NORTHERN LUZON ADVENTIST COLLEGE

Artacho, Sison, Pangasinan, PHILIPPINES

A SEVENTH-DAY ADVENTIST INSTITUTION
School of Nursing

www.nlac.edu.ph

WRITTEN CASE PRESENTATION

EVALUATION TOOL

Title ___________________________________________________________ Date ___________ Score ______

Group Members ____________________________________________________________________________
____________________________________________________________________________

( ) Initial Write-up
( ) Final Write-up

ASPECTS OF EVALUATION PS SS
I. Introduction
A. Cite Significance of the study (3)
5
B. Prevalence/Statistics (2)
II. Patient Profile
A. Demographic data (1)
B. Psychosocial developmental tasks - states significance in relation to patient (4)
C. Comprehensive discussion of past medical history and present health status - include OB 12
history for maternal case/immunization history for pediatric case (2)

D. Discussion of assessing appearance and mental status (5)

III. Normal Physiology
A. Narrative discussion of systems/processes involved (3)
5
B. Use of relevant illustrations/diagrams (2)
IV. Pathophysiology
A. Concise and in-depth discussion (10)
B. Illustration/diagram of pathophysiology (5)
1. Etiology - Risk/predisposing factors specific to the patient's case are highlighted. 15
2. Systems and processes involved.
3. Manifestations - sign/symptoms present are highlighted with dates; supporting data should
include lab test results or findings indicating the normal values versus abnormal.
V. Nursing Care Plan
A. Assessment - Utilizing Gordon's (10)
1. Cues - with relevant subjective/objective data
2. Problem statement - Patient centered; with dates; correct prioritization
B. Nursing diagnosis and rationales - with book reference (5) 40
C. Planning - SMART goals and objectives are patient centered (5)
D. Intervention (15)
1. Dependent versus independent nursing interventions
2. Font features - actual nursing interventions done in bold fonts; standard/book picture
nursing interventions are normal fonts; all rationales are italics.
 NORTHERN LUZON ADVENTIST COLLEGE
Artacho, Sison, Pangasinan, PHILIPPINES
A SEVENTH-DAY ADVENTIST INSTITUTION
School of Nursing

www.nlac.edu.ph

3. Actual or standard treatment/s, procedure/s, pharmacologic and surgical management

applicable to the case are specified under the dependent intervention.
4. Age appropriate therapy is included if it is a pediatric case.
E. Evaluation (5)
1. Outcome of actual nursing interventions done
2. Focused on the set goals and objectives
3. Met versus unmet - manifestations are indicated to serve as proof of evidence
VI. Diagnostic tests, treatments, procedures and surgery
A. Brief discussion - indications; use of illustrations if applicable (5)
10
B. Important nursing considerations/implications - before, during and after the procedure (5)
VII. Conclusion (2)
A. Client and case - centered
2
B. Prognosis of the client is indicated
VIII. Recommendation (1)
A. Client and case - centered
1
B. Recommendation for further study
IX. Bibliography
A. Total reference of not less than 10 books (2)
B. Proper documentation (2)
4
1. Printed references
2. Internet references - URL address
X. General Presentation
A. Neatness (1)
B. Grammar/Spelling (3) 6
C. Format/indention/spacing (2)
TOTAL 100

Evaluator/s: _______________________________________________________________________________