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University of Pangasinan
College of Nursing
Dagupan City, Philippines
A Case Study on ________________ Presented to the
College of Nursing
In Partial Fulfillment in
Related Learning Experience III
Submitted by:Submitted to:University of Pangasinan
 
College of Nursing
Dagupan City, Philippines
TABLE OF CONTENTS
I. Acknowledgement:II. Introduction:
Explain the disease condition (Client-centered). Reason of choosing his/hercase
III. Significance of the study:Nursing EducationNursing PracticeNursing ResearchIV. ObjectivesGeneral:Specific:1.2.3.V. Patient’s Profile:Nursing Health History
(Follow the Provided Interview
 
Sheet)
Physical Assessment
(Follow the Provided Checklist)
Developmental Data
(Choose 1 between the theories of Freud, Erickson, Piaget,Kohlberg)
VI. Anatomy and Physiology
(Discuss the related system with regards to the disease)
VII. Pathophysiology
(In Paradigm form with explanation)
 VIII. Diagnostic test
(Explain the aim of the procedure and discuss the significance of the results, giveinterpretations)
IX. Medical-Surgical Management
(Refer to any latest MS-Books)
Drug Study
(Follow the table provided)
X. Nursing Management
(Refer to any latest MS-Books)
Nursing Care Plan
(Follow the table provided)
XI. Discharge PlanMedication-
(What are the important thing to keep in mind in taking medication)
Economy/Exercise-
(What are the alternative/cheaper ways on how to manage thedisease)
Treatment/Therapy-
(What are recommendations of the doctor in treating the disease)
Health Teachings/Hygiene
(What health practices should be emphasized to prevent progression of the disease)
Out-patient consultation-
(Instructing the client to visit the doctor if symptomspersist)
Diet-
(Discuss what are the foods to be taken and avoid)
SEX-
(Suggestions in keeping the client potent)
XII. EvaluationDefinition of TermsBibliography:
 
NURSING HEALTH HISTORY 
(Interview Sheet)
I. Biographic Data
A. Name/Alias:B. Address:C. AgeD. Birth DateE. SexF. RaceG. Martial StatusH. OccupationI. Religious Orientation J. Health Care Financing and usual source of medical care
II. Chief Complaint and Reason of Visit:
A.What brought you to the hospital/clinic?B.What is troubling you?
III. History of Present Illness
A. Ask what was the chronological sequence of events in reference to the client’schief complaints:1. When was the start of the symptom?2. How often?3. Type of activity when before problem occurred?4. Was help/ consultation sought?5. Medication used?B. Asks how the problem interfered with activities of daily living.
IV. Past History
A.Child hood diseasesB.ImmunizationsC.AllergiesD.Accidents and injuriesE.Hospitalization (when and why?)F. Medication
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snickers_j

how do i download this format? thanks

reply01 / 23 / 2010
ldnora

OK I got it to change to a 5 star rating! Cheers- ldnora

reply11 / 24 / 2009
ldnora

Hello, Thank you so much for allowing me to download this document-very well done- Cheers

12 / 14 / 2009
ldnora

By the way I rate your work on this as 5 stars, I don't know why it only came up asw 3 stars. Very good work! Please reply as to whether I may download/print this for use in helping us develop an updated health history format. Thank you again. ldnora

reply11 / 24 / 2009
ldnora

Hello I am a certified school nurse and family nurse practitioner in Elgin, IL USA. I am employed by a public school district U-46. We are updating our health history format, and I found your article very thorough. I was wondering if I might have permission to print/download it to share with other members of my Nurse Practice Guidelines Committee. Thank you. I am brand new to Scribd ldnora

reply11 / 24 / 2009
Marie Angelique

hello ? how can i download this one ? please do reply as soon as possible. i really need it ? THANKS ?

reply09 / 05 / 2009
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