Ai... I will provide you the format and fill the case study form according to the disease...ok??

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FILL this form comprehensively related to disease diabates mellitus type 2 CASE STUDY FORMAT XXXIII. INTRODUCTION A. Background of the study B. Objective (general & specific showing Knowledge, Skills & Attitude) C. Scope and Delimitation D. Theoretical Framework XXXIV. BIOGRAPHIC DATA Name 323 Address Age Gender Race Marital Status Occupation Religious orientation Health care financing and usual source of medical care XXXV.CHIEF COMPLAINT OR REASON FOR VISIT XXXVI. NURSING HISTORY (with guide questionnaire) K. History of Present Illness L. Past Medical History m) Childhood diseases n) Immunizations o) Allergies p) Accidents and injuries q) Hospitalization r) Medication M. Family History of Illness (use Genogram) N. Obstetric History (for OB cases only; with Assessment Guide) O. Developmental History (for Pediatric cases only; with Assessment Guide) Note: Assessment guide used should be attached as annexes at the back of the case study report. XXXVII. FUNCTIONAL HEALTH PATTERN (with guide questionnaire) 23.Health Perception and Health Management Pattern 24.Nutrition and Metabolic Pattern 25.Elimination Pattern 26.Activity-Exercised Pattern (use Barthel index) 27.Sleep-rest Pattern 28.Cognitive-perceptual Pattern 29.Self-perception and self-control Pattern 30.Role-relationship Pattern 31.Sexuality-reproductive Pattern 32.Coping-stress tolerance Pattern 33.Value-belief Pattern Interpretation: Analysis: (with reference) XXXVIII. REVIEW OF SYSTEM (all subjective complaints) XXXIX. PHYSICAL ASSESSMENT (all objective findings; indicate date performed; Head to Toe Assessment; follow IPPA sequence) 5. General Survey (Short Paragraph) 324 6. Vital Signs BODY PART (Technique used) NORMAL FINDINGS ACTUAL FINDINGS INTERPRETATION / ANALYSIS w/ Reference XL. ANATOMY & PHYSIOLOGY XLI. DIAGNOSTIC / LABORATORY STUDIES (Table) NAME OF TEST / PROCEDURE DATE DONE INDICATION FOR THE TEST / PROCEDURE NORMAL VALUE ACTUAL RESULT / FINDINGS SIGNIFICANCE OF THE RESULT / FINDINGS XLII. SURGICAL PROCEDURE (Operative worksheet, if any) XLIII. PATHOPHYSIOLOGY (Present in Schematic Diagram; Mind Mapping) XLIV. DRUG STUDY / IV INFUSIONS, BLOOD TRANFUSIONS, TREAMENTS GIVEN Drug Study DRUG ORDER (Generi c, name, dosage, route, frequen cy) TRAD E / BRAN D NAM E PHARMACOLO GIC ACTION OF DRUG INDICATION AND CONTRAINDICATI ONS ADVER SE EFFEC TS OF THE DRUG DESIR ED ACTIO N ON YOUR CLIENT NURSING RESPONSIBILI TIES / PRECAUTIONS Treatments Given TREATMEN T / INFUSION CLASSIFICATIO N INDICATIO N CONTRAINDICATIO N NURSING RESPONSIBILITIE S / PRECAUTIONS XLV. COURSE IN THE WARD (narrative form) • Summary of day to day medical/nursing management from the date of admission up to the time case study was done • Patient’s Status: a. General condition of the client (ex. LOC, VS, and other Subjective & Objective, complaint during the day) b. 4 D’s with inference / analysis: 325 o Diet o Drugs/IVF o Lab/Diagnostics procedure o Disposition XLVI. PRIORITIZED LIST OF NURSING PROBLEMS (Table) • Prioritized using ABC’s and Maslow’s Hierarchy of Needs DATE NURSING PROBLEMS IDENTIFIED CUES JUSTIFICATION XLVII. NURSING CARE PLAN CUES (Defining Characterist ics of Nursing Diagnosis) NURSIN G DIAGNO SIS (Problem & Etiology) BACKGROUND KNOWLEDGE (Pathophysiology/psycho social explanation or consequences of the nursing diagnosis) GOALS AND OBJECTIV ES (include long and short term objectives) NURSING INTERVENTI ONS AND RATIONALE EVALUATI ON XLVIII. PROPOSED / DISCHARGE PLAN (to be submitted by students whose patients are for discharge) • M - Medications to take at home • E - Exercises • T - Treatment • H - Health Teachings • O - Out - patient follow-up • D - Diet • S - Spiritual / Sexual activity (optional)

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