CASE PRESENTATION

SAN LAZARO HOSPITAL

COMMUNICABLE DISEASE NURSING
SU BM I TT ED BY BSN - I V G RO U P 1
 SUBMITTED BY

BSN- IV GROUP 1
Arenas, Hershey
Babierra, Enrique Lowe
Beredo, Kay D.
Cabana, Zhaira Lynne
Datolayta, Rea May
Placino, Siena Kathleen V.
Poleracio, Maurice D.
Quinones, Joshua Rafael M.
GENERAL OBJECTIVE
SPECIFIC OBJECTIVE
 I. INTRODUCTION

1. INCIDENCE, RACE, GENDER, AGE, RATIO AND

PROPORTION
2. RATIONALE FOR CHOOSING THE CASE
3. SIGNIFICANCE OF THE STUDY
4. SCOPE OF LIMITATION OF STUDY
5. CONCEPTUAL/ THEORETICAL THEORY
6. RELATED LITERATURE
INCIDENCE, RACE, GENDER, AGE, RATIO
AND PROPORTION
RATIONALE FOR CHOOSING THE CASE
SIGNIFICANCE OF THE STUDY
SCOPE OF LIMITATION OF THE STUDY
CONCEPTUAL AND NURSING THEORY
RELATED LITERATURE OF THE STUDY
 II. CLINICAL SUMMARY

1. GENERAL DATA PROFILE

2. CHIEF COMPLAINT
3. NURSING HISTORY (HISTORY OF PRESENT
ILLNESS
4. FAMILY HISTORY (GENOGRAM)
5. SOCIAL HISTORY - include theories of growth
and development
6. ENVIRONMENT/ LIVING CONDITION
7. PHYSICAL ASSESSMENT
 II. CLINICAL SUMMARY

8. PATTERNS OF FUNCTIONING
1. HEALTH MANAGEMENT PATTERN
2. NUTRITIONAL/ METABOLIC (TABULATED; BEFORE AND AFTER
HOSPITALIZATION)
1. Numbers of meal/day
2. Appetite
3. Glass of water/day
4. Body Built
5. Height and weight
3. ELIMINATION
1. Frequency of urine/day
2. Amt. of urine/day
3. Frequency of BM
4. Consistency of the Feces
5. Amount defecate/ day
9. ACTIVITY AND EXERCISE
1. Exercise
2. Fatigability
3. ADL
10. COGNITIVE/PERCEPTUAL
1. Orientation
2. Responsiveness
11. ROLES/RELATIONSHIP
1. As a son/daughter
2. As a brother/sister
3. As a boyfriend/husband/girlfriend/wife
4. As an employee and co-worker
12. SELF-PERCEPTION/SELF-CONCEPT
13. COPING/STRESS
14. VALUES/BELIEFS
 II. CLINICAL SUMMARY

15. COURSE IN THE WARD

16. LABORATORY/DIAGNOSTIC EXAM
17. IMPRESSION/DIAGNOSIS
CLINICAL DISCUSSION OF THE DISEASE

• ANATOMY AND PHYSIOLOGY

• PATHOPHYSIOLOGY
• BOOK BASED
• CLIENT BASED
• DRUG STUDY
DRUG STUDY
 NURSING PROCESS

• LONG TERM OBJECTIVE

• PRIORITIZED LIST OF NURSING PROBLEMS
• NURSING CARE PLAN
• DISCHARGE PLAN (METHOD)