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___________________________________________________________________________________
Date/TimeFocusNotes
Jan 3
0900
Pain
D
Patient complaining of abdomen pain of 8/10 in upper right

abdomen. Pain described as throbbing and persistent.

A
Morphine 3 mgm given IV——————————————

0930
Pain
R
Patient stated pain has decreased to 4/10———————-

1240
Appetite
D
Patient’s appetite poor. Refusing lunch. Drinking some clear

fluids. Denies nausea.————————————————-

Documentation Assignment
Write a half page of nursing documentation using the focus charting format. The content can be as creative as you wish.The mark for this assignment will be satisfactory/unsatisfactory. If you receive an unsatisfactory you will be asked to re-submit your charting sample. Please submit the assignment under the assignment icon.

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