Nursing Case Presentation Format

Nursing case presentation by student nurses is an effective tool in acquiring knowledge about  diseases, enhances critical thinking, practices their ability to apply the nursing process and improves their communication skills.

A very important component of a nursing case presentation is the collection of data about the client both subjective and objective. This means a thorough Nursing Health history, physical assessment and the results of laboratory test and diagnostic procedures.

Here is an outline on how to go about your nursing case presentation.

I.  Nursing Health History

  • Biographic Data
  • Chief Complaint (Chief Complaint may be different from reason for visit) Reason for Visit (reason the patient states for seeking care)
  • History of the Present Illness
  • Past history
    • General state of health
    • childhood illnesses
    • Immunizations
    • adult illnesses
    • psychiatric illness
    • operations
    • injuries
    • hospitalizations
    • current medications
    • Allergies
  • Family History of Illness
    • the age and health or age and cause of death of each immediate family member
    • the occurrence within the family of any of the following conditions ( diabetes, TB. heart disease, high blood pressure, stroke, kidney disease, cancer arthritis, anemia, mental patient
  • Menstrual and Obstetric History (if applicable)
  • Lifestyle/ Activities of Daily Living
  • Social Data
  • Psychological Data

II.     Patterns of Functioning /Gordon’s Functional Health Pattern
III.     Physical Assessment
IV.     Laboratory/ Diagnostic Examination Results
V.     Medications. IV infusions, Blood Transfusions, treatments given
VI.     Review of Systems
VII.     Anatomy and Physiology
Review of the organ system and its function related to illness of the client
VIII.     Pathophysiology of the disease
IX.     Prioritized List of Nursing problems
X.     Nursing Care Plan
XI.     Discharge Plan

  • Medications
  • Exercise
  • Treatment
  • Health teaching
  • Out patient (follow up consultation)
  • Diet
  • Sexual Activity or Spirituality
  • If you need help about your nursing case presentation, you can leave a comment on this blog. Hope this guide will help you my dear students!

    The 3M Experience – Innovation Tour

    From scotch tape to fiber optics solutions and solar energy technology, get to know more about 3M products by their 3M Innovation Tour. It is open to the public upon schedule wherein, students or special interest groups or businesses will be able to learn about the different applications and products that 3M has.

    With the 3M Innovation Tour, experience, touch, know, understand and discover a whole lot of 3M products you have never known before. The tour features 10 methods rooms that showcase 3M’s practical and ingenious solutions – at home, in the marketplace, on the go, around the world.

    I was amazed at how many 3M products there are and how it has helped make life easier and has even saved lives. My oldest 3M product, is my 25 year old Littman Stethoscope. It has gone a long way since my medical school days and now I still using it in teaching my students the basics of physical assessment.

    Another interesting display room is the Display & Graphics / Traffic and Safety Solutions Methods Room, you’ll get to learn about 3M Digital Graphics as well as most of the outdoor signage you see on the road. Commercial Care and Occupational Health & Safety Methods Room, with products such as gas masks and safety gears aimed to protect you in the line of duty.

    Get to know more about 3M products by The 3M Innovation Tour. Students would definitely benefit from 3M world of science and how their products have changed and shaped you and my life.

    For more details contact :

    Nene Amen
    Corporate Marketing & Public Affairs

    Website:
    www.3m.com
    www.3m.com/ph

    3M Philippines
    9F Three World Square Building
    22 Upper McKinley Road, McKinley Hill
    Fort Bonifacio, Taguig City 1634
    632 878 3674
    632 878 3691 Fax
    innovation.ph@mmm.com

    Buwan ng Wika Agosto 2010

    Pinagdiriwang ang Buwan ng Wika tuwing Agosto. Ang paksang diwa sa kasalukuyang taon ay “ Sa Pangangalaga sa Wika at Kalikasan, Wagas na Pagmamahal Talagang Kailangan”.

    Kaugnay ng Buwan ng Wika, minarapat ko na magsaad ng ilang mga kasabihan na madalas sambitin ng mga ninuno natin kung tayo ay pinapangaralan.

    Ang kahoy hanggat malambot
    Ay madaling mahuhubog,
    Kung lumaki at tumayog,
    Mahirap and pag hutok.

