Professional Documents
Culture Documents
A. Diagram
B. Narrative Discussion
Note: This is a simplified schematic diagram of the disease process. This will vary according to
the symptomatology (numbers and nature of signs and symptoms)
For the above format, please be guided with the description of the parts of the case
analysis.
INTRODUCTION – shall include objectives, brief definition of the disease, statistical data
(global, national, and local), and RT implications to education, practice,
and research.
ETIOLOGY - should indicate factors contributing to the condition or disease process of the
patient
DISEASE PROCESS – will indicate mode of entry (if applicable), organs involve or affected;
described in diagram and narrative form the pathogenesis of a disease, the
biological mechanism (or mechanisms) progress of disease showing its
morphological features or that leads to the diseased state.
SYMPTOMATOLOGY – can be multiple. Should include the positive and negative pertinent
findings. Each sign and symptom should yield to a specific
assessment/diagnostics and possibly management.
MANAGEMENT
a. Medical – includes procedures ( ex. NGT, intubation, suctioning, BT,etc.) and
drugs (including IV, parenteral feeding, )
b. Surgical – if there is
c. Nursing – nursing interventions based on the formulated nursing diagnosis
PROGNOSIS
The predicted outcome of a disease and the chance of recovery if treatment is applied
and if no treatment has been initiated to the patient.