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Writing an excellent case Study

Human Anatomy and Physiology

March 2, 2016

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