Professional Documents
Culture Documents
"http://upload.wikimedia.org/wikiped
ia/en/7/7c/Official_Far_Eastern_Uni
versity_Logo.png" \*
MERGEFORMATINET
INCLUDEPICTURE
"http://upload.wikimedia.org/wikiped
ia/en/7/7c/Official_Far_Eastern_Uni
versity_Logo.png" \*
MERGEFORMATINET
INCLUDEPICTURE
"http://upload.wikimedia.org/wikiped
ia/en/7/7c/Official_Far_Eastern_Uni
versity_Logo.png" \*
MERGEFORMATINET
INCLUDEPICTURE
"http://upload.wikimedia.org/wikiped
ia/en/7/7c/Official_Far_Eastern_Uni
versity_Logo.png" \*
MERGEFORMATINET
INCLUDEPICTURE
Far Eastern University
"http://upload.wikimedia.org/wikiped
ia/en/7/7c/Official_Far_Eastern_Uni Institute of Nursing
versity_Logo.png" \*
MERGEFORMATINET
INCLUDEPICTURE
"http://upload.wikimedia.org/wikiped
ia/en/7/7c/Official_Far_Eastern_Uni
versity_Logo.png" \*
MERGEFORMATINET
INCLUDEPICTURE
"http://upload.wikimedia.org/wikiped
ia/en/7/7c/Official_Far_Eastern_Uni
versity_Logo.png" \*
MERGEFORMATINET
INCLUDEPICTURE
"http://upload.wikimedia.org/wikiped
ia/en/7/7c/Official_Far_Eastern_Uni
versity_Logo.png" \*
MERGEFORMATINET
A Case of:
(Diagnosis)___________
Presented by:
Name of Student / Group / Section
Submitted on:
Date Submitted_________
Demographic Data
Name:
Address:
Age: Birth Date: Birth Place:
Gender:
Religion: Race/Ethnic Origin:
Occupation: Educational Attainment:
Marital Status: Name of Spouse:
Number of Children:
Chief Complaints:
Date of Admission:
Room & Bed Number:
Attending / Admitting Physician:
Admitting/Final Diagnosis:
Medical Insurance:
Grandparents Grandparents
Legend:
------ - Committed relationship X - Deceased
- Female (Married)
- Male --//-- - Broken relationship (Divorced)
I. Elimination Pattern
Pattern of excretory function (bowel, bladder, & sweating/vomiting)
MERGEFORMATINET
THE EBN
PICO
MERGEFORMATINET
Research journals should be up-to-date (year 2014 and up) from research databases (e.g. EBSCO) or from
original sources. Writing style and citation of sources should follow the APA format.
Note: The clinical question does not always need a specific comparison.
Example: “Low Back Pain: Is acupuncture more effective than the application of hot and cold
compress in relieving back pain and promoting relaxation?”
H. Related Literature from research databases (e.g. EBSCO) and other sources.