how to make a case study

8/3/2019 How to Make a Case Study

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HOW TO MAKE A

CASE STUDY

ALMERIA, Krishna Rae Z., BERNARDO, Ryan Angelo, DE LOS SANTOS, Janet Alexis A.,

MENESES, Raza Crecia L., PEREZ, Ana Aumpta P., RUSSELL, Glynda


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A case presentation should only include

information that pertains to the case andrefrain from providing confusing and

superfluous data.

Daily patient progress including normal VS,

routine laboratory results, typical

consultations with other disciplines, step-

down transfer to wards, and other

irrelevant patient information MUST BE

AVOIDED.


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OUTLINEI. ABSTRACT

II. INTRODUCTION

III. COMPREHENSIVE NURSING HEALTH HISTORY

IV. PHYSICAL EXAMINATION

V. LABORATORIES & DIAGNOSTIC PROCEDURES

VI. ANATOMY & PHYSIOLOGY

VII. PATHOPHYSIOLOGY

VIII. SUMMARY OF CLINICAL FINDINGS

IX. PHARMACOLIGICAL SHEET

X. NURSING CARE PLANXI. DISCHARGE PLANNING

XII. PROGNOSIS

XIII. BIBLIOGRAPHY


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ABSTRACT

Composed of 100-250 words

Should include 4 sections as the main

text in a succinct form: Introduction and

objective, Case Presentation, discussion

and conclusion.


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INTRODUCTION

Written concise and salient and not more than 3

paragraphs and need not be labeled with a

heading. Should provide the background information that

present clarity to the subject of discussion.

The introduction should provide the subject,purpose and merit of the case report.


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Statistical records : LOCAL, NATIONAL,

INTERNATIONAL

Focused comprehensive literature review

Citations should be chronological 1-2 sentences description of the patients

case as a segway to the CASE

PRESENTATION.


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COMPREHENSIVE NURSING

HEALTH HISTORYA. Biographic Data

B. Chief Complaint

C. History of Present Illness

D. Past Medical History

E. Family History

F. Functional Health Patterns


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FUNCTIONAL HEALTH PATTERN


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3

4

5


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6

7

8


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9

10

11

1z


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PHYSICAL EXAMINATION

Cephalocaudal

Narrative

Should be written by following the

format:

IPePaA

IAPePa


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LABORATORIES and DIAGNOSTIC

EXAMS All laboratories (current and relevant)

should be presented in a tabular form.

Diagnostics:

Impression and Results

NAME OF PROCEDURE

Parameters Normal Value Patients value Interpretatio

n

Significance


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ANATOMY AND PHYSIOLOGY

Content should be concise and straight

to the point and should only focus on the

area or organ involved

An illustration or a picture should be

presented


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PATHOPHYSIOLOGYA. SCHEMA

B. NARRATIVE (explanation of the flow chart)

Definition: Gives rise to symptoms that are reported by

patients/signs that are observed by patients or

nurses or other health care providers OBSERVATION + PHYSIOLOGY +

PATHOPHYSIOLOGY


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Be able to explain processes in their own words

and translate these processes into technicalvocabulary

Explain by drawing processes, perhaps by flow

charts or map format. Label key steps and usecolors to emphasize main points

Ask yourself why? and whats the

consequence?

Relate what youre learning to what you

ALREADY know about physiology


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SUMMARY OF CLINICAL FINDINGS

AND MANIFESTATIONS A table of summary of clinical findings and

manifestations should be written after thenarrative pathophysiology.

Both POSSIBLE and ACTUAL MANIFESTATIONS

are recorded provided that the former isemphasized/highlighted or otherwise

written in two columns


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PHARMACOLOGICAL SHEET

Should be patient focused.

All medications of the patient should be

written in a pharmacological sheet HEADERs should be written on each page of

the pharmacological sheet:

a. Name of Patient c. Attending Physicianb. Age and Sex d. Chief complaint


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NURSING CARE PLAN

Is best thought of as a written reflection

of the nursing process. (Gulanick/Myers)

Is a written or computerized guide that

organizes information about the clients

care. (Kozier)


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DISCHARGE PLANNING

A. For patients with non complicated disease andno surgeries in the ward and private areas:

M

edications

E xcercise

T reatment and Visits

H ealth teachings /Hygeine O bservable signs and symptoms

D iet

S piritual / Support System


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B. For patients who are post operative:

H ealth teachings

A anticipatory Guidance

S piritual Care M edications

I ncision or wound care

N utrition E nvironment


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C. For patients with post delivery and post CS

B reast

U terus

B ladder

B owel

L ochia

E pisiotomy

S upport system / Spiritual

H omans sign

E motional


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PROGNOSIS

May be written according to the students

interpretation of the patients case

If there are prognosis written by the

health team, it is encouraged to include

it as an input.


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BIBLIOGRAPHY

Family name, name of author, TITLE OF

REFERENCE. Publisher. Year published.

Alphabetically arranged and categorized

according to:

a. Booksb. Journal

c. Websites

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