Description
You are required to formulate a nursing case study by selecting one disease condition from the system assigned below.
You must choose/adapt a case from any standard nursing/medical textbook (e.g., Potter & Perry’s Fundamentals of Nursing or other recommended references).
Use the attached Case Study Report format to write your work.
0% plagiarism
I have attached the diseases and solution form.
كلية العلوم الطبية التطبيقية بالنماص
لجنة المناهج الدراسية
Curriculum Committee
FUNDAMENTALS OF NURSING
CASE STUDY REPORT (CLO 1.3, 2.2) 5-MARKS
▪
Student Name _____________________________ ID _______________ Date_____________
▪
Hospital __________________________________ Instructor Name_____________________
▪
Date of patient admission ___________________ Time _______________________________
1. Patient Information
▪
Patient Initials ____________________________ Age__________ Gender ____________
▪
Occupation _______________________________ Marital status ____________________
▪
Diagnosis _________________________________________________________________
2. Patient History
▪ Chief Complaint
___________________________________________________________________________
___________________________________________________________________________
▪ Past Medical History
___________________________________________________________________________
___________________________________________________________________________
▪ Allergies
▪
Food _____________________ Medications __________________Others _____________
3. Vital Signs and General Data
▪
Vital Signs
o Temperature _______________
o Pulse ______________________
o Respiration _________________
o Blood Pressure_______________
4. Physical Examination Findings
o Skin (Integumentary) _______________________________________________________
o Head and Neck ____________________________________________________________
o Lungs_____________________________________________________________________
o Heart (Cardiovascular) _____________________________________________________
o Abdomen _________________________________________________________________
o Musculoskeletal ____________________________________________________________
o Neurological _______________________________________________________________
University of Bisha, College of Applied Medical Sciences in Alnamas, 2 0 2 5
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5. Diagnostic Evaluation and Treatments
Diagnostic Test
Patient’s Results
Normal Values
6. Medical and Surgical Management
______________________________________________________________________________
______________________________________________________________________________
7. Nursing Care Plan
Assessment
Nursing
Diagnosis
Goal
Nursing Intervention
Expected
Outcomes
8. Patient Evaluation
______________________________________________________________________________
______________________________________________________________________________
9. References
______________________________________________________________________________
______________________________________________________________________________
END
University of Bisha, College of Applied Medical Sciences in Alnamas, 2 0 2 5
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