    Ang anumang gagawin
    Makapitong isipin

    Ang gawa sa pagkabata
    Dala hanggat sa tumanda

    Ang bayaning nasusugatan
    Nag iibayo ang tapang

    Sa kabang nakabukas
    Matutukso kahit banal

    Kahoy na babad sa tubig,
    Sa apoy huwag ilapit
    Pag nadarang sa init
    Sapilitang magdirikit

    Anak na di paluhain
    Ina ang patatangisin

    Nursing Curriculum CHED CMO # 14

    If you are a nursing student drop out but had a change of heart and decided to go back to school and pursue a nursing course again, you may want to assess your options. Most especially if you have taken your Nursing Care Management (NCM) courses like NCM 101 and 102. In most schools the subjects for the old CMO #30 are not being offered anymore because they are implementing the new CHED CMO #14. One has to follow the subjects for the new curriculum, meaning the students has to repeat her NCM subjects because, course descriptions are different.

    For example, in CMO 14, NCM 101 is Care of Mother, Child and Family, NCM 102 is Care of Mother, Child, Family and Population Group at-Risk Or with Problems, plus subjects like Health Assessment and Theoretical Foundations of Nursing. There is no Health Care 1 and 2 subjects in CMO #14. New subjects are nursing informatics and 2 elective subjects in the fourth year.

    In the old CMO # 30, NCM 102 is Medical and Surgical nursing, and Physical assessment is integrated in NCM 100.In such cases, you have to re-enroll such courses again to be in line with CMO #14. Before enrollment, better clear this up with your course adviser and school registrar.

    I suggest that you scout for schools still offering the old curriculum until next semester (October 2010) so that your previous courses will not be wasted and you will not be required to re enroll subjects in order to be in line with CMO # 14.

    You may want to read the guidelines regarding nursing graduates requirements for the filing of applications for the Nurse Licensure Examinations

    International Nursing Program at Arellano University

    Do you want a US or Australian BSN diploma while studying in the Philippines? Arellano University’s International Nursing Program (INP) has a tie-up with Alderson-Broaddus College in West Virginia,USA  and Edith Cowan University in Perth,Australia .

    Nursing students under this program while studying at Arellano University International Nursing Program will use either a USA or Australian nursing curriculum. Nursing students will take their 3 years study at Arellano University INP in Legarda, Manila and their senior year at either Alderson-Broaddus College in West Virginia or Edith Cowan University in Australia.

    High school graduates, transferees and second courses may apply. Applicants will have to pass a screening interview, a writing test and the American Council of Testing Exam (ACT).

    Update:

    There were two Arellano University International Nursing Students who graduated this year at the  ALDERSON-BROADDUS COLLEGE , at the same time 3 students are in their fourth level at AB College.

    For further information contact the following persons

    Mr Angelo Herrera :  angelo.herrera @arellano.edu.ph  / 736-95-50 / 0921-4811-586

    Dr Emie Mendoza :   doc_emay@yahoo.com

    Visit the website : http://www.arellano.edu.ph/inp/

    Going back to school

    All my children are grown-ups; I need not be an over eager mother anymore when classes resume this week. No more lots of school supply to provide, doing away with so many National bookstore trips to buy several types of pen, notebooks and papers.

    Time flies so much, as I look back, I feel relaxed this school opening. The kids are independent in their school works. All I do is provide the resources needed to be an independent learner. They have their everyday routine and  all must practice autonomy as a student.That is a house rule.

    This is the time of my life that I have to cherish; little by little my responsibilities are diminishing day by day. The secret lies in doing things that I like, neglect unfavorable situation for a while; anyway time will find its own solution.

    My kids and I are all in school. We never stopped being students. As my Dad would always say, being a student is the most memorable times of your life! For the last 5 years I have been a teacher but I never stopped being a being student!

    P.S

    Care to read my new blog? www.alagangnars.com ( its about the student nurses’ concern about the BSN Policies and Standard under the new BSN curriculum CMO # 14 s. 2009)

    I will also be a guest writer  at http://www.distanceeducationblog.com/

    Kumon Philippines Education & Parenting Seminar Series 2010

    Let them Shine! Empowering Your Children to Discover Their Full Potential, is this year’s theme of Kumon Philippines newest project, Education & Parenting Seminar Series 2010, this aims to educate and enlighten parents on the concept of self-learning skills that will aid in raising a responsible child.

