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    Brief Description of The Disease/statistical Incidence

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    Leanne Princess Gamboa
    The document outlines the format for a case report on clinical special areas in nursing. It includes 7 sections: 1) Introduction, 2) Anatomy and Physiology, 3) Medical Management, 4) Nursing Management, 5) Learning Derived, 6) References, and 7) Appendices. Section 3 on Medical Management covers diagnostic procedures, treatments like IVs and medications, diet, activity, and surgical management if applicable. Section 4 focuses on the nursing care plan and actual notes.

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    Brief Description of The Disease/statistical Incidence

    Uploaded by

    Leanne Princess Gamboa
    53 views2 pages
    The document outlines the format for a case report on clinical special areas in nursing. It includes 7 sections: 1) Introduction, 2) Anatomy and Physiology, 3) Medical Management, 4) Nursing Management, 5) Learning Derived, 6) References, and 7) Appendices. Section 3 on Medical Management covers diagnostic procedures, treatments like IVs and medications, diet, activity, and surgical management if applicable. Section 4 focuses on the nursing care plan and actual notes.

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    Case Report Format 1

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    The document outlines the format for a case report on clinical special areas in nursing. It includes 7 sections: 1) Introduction, 2) Anatomy and Physiology, 3) Medical Management, 4) Nursing Management, 5) Learning Derived, 6) References, and 7) Appendices. Section 3 on Medical Management covers diagnostic procedures, treatments like IVs and medications, diet, activity, and surgical management if applicable. Section 4 focuses on the nursing care plan and actual notes.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    53 views2 pages

    Brief Description of The Disease/statistical Incidence

    Uploaded by

    Leanne Princess Gamboa
    The document outlines the format for a case report on clinical special areas in nursing. It includes 7 sections: 1) Introduction, 2) Anatomy and Physiology, 3) Medical Management, 4) Nursing Management, 5) Learning Derived, 6) References, and 7) Appendices. Section 3 on Medical Management covers diagnostic procedures, treatments like IVs and medications, diet, activity, and surgical management if applicable. Section 4 focuses on the nursing care plan and actual notes.

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    SYSTEMS PLUS COLLEGE FOUNDATION

    Angeles City
    COLLEGE OF NURSING

    CASE REPORT FORMAT


    (Clinical special areas)

    I. INTRODUCTION
    ▪ Brief description of the disease/statistical incidence
    ▪ Latest statistics or incidence of the disorder
    ▪ Current Trends (new approach / method of treatment)
    ▪ Significance of these figures on your part as nursing student
    o Acknowledge sources (author, year published)

    II. ANATOMY AND PHYSIOLOGY (with pictures)

    III. MEDICAL MANAGEMENT


    a. DIAGNOSTIC AND LABORATORY PROCEDURES

    DIAGNOSTIC/ GENERAL INDICATION OR NORMAL VALUES ANALYSIS AND NURSING


    LABORATORY DESCRIPTION PURPOSE INTERPRETATION RESPONSIBILITIES
    PROCEDURES

    b. IVF, O2 THERAPY, NEBULIZATION, NGT

    TYPE OF MEDICAL GENERAL INDICATION OR PURPOSE NURSING RESPONSIBILITIES


    MANAGEMENT DESCRIPTION

    c. MEDICATIONS

    NAME OF THE ROUTE OF


    DRUG GENERAL INDICATION OR ADMINISTRATION, SIDE EFFECTS AND NURSING
    GENERIC NAME DESCRIPTION/ PURPOSE DOSAGE AND ADVERSE RESPONSIBILITIES
    BRAND NAME CLASSIFICATION FREQUENCY OF REACTIONS
    ADMINISTRATION

    d. DIET

    GENERAL
    TYPE OF DIET DESCRIPTION INDICATION OR PURPOSE NURSING RESPONSIBILITIES

    e. ACTIVITY

    GENERAL
    TYPE OF ACTIVITY DESCRIPTION INDICATION OR PURPOSE NURSING RESPONSIBILITIES

    f. SURGICAL MANAGEMENT (applicable to patients who had surgery)


    i. Definition of the operation
    ii. Procedure (preoperative, intraoperative and postoperative period)
    iii. Instruments / equipment and machines / materials needed (provide
    pictures/illustration)
    iv. Responsibilities of the Nurse
    - Before the procedure
    **special physical preparation
    - During the procedure
    - After the procedure
    IV. NURSING MANAGEMENT
    a. Nursing Care Plan
    b. Actual FDAR

    V. LEARNING DERIVE
    ▪ Encompass the following domain! (Cognitive, Psychomotor and Affective)

    VI. REFERENCES

    Books

    Author (Year Published) Title of the Book, edition, State /Country, where the
    book was published: Publishing Company

    Internet / Website

    Author (Year Published / Posted in the Net) Title of the Article. Name of the
    Journal, vol.#, issue # (internet) Available from: web page
    (Accessed: Date when the article was retrieved from the internet)

    VII. APPENDICES

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