UPHSD-LP-CON-ADE-033

17-06-2019-01

CASE PRESENTATION FORMAT

Follow the format for Case Presentation
 Introduction
 Chief complaint of clinical syndrome
 Patients Profile Nursing history (Gordon's Functional Pattern of Assessment)
 Physical Examination
 Diagnostic and Laboratory Examination
 Clinical findings, significant signs and symptoms
 Pathophysiology
 Problem (List Prioritizing the problem)
 Nursing Diagnosis (3 actual and 2 potential)
o Related to physiological concern
o Related to physiological concern
 Nursing care plan
 Drug study
 Discharge Planning (Methods)
o Medicine
o Exercise/Activity
o Treatment
o Health Teaching
o Outpatient follow up
o Diet
o Spiritual counselling
 References and bibliography