Case Study Form IVC Nursing The purpose of the case study is to apply nursing process to a patient/family under the students care. In order to complete a case study the student must complete a health...

Case Study Form IVC Nursing The purpose of the case study is to apply nursing process to a patient/family under the students care. In order to complete a case study the student must complete a health history and physical, analysis data from assessment, diagnosis problems, plan actions to resolve problem, implement the plan and evaluate the progress of the plan Assignments and dates will be determined by the course instructors. The format to follow will include: 1. Complete health history Biographical data Chief complaint (reasons for seeking health care provider) Presenting symptoms (history of present health concern) Past health history Family health history Review of systems (ROS) Life style and health practices profile Development level Physical examination By body system Focus is on complaining area Review all test (lab, x-ray, EKG, PFT, etc..) results 2. Analysis of data Analysis of subjective and objective data to make a nursing judgement in the form of nursing diagnosis, collaborative problem or referral Identify abnormal data and strengths Cluster data Draw inferences and identify problems Propose possible nursing diagnosis Check for presence of defining characteristics Confirm or rule out Document conclusions