EVALUATION PROFORMA FOR CASE PRESENTATION
NAME OF THE STUDENT : CLINICAL AREA :
NAME OF THE EVALUATOR : TOIPC :
COURSE : [Link] (N) DATE & TIME :
[Link] CRITERIA 5 4 3 2 1
1 Introduction
2 Kardex & Nurses Notes
3 Data Collection
3.1 Patient profile
3.2 Past history ( medical/surgical/obstetrical)
3.3 Present history (medical/surgical/obstetrical)
3.4 Family & socio economic history
3.5 Personal, Menstrual & Marital history
4 Physical Assessment & Nutritional Assessment
5 Investigation & Treatment
6 Disease Condition
(comparison of book picture & patient picture)
7 Application of nursing process
7.1 Assessment
7.2 Nursing Diagnosis & goal
7.3 Interventions
7.4 Implementation
7.5 Evaluation
8 Health Education
9 Summary & Conclusion
10 Bibliography
TOTAL MARKS (100)
REMARKS :
Signature of the Student Signature of the Evaluator