SAN PABLO COLLEGE

COLLEGE OF NURSING

DRUG STUDY

Patient Name:___________________________________

Generic – Brand name Classification/ Indication Side effects/ Nursing Consideration Patient teaching
Adverse Reaction
(Common/Life- threatening)

Submitted by:________________________________
 SAN PABLO COLLEGE
COLLEGE OF NURSING

NURSING CARE PLAN

Patient’s Name:_____________________
Nursing Diagnosis:______________________________r/t____________________________ evidence by__________________________.

ASSESSMENT PLANNING/GOAL IMPLEMENTATION RATIONALE EVALUATION GOAL MET

Desired Outcome Independent/dependent Reason for the intervention Expected Outcome
Nursing intervention
Pertinent Data: Patient will: Nurse will: Why: Positive result Yes No
Subjective:

Objective:

 If the client goal was not met, briefly describe why and what step would be taken next:
_____________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________
Submitted by :__________________________
 SAN PABLO COLLEGE
COLLEGE OF NURSING

Treatment Medical/Surgical

Patient Name:___________________________________

Treatment Medical/Surgical Indication Rationale Nursing Considerations

Submitted by:________________________________
 SAN PABLO COLLEGE
COLLEGE OF NURSING

Recommended Research/Study base on the Case Study

1. Research Topic/ Title:_________________________________________________________________________________________________________________

Objective:____________________________________________________________________________________________________________________

Statement of Problem Research Design Participants/Respondents Statistical treatment

2. Research Topic/ Title:_________________________________________________________________________________________________________________

Objective:____________________________________________________________________________________________________________________

Statement of Problem Research Design Participants/Respondents Statistical treatment

Submitted by:________________________________