    The first leg of seminar happened at SM MOA, Cinema 1 last March 21, 2010. Guest speakers were Dr Melissa Lopez-Reyes, an Applied Cognitive and Education Psychologist and Paolo Benigno Aquino IV, a young Global Leader Awardee. They were also joined by Ms. Olivia Angeles, Mr. Harlan Busto, both parent advocates of self-learning who shared their experiences with their children.

    To all mom and dad with children in their toddler and preschool years, join Kumon Philippines Education & Parenting Seminar Series, next stop which will be held at SM City Pampanga on June 14, followed by followed by SM Cebu on August 28.

    Interested attendees may register by visiting http://ph.kumonglobal.com.
    Admission is free.
    For more information, contact 885-0226.

    Brinknotes’ EDUC Today

    Hello friends!

    I must have been busy with work as a teacher , medical practitioner, and student these days. As a teacher one never stops studying, I feel I owe my students updated lessons delivered in an innovative  teaching strategy. Teaching has been becoming my passion as I add years to my life. As doctor to my patients, a well-rounded and holistic approach to therapy remains in order.

    For the coming days to come, I’ll be preparing for the coming school year. Especially a new nursing curriculum is in place and will be implemented.

    My life in the web in now part of distance education blog and Brinknotes Educ today podcast.,Go Go see and hear us!

    My UPOU 500-word Graduate Admission Essay

    My purpose for applying to the DE program and my plans after completion of Graduate study at the UP Open University:

    My career has always been involved with education. After graduating from medical school, I have worked with the Department of Education for 16 years although not directly involved with teaching students; but as a physician for teachers and students. I was exposed to a life inside the classroom. I did not stop studying. I had my Masters of Public Health in 2000 at UPOU and I was part of the second batch of MPH-DE graduates. I was aiming for a post in the regional level, but I had a change of heart. In 2002, I took up nursing for plans of going abroad and passed all the necessary requirements (CGFNS, NCLEX, IELTS, NLE). Finally, I changed careers; I left the government service in 2005 to go into full time teaching.

    Nursing professors were in demand in 2005. I had this opportunity; I applied as a lecturer in several nursing schools. I have been accepted in all because of my master’s degree and my credentials. In 2006, I got tired of studying maybe because of the too many examinations that I took.  However two years ago, I have that inkling again to go back to school for a Masters degree in Distance Education. But, because of work schedules in the College of Nursing and my children going to college I put it on hold.

    Now that my eldest daughter is applying for her master’s degree (MAN) and my son currently enrolled in UPOU, I feel the need to go on with what I like—studying and eventually teaching in an alternative way. I like to do new things and innovate with what is being used at present. I have been using the computer for the last 12 years and my children have been instrumental for me to harness my computer skills. One of the things I enjoyed most these days is blogging. Through this, I can connect with other people, teach, entertain, inform and share my thoughts.

    This will be my fifth degree if ever I will finish the course, more letters will be attached to my name. But that is not the essence anymore. I just want to be in school again to know what is new and to eventually impart these to others. I firmly believe that a UP education still the best training I have ever received.  I thank UP for imparting to me what quality education is.

    This time, during the course of classes being offered via distance education, I look forward to meet new people, gather new ideas and strategies to use inside my classroom, be exposed to a wide range of age groups, the young and the old and know about the use of educational technology. I hope I still have the capability to be proficient in such technology.

    It’s about 11 years before my retirement; this will also be a way of preparing for it. Even at the comforts of my home I can still teach or be involve in teaching in my own little way via distance education.

    UPOU, Here I Go Again

    I was a student at the University of the Philippines Open University 10 years ago for my Masters of Public Health degree. Come May 7, 2010, our first day of online classes, this time as a student (again and again) of Masters in Distance Education. If I have pursued this about two years ago, I’m on my way to graduation. But no regrets, I have other priorities to do for my kids and me during those times.

    I have been involved in teaching for the last 5 years. A slight deviation from what I do for 16 years having worked for the government and of course clinical work as a physician. But teaching is always a part of being a doctor, treatment for patients will always include advise about diet, medicines, activity etc.

    When I had my MPH at UPOU, we did not have online classes, just printed modules to study and classes once or twice a month at the UP College of Public health (‘was 13 years ago). This time purely online classes, hope it really suits my needs.

    Just thinking again, what lies ahead of me with all these challenges in work, family life, and domestic affairs? Will I be able to wear my SABLAY again? I’ll keep you posted. And I’ll be updating you with my life as a distant learner at www.distanceeducationblog.com and at EDUC TODAY.

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