Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

Case study format

34,669 views

Published on

format of case study : a Nursing point of view. it includes all the headings or points about which the information regarding the patient needs to be collected and helps to write a detailed case study

Published in: Health & Medicine
  • Scientist reveals real cause of weight gain. Click here now ➤➤ https://bit.ly/3fJGS4i
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • Did you try ⇒ www.WritePaper.info ⇐?. They know how to do an amazing essay, research papers or dissertations.
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • I can advise you this service - ⇒ www.HelpWriting.net ⇐ Bought essay here. No problem.
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • Hi there! I just wanted to share a list of sites that helped me a lot during my studies: .................................................................................................................................... www.EssayWrite.best - Write an essay .................................................................................................................................... www.LitReview.xyz - Summary of books .................................................................................................................................... www.Coursework.best - Online coursework .................................................................................................................................... www.Dissertations.me - proquest dissertations .................................................................................................................................... www.ReMovie.club - Movies reviews .................................................................................................................................... www.WebSlides.vip - Best powerpoint presentations .................................................................................................................................... www.WritePaper.info - Write a research paper .................................................................................................................................... www.EddyHelp.com - Homework help online .................................................................................................................................... www.MyResumeHelp.net - Professional resume writing service .................................................................................................................................. www.HelpWriting.net - Help with writing any papers ......................................................................................................................................... Save so as not to lose
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • To get professional essay you must go for experts like HelpWriting.net
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here

Case study format

  1. 1. Case study Demographic data:Name:Age:Gender:I.P. D No.:Ward:Address:Education:Occupation:Marital status :Religion:Date of admission:Name of the surgery:Type of anesthesia:Allergic to:Date of discharge:Brief socioeconomic history       Family history:Health status of family members:Total income:Dietary habits:Housing condition:Inter personal relationship:- Personal history  Personal hygiene: History of allergy: History of past illness:-
  2. 2.  History of present illness:Vital signs Temp: pulse: Head to toe examination General appearance     Body type:Posture:Gait:Activity:- Vital signs     Temperature:Pulse:Respiration:Blood pressure:- Height and weight Integument Skin:  Colour: Moisture: Temperature: Texture: Turgor: Vascularity: Lesions:Hair and scalp:  Distribution: Colour: Appearance: Scalp: Hair follicles:Nails:  Color: Thickness: Shape:Head And Neck resp: B.P:
  3. 3. Head:  Position:Eyes:           Position and alignment:Eyebrows:Eyelids:Lacrimal ducts:Conjunctiva:Sclera:Cornea:Pupil:Lens:Visual acuity:- Ears:  Auricles: Ear drum: Hearing acquity:Nose:      External nares:Mucosa:Discharge:Nasal septum:Sinuses:- Mouth and pharynx:        Lips:Mucosa:Gums:Teeth:Tongue:Palate:Pharynx:- Neck:  Neck muscles: Lymph nodes:-
  4. 4.  Thyroid gland: Trachea:Thorax And Lungs Posterior thorax:        Contour:Intercostal spaces:Rhythm of breathing:Thoracic muscles:Fremitus:Percussion:Auscultation:- Anterior thorax:     Thoracic muscles:Fremitus:Percussion:Auscultation:- Lateral thorax:  Percussion:Heart     Inspection:Palpation:Auscultation:Heart rate:- Breast  Inspection: Nipple: Palpation:Abdomen     Inspection:Palpation:Percussion:Auscultation:- Genitalia (Female)
  5. 5.     Labia majora:Labia minora:Urethral orifice:Vaginal orifice:- Genitalia (Male)  Penis: Scrotum: Inguinal ring and canal:Rectum And Anus  Inspection: Digital palpation:Musculoskeletal System     Inspection:Palpation:Range of motion:Muscle tone and strength:- Neurological System  Level of consciousness: Behavior: Cranial nerve function:Reflexes:  Biceps: Triceps: Patellar: Achilles: Plantar: Gluteal: Abdominal:Assessment Subjective data:Objective data:- Investigations
  6. 6. Patient’s value S.No. Name of investigation Normal value Doctor’s order Doctor’s Order S.No. Purpose Case in detail         Introduction Definition Etiology Pathophysiology Clinical manifestations Diagnostic findings Surgical management Nursing management Nursing care plan :Assessment Subjective data Objective data Nursing diagnosis Goal Planning Rationale Implementation Evaluation
  7. 7. Health education:S.No. Date Topic Nurse’s record :Date Recording Signature

×