting a patient's health information using nursing terminology to describe their status and care. It involves documenting the patient's focus or concern, …