It is usually prepared as a written assignment or presented during clinical posting.
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Patient profile
Name/initials, age, sex, ward, date of admission, diagnosis.
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History taking
Present illness, past medical and surgical history, family history, personal habits, allergies, medication history.
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Physical examination
General condition and system-wise assessment, such as respiratory, cardiovascular, neurological, abdominal assessment.
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Investigations and treatment
Lab reports, imaging, medicines, procedures, and their purpose.
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Disease discussion
Definition, causes, signs and symptoms, pathophysiology, diagnosis, treatment, and complications of the condition.
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Nursing assessment and nursing diagnoses
For example: acute pain, impaired breathing, risk of infection, knowledge deficit.
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Nursing care plan
Goals, nursing interventions, rationale for each intervention, and evaluation of outcomes.
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Health education and discharge plan
Diet, medicines, hygiene, follow-up, warning signs, lifestyle advice.
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Conclusion and references
So, a case study is not only a description of disease. It shows how you apply nursing knowledge to the care of one real patient.