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Nursing Case Study Presentation Guide

The document outlines the key parts and components of a case study, including: - Learning objectives and introduction to provide context - Patient profile and history to introduce the case without revealing identities - Course in the ward to summarize the patient's hospital stay - Physical assessment, review of systems, and Gordon's functional health patterns to evaluate the patient's condition - Additional sections on anatomy, pathophysiology, labs, nursing care plan, and recommendations/discharge planning.

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Angela
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368 views4 pages

Nursing Case Study Presentation Guide

The document outlines the key parts and components of a case study, including: - Learning objectives and introduction to provide context - Patient profile and history to introduce the case without revealing identities - Course in the ward to summarize the patient's hospital stay - Physical assessment, review of systems, and Gordon's functional health patterns to evaluate the patient's condition - Additional sections on anatomy, pathophysiology, labs, nursing care plan, and recommendations/discharge planning.

Uploaded by

Angela
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
  • Parts of a Case Study
  • Case Study/Presentation
  • Learning Objectives
  • Introduction
  • Course in the Ward
  • Patient's Profile
  • Patient's History
  • Pathophysiology
  • Physical Assessment and Review of Systems
  • Anatomy and Physiology
  • Gordon's Functional Health Pattern
  • Nursing Care Plan
  • Laboratory Exams
  • Recommendations/Discharge Planning

29/04/2021

PARTS OF A CASE STUDY

CASE STUDY/ • LEARNING OBJECTIVES

PRESENTATION • INTRODUCTION
• PATIENT’S PROFILE

MELANIE S. CAMBEL • PATIENT’S HISTORY


• COURSE IN THE WARD
• PHYSICAL ASSESSMENT AND REVIEW OF SYSTEMS
• GORDON’S FUNCTIONAL HEALTH PATTERN

1 2

PARTS OF A CASE STUDY LEARNING OBJECTIVES

• ANATOMY AND PHYSIOLOGY • Complete, clear, concise and relevant

• PATHOPHYSIOLOGY
• LABORATORY EXAMS/ TREATMENT • GENERAL OBJECTIVE
• One main objective
• DRUG STUDY
• Overall objective
• NURSING CARE PLAN
• SPECIFIC OBJECTIVES
• RECOMMENDATIONS/ DISCHARGE PLANNING • More specific
• Enumerate what the learners will be able to gain with the case study

3 4
29/04/2021

INTRODUCTION PATIENT’S PROFILE

• Should discuss comprehensive related literature of the case • Complete and relevant information about the client maintaining identity
confidentiality
• Introduce adequate new ideas, information, researches related to the case
• Demographic data
• Should be limited at least 3-4 paragraphs only
• 1st paragraph – epidemiology of the case (Worldwide and National) • Actual name and exact address of the client should not be used
• 2nd paragraph – Background of the case • Indicate the Date of admission, Admitting Diagnosis and Final Diagnosis
• 3rd paragraph – introduce why the case was chosen

• No subtitles or sub-headings

5 6

PATIENT’S HISTORY COURSE IN THE WARD

• Chief complaint • Comprehensive and accurate data of client during confinement


• History of Present Illness (HPI) • From admission to discharge
• Past Medical and Surgical History • Summary of actual observation, Doctor’s order, Nurses Notes, Vital Signs, I &
O, IV flowsheet, Medication administration record, etc.
• Family History
• Should be in paragraph form
• Personal and Social History
• Obstetrical and Menstrual History (For OB-GYNE patients)
• Immunization and Prenatal/Birth History (For Pediatric patients)

7 8
29/04/2021

PHYSICAL ASSESSMENT AND REVIEW OF SYSTEMS GORDON’S FUNCTIONAL


HEALTH PATTERN

• Comprehensive and accurate physical examination and systems • Accomplish through interview
• Actual assessment of the client • Not all are applicable in all
patients (Ex. Newborn and
• Do not copy the physical examination found in the chart
infants)
• Head to toe assessment including the vital signs, pain scale, height and weight
• Should be in tabular form
• Indicate and differentiate
functional health assessment
before hospitalization and during
hospitalization for comparison

9 10

ANATOMY AND PHYSIOLOGY PATHOPHYSIOLOGY

• Clear and accurate anatomy and physiology related to the disease • Description of the disease process
• Discuss only the clinical parts involved in the actual case • Should be based on the patient’s history
and presenting symptoms
• Provide some illustrations
• Should be in diagram/ flowchart form
• Should be in paragraph form

11 12
29/04/2021

LABORATORY NURSING CARE PLAN


EXAMS
• Comprehensive and • Actual nursing care plan designed for the patient
accurate laboratory • Limited to 3 NCPs per case
examinations done on • Prioritize and follow proper format (7 columns)
patient • Do not indicate irrelevant assessment
• Indicate significance of • Should be S-M-A-R-T
the result and findings of • Properly organize and individualize the interventions
the study
• Rationales should be scientifically explained
• Tabular in form • Actual evaluation results should be indicated

13 14

RECOMMENDATIONS/ DISCHARGE PLANNING

• Recommendations are for patients who are still confined/ admitted in the hospital
• Discharge planning is for patients that were already discharged from the hospital
• M – medications
THANK YOU!
• E – exercise/ environment
• T – treatment
• H – health teachings
• O – outpatient or observation
• D – diet
• S – Spiritual

15 16

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