DARP CHARTING:
Robin Hood (patient identifies as gender ‘male’) is a patient on your unit following
right hip surgery 10 days ago. He slipped and fell on the ice and had his right hip
fracture surgically repaired. His surgical wound became infected and currently
requires aseptic wound packing and irrigation. The wound measures 13cm long X
7cm wide and is 3cm deep. Wound edges are not well approximated. Wound bed is
pink with granulated tissue noted over 100% of the area.
The MD orders are as follows:
Action: Irrigate right hip wound with 0.9% Sodium Chloride. Pack wound with
0.9% Sodium Chloride soaked 1/2 inch-wide plain packing strip once a day and
PRN.
The time is 1100 and you have just completed your wound care assessment,
irrigation and packing of Mr. Hood’s right hip wound. He stated he had “1/10″
pain prior to your starting your procedure and did not require analgesics. You have
completed and will document your full REEDA/TACO assessment (you may make
up details for a full assessment data).
Old dressing: No shadowing noted on Mefix securement. Yesterday’s date and
time of 1100am. You removed 20cm of 1/2” wide packing strip, 100% saturated
(complete rest of TACO)
First 4X4 layer – 30% saturated (complete rest of TACO)
Second 4X4 layer – 10% saturated (complete rest of TACO)
You have redressed the wound as above after irrigating with approximately 100mls
of irrigant. Mr. Hood reports his pain as “2/10” on completion of your procedure
and has verbalized understanding of your teachings.
(**note to learners – you must provide the relevant teachings to the procedure and
document the patient response to them).
The DARP charting method is a systematic way of documenting patient care, focusing on Data, Action, Response, and Plan. Let’s apply this method to the scenario involving Mr. Robin Hood’s right hip wound care:
Patient Name: Robin Hood
Gender: Male
Diagnosis: Right hip fracture, surgical repair, wound infection
Wound Characteristics:
Wound Size: 13 cm long X 7 cm wide X 3 cm deep
Wound Appearance: Pink wound bed with granulated tissue over 100% of the area
Wound Edges: Not well approximated
Orders:
Irrigate right hip wound with 0.9% Sodium Chloride.
Pack wound with 0.9% Sodium Chloride soaked 1/2 inch-wide plain packing strip once a day and PRN.
Pain Assessment:
Pre-procedure pain: 1/10 (no analgesics required)
Post-procedure pain: 2/10
Dressing Change History:
Old Dressing:
Mefix securement with no shadowing.
Yesterday’s date and time of 1100 am.
Removed 20 cm of 1/2″ wide packing strip.
First 4X4 layer: 30% saturated.
Second 4X4 layer: 10% saturated.
Completed wound care assessment, irrigation, and wound packing.
Taught the patient about wound care, including indications for pain management and signs of infection.
Used aseptic technique throughout the procedure.
Wound irrigation performed with approximately 100 ml of 0.9% Sodium Chloride.
Repacked the wound with 0.9% Sodium Chloride soaked 1/2 inch-wide plain packing strip.
Patient’s pre-procedure pain was 1/10, and he did not require analgesics.
Post-procedure pain was reported as 2/10.
Patient verbalized understanding of wound care instructions.
No signs of immediate adverse reactions or complications noted.
Continue daily wound care as ordered.
Monitor for signs of infection, such as increased pain, swelling, redness, or purulent discharge.
Assess the progress of wound healing, including wound size reduction and granulation tissue formation.
Reevaluate pain management needs and provide analgesics as necessary.
Educate the patient and provide ongoing support regarding wound care and pain management.
In this DARP chart, the systematic documentation of data, actions, patient responses, and the plan provides a comprehensive overview of Mr. Hood’s wound care and his response to the procedure. This structured approach helps ensure that all aspects of care are addressed and that any deviations or concerns are promptly identified and managed.
As a renowned provider of the best writing services, we have selected unique features which we offer to our customers as their guarantees that will make your user experience stress-free.
Unlike other companies, our money-back guarantee ensures the safety of our customers' money. For whatever reason, the customer may request a refund; our support team assesses the ground on which the refund is requested and processes it instantly. However, our customers are lucky as they have the least chances to experience this as we are always prepared to serve you with the best.
Plagiarism is the worst academic offense that is highly punishable by all educational institutions. It's for this reason that Peachy Tutors does not condone any plagiarism. We use advanced plagiarism detection software that ensures there are no chances of similarity on your papers.
Sometimes your professor may be a little bit stubborn and needs some changes made on your paper, or you might need some customization done. All at your service, we will work on your revision till you are satisfied with the quality of work. All for Free!
We take our client's confidentiality as our highest priority; thus, we never share our client's information with third parties. Our company uses the standard encryption technology to store data and only uses trusted payment gateways.
Anytime you order your paper with us, be assured of the paper quality. Our tutors are highly skilled in researching and writing quality content that is relevant to the paper instructions and presented professionally. This makes us the best in the industry as our tutors can handle any type of paper despite its complexity.
Recent Comments