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    Case Study Hospital Format

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    senyorakath
    This document outlines the format for writing a case study report for a nursing course. It includes sections for introducing the patient and case, discussing relevant anatomy, pathophysiology, the nursing process, health teachings and discharge planning. The nursing process section includes assessment, diagnostic tests, drug study, nursing care plan and evaluation. Formats are provided for laboratory results, drug studies, nursing care plans and teaching plans. The case study aims to apply nursing knowledge to care for a real patient and demonstrate understanding of their condition.

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    Case Study Hospital Format

    Uploaded by

    senyorakath
    299 views3 pages
    This document outlines the format for writing a case study report for a nursing course. It includes sections for introducing the patient and case, discussing relevant anatomy, pathophysiology, the nursing process, health teachings and discharge planning. The nursing process section includes assessment, diagnostic tests, drug study, nursing care plan and evaluation. Formats are provided for laboratory results, drug studies, nursing care plans and teaching plans. The case study aims to apply nursing knowledge to care for a real patient and demonstrate understanding of their condition.

    Original Title

    CASE-STUDY-HOSPITAL-FORMAT

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    This document outlines the format for writing a case study report for a nursing course. It includes sections for introducing the patient and case, discussing relevant anatomy, pathophysiology, the nursing process, health teachings and discharge planning. The nursing process section includes assessment, diagnostic tests, drug study, nursing care plan and evaluation. Formats are provided for laboratory results, drug studies, nursing care plans and teaching plans. The case study aims to apply nursing knowledge to care for a real patient and demonstrate understanding of their condition.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    299 views3 pages

    Case Study Hospital Format

    Uploaded by

    senyorakath
    This document outlines the format for writing a case study report for a nursing course. It includes sections for introducing the patient and case, discussing relevant anatomy, pathophysiology, the nursing process, health teachings and discharge planning. The nursing process section includes assessment, diagnostic tests, drug study, nursing care plan and evaluation. Formats are provided for laboratory results, drug studies, nursing care plans and teaching plans. The case study aims to apply nursing knowledge to care for a real patient and demonstrate understanding of their condition.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    The document outlines a case study format for nursing that includes an introduction, nursing process, health teachings, evaluation and recommendations.

    The format includes an introduction, objectives, anatomy/physiology, pathophysiology, nursing process, health teachings/discharge instructions, evaluation and recommendations.

    The nursing process consists of assessment, nursing diagnosis, planning, implementation and evaluation.

    Ateneo de Zamboanga University

    College of Nursing
    Format for Case Study (Hospital)
    I. INTRODUCTION:
     Brief introduction of the case
     Patient and the problem-Explain the disease condition (client-centered). Reason of
    choosing this case.
     The information includes the following:
    - Explain who the patient including the age, gender and etc.
    - Explain what the case/problem is all about, what happen, what was he
    or she diagnosed (Client-centered)
    - Introduce your main argument. What should you as a nurse focus on or
    do?

    Significance of the study:


    o Nursing Education
    o Nursing Practice
    o Nursing Research
    Objectives
     General objectives
     Specific objectives

    Anatomy and Physiology-(Discuss the related system with regards to the condition case/disease)
    Pathophysiology (in paradigm form with explanation)
    - Explain the disease (What are the symptoms? What causes it?)

    II. NURSING PROCESS:


    A. Assessment
    o Biographic data
    o Comprehensive Nursing Health History (see guide interview sheet)
     History of Present Illness - Explain what health problems the patient has (Has
    she/he been diagnosed with other diseases?)
     Past Illness - Detail any and all previous treatments (Has she/he had any prior
    surgeries or is he/she on medication?)
     Family History – history of genetic and hereditary diseases.
    o Marjorie Gordon’s 11 Functional Health Problem (Pre-confinement and
    during confinement, functional pattern should be written in narrative form)
    o Physical Assessment – Cephalocaudal (Head to Toe) and written in narrative
    form (Follow the Bates Assessment tool)

    B. Diagnostic Tests ((Explain the aim of the procedure and discuss the significance of
    the results, give interpretations)
    C. Laboratory results (follow format)
     (Explain the aim of the procedure and discuss the significance of the
    results, give interpretations)
    TEST RESULTS NORMAL RANGE CLINICAL
    SIGNIFICANCE

    D. Drug study (Follow the format provided)


    Drug Mechanism of Indication/ Nursing responsibilities
    action/Side effects Contraindication
    Brand name:
    Generic name:
    Classification:
    Route:
    Dosage:
    Frequency:

    E. Nursing Care Plan (follow format)


    o Explain what your nursing diagnosis is (What is the main problem for this
    patient? What need to be addressed?)
    o Explain what your goal is for helping the patient recover (What do you want
    to change for the patient?)
    o Explain how you will accomplish your nursing goals, and support this with
    citations (Reference the literature)
    o For Medical-Management (Refer to any latest MS book)
    o NCP Format
    CUES NURSING GOALS AND NURSING IMPLEMENTATION EVALUATION
    DIAGNOSIS DESIRED OUTCOME INTERVENTION

    F. Health Teachings /Discharge Instructions / Teaching Plan


     Medication – (What are the important thing to keep in mind in taking medication)
     Economy/Exercise – (What are the alternative/cheaper ways on how to manage the
    disease)
     Treatment/Therapy – (What are recommendations of the doctor in treating the disease)
     Health Teachings/Hygiene (What health practices should be emphasized to
    prevent progression of the disease).
     Out-patient consultation-(Instructing the client to visit the doctor if symptoms
    persist)
     Diet-(Discuss what are the foods to be taken and avoid)
     Sex - (Suggestions in keeping the client potent)
    Teaching Plan format:
    Topic/s:
    Venue:
    General Objectives:
    Learning Content Time Allotment Strategies/Methodology References Evaluation
    Objectives

    III. EVALUATION

     Explain how effective the nursing intervention was (What happened after your nursing
    intervention? Did the patient get better?)

    IV. RECOMMENDATIONS

     Explain what the patient or nurse should do in the future to continue


    recovery/improvement. Your paper will be graded on how well you complete each of
    the above sections.  You will also be graded on your use of APA style (see the APA
    section of this website)

    IV. REFERENCES/BIBLIOGRAPHY

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