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
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!








