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    Case Study Presentation Format Handout

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    Angela
    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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    Case Study Presentation Format Handout

    Uploaded by

    Angela
    192 views4 pages
    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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    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.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    192 views4 pages

    Case Study Presentation Format Handout

    Uploaded by

    Angela
    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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    You are on page 1of 4

    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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