Subjective information from the patient.
Practicum Case Scenario/ Study The following outlines general instructions for a case scenario/study submission. Please remember not to include any HIPPA information. Concerns and questions related to care should be included. Include references to treatment plans using APA format You can use https://nurseslabs.com/ or your choice. Completion of the case study counts toward the practicum experience. Case studies are expected to be a minimum of 500 words, detailed and comprehensive.
In this case, this patient is a 55-year-old female who came into the clinic due to severe migraine headaches for the last 3 days patient has a history of high blood pressure and depression
Please follow the outline as below when submitting your case study:
NURSING 2021 Case Scenario/Study
Student Name:
Submission Date:
Case Study:
Patient Initials, Age, Gender
Subjective information from the patient (History of Present Illness/Symptoms)
Current Medications
Medical History – Medical Problems
Objective findings from physical examination
Vital Signs, Weight, Height, BMI
Focused examination findings based on diagnoses being addressed.
Assessment
ICD-10 Diagnosis (include ICD-10 code) for contact dermatitis.
Nursing Diagnoses https://nurse.org/resources/nursing-diagnosis-guide/
Plan
Care Plan based on the diagnosis.
Include specific nursing care planning for patients to include.
Potential issues with achieving quality, comprehensive care.
Information on best practice care considerations.
Care outcomes from current treatment
Possible side effects of medications or treatments
Patient education planning/instructions
Care outcomes
Plans for the follow-up to review response to treatment.
References: APA format must be within the last 5 years.
