7/18/2019 Nursing Case Analysis Format

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Nursing Case Analysis FormatIn a short white bond paper and submit in a slide folder (Blue or Green)

I. Assessment:

• Demographic profile

•History – Medical, past, present and Nursing History

• PCR format on assessment

• Significant Laboratory and Diagnostic !aminations "ith

corresponding #nferences and elaborate

•  Nurses Notes $ Significant%

II. Anatomy and hysiology

• #nclude pictures and organs affected

###& athophysiology

• #n a flo" chart format

• Highlight signs and symptoms present in your Client

I!. "is#ussion of the $% ro#edure

• Rationale for the surgery

• #nclude Pictures rele'ant to the surgery

• Significant Discussion of the Surgery Performed

• Positi'e and negati'e aspects related to the surgery

• (ther related Surgery if )pplicable $ !& Differentiate (pen

Chole from Lap Chole%

• (R techni*ue "ith significant discussion!. "rug Analysis

• #nclude generic and specific brand name used

• #nclude Medications gi'en pre, intra and post operati'ely

• #ndicate the mechanism of action

• Reason or rationale for gi'ing the medication specific to the

condition of the client

• %ele&ant and signifi#ant nursing #are or measures

!I. Nursing Care lans

• Prioriti+e your problem

• ith actual cues and clues identified& $ N( assumptions%

• Ma-e at least . pre op diagnosis, / intra op and . post op

• (b0ecti'es must be SM)R1 $ Specific, Measurable,

)ttainable, Realistic and 1ime bound%

• Prioriti+e inter'entions, Do not limit the number of 

#nter'entions but "rite those applicable only in our setting

!II. %eferen#es:

• 2oo-s• 3ournals

7/18/2019 Nursing Case Analysis Format

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• #nternet "eb sites