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case study evaluation: In order to write an excellent case study, you must carefully address a number of sections in a specific order with specific information contained in each. The guideline below outlines each of those sections.
Section | Information to Include |
Introduction (patient and problem) | · Explain who the patient is (Age, gender, etc.)
· Explain what the problem is (What was he/she diagnosed with, or what happened?) · Introduce your main argument (What should you as a nurse focus on or do?) |
Pathophysiology | · Explain the disease (What are the symptoms? What causes it?) |
History | · Explain what health problems the patient has (Has she/he been diagnosed with other diseases?)
· Detail any and all previous treatments (Has she/he had any prior surgeries or is he/she on medication?) |
Nursing Physical Assessment | · List all the patient’s health stats in sentences with specific numbers/levels (Blood pressure, bowel sounds, ambulation, etc.) |
Related Treatments | · Explain what treatments the patient is receiving because of his/her disease |
Nursing Care Plan | |
Nursing Diagnosis & Patient Goal | · Explain what your nursing diagnosis is (What is the main problem for this patient? What need to be addressed?)
· Explain what your goal is for helping the patient recover (What do you want to change for the patient?) |
Nursing Interventions | · Explain how you will accomplish your nursing goals, and support this with citations (Reference the literature) |
Evaluation | · Explain how effective the nursing intervention was (What happened after your nursing intervention? Did the patient get better?) |
Recommendations | · Explain what the patient or nurse should do in the future to continue recovery/improvement |