Published on February 15, 2014
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:-
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:
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:-
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)
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
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
Health education:S.No. Date Topic Nurse’s record :Date Recording Signature
Guidelines to the writing of case studies. ... The two most common formats of titles are nominal and compound. A nominal title is a single phrase, ...
Case study format can cause some trouble unless you know its specifics. Look through this quick guide to learn all you needed to know to save your case ...
Student Samples of Case Studies--- ... Basic Psychiatric Case Study ... The format of the questions consisted of both a nominal scale and an ...
With a case study, you provide an in-depth observation into an event, process or person. A well-written case study requires planning and thought to ...
Developing and Using Case Studies A way to communicate and learn from “Internationalization” Experiences Case Study Format: Internationalizing ...
Preparing a Case Study. ... At the top of the list of preferred formats by readers, case studies report on a specific ... Samples of Case Studies Published ...
Title: CASE STUDY REPORT FORMAT GUIDELINE Author: weaverd Last modified by: weaverd Created Date: 9/6/2010 8:00:00 PM Company: Malaspina University-College
CASE STUDY REPORT FORMAT GUIDELINE The following is a suggested guideline for preparing your case study reports. Cover Page (Include Case Study Title ...
Fist, prepare an outline (in list or mind-map format) ... Writing the case study. Editing Activities. Report Writing Checklist. How a case study is organised.
Guidelines for Writing a Case Study Analysis. A case study analysis requires you to investigate a business problem, examine the alternative solutions ...