Different kinds of Charting (Documentation)
- Problem-Oriented Record (POR) / SOAPIE Charting
- Focus Charting / DAR
- PIE Method / APIE Charting
Example of APIE Charting
A – “They are talking about me and I am frightened”, as verbalized by the client. She seems to be aloof and withdrawn, frequently seen at the corner of the ward, doesn’t mingle with co-patients, no social involvement.
P – Social Isolation due to inability to trust.
I – Initiated nurse-patient interaction; Observed passive friendliness, matter-of-fact and straight forward during interaction; Encouraged to mingle with co patients and participate in activities; Helped in validating data before taking actions.
E – Cooperative although seems uncomfortable in group activities; accepted positive feedback.
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