CASE PRESENTATION FORMAT

TITLE PAGE
TABLE OF CONTENTS
LIST OF TABLES
LIST OF FIGURES
ACKNOWLEDGEMENT
ABSTRACT
INTRODUCTION
COMPREHENSIVE PSYCHIATRIC NURSING HISTORY
A. IDENTIFYING DATA
B. PATIENT’S PRESENTING PROBLEM
C. PERSONAL HEALTH HISTORY
D. PSYCHIATRIC HEALTH ASSESSMENT
1. SOCIOCULTURAL DIMENSION
2. PHYSICAL DIMENSION
3. INTELLECTUAL DIMENSION
4. EMOTIONAL DIMENSION
5. SPIRITUAL DIMENSION
6. ANAMNESIS
7. MENTAL STATUS EXAMINATION
ANATOMY AND PHYSIOLOGY
PSYCHOPATHOPHYSIOLOGY
1. SCHEMATIC DIAGRAM
2. NARRATIVE
CLINICAL MANAGEMENT
1. MEDICAL MANAGEMENT
a. LABORATORY RESULTS
b. DRUG STUDY
c. IDEAL AND ACTUAL MANAGEMENT
d. SPECIAL PROCEDURES
2. PROCESS RECORDING
3. NURSING CARE PLAN
BIBLIOGRAPHY