KENYA MEDICAL TRAINING COLLEGE – BUNGOMA
GUIDELINES TO WRITING A FAMILY CASE STUDY
Eligible cases for community case study
Newly diagnosed chronic conditions 6 months and below
Cerebral palsy
Malnutrition
Growth / Mental retardation
Disability – Congenital abnormalities
Substance abuse
Jiggers
Sources of clients for community / family case study
Hospital wards /clinics
Occupational therapy department
Community
Churches
Neighborhood
Once the case has been approved for follow up then
Attach a duly signed copy of the patients notes if the hospital is your source of referral
Write an abstract of your 1st encounter with the client
State specific reasons why you think that client needs follow up
The following procedure should be followed
1. Comprehensive History and detailed Physical Examination as per the guidelines in the
NCK procedure manual ( We have for pediatrics and adults )
2. They also should include:
a. Vital signs
b. Weight / Height
c. BMI – for adults and interpret the findings
d. MUAC – For children nutritional assessment – interpret findings
e. Investigations done and their findings
f. Current treatment the client is on
3. Literature review on the topic under study. Should include in text citation and
reference (Harvard)- introduction, definition, pathophysiology, aetiology,
risk/predisposing factors, classification, diagnosis , management – medical
/pharmacological, nursing mx using Nursing process, collaborative mx), complications,
patient education and follow up and references
4. Previsit Activities- This should include
a. Previsit objectives
b. Previsit report to include
i. Geographical location of the clients home
ii. Carry out home assessment using the guideline in the students training file
iii. Health services available to the family
iv. Problem list identifiedbased on your findings during History, Physical
examination and Previsit assessment
v. Catageorize the identified problems either as family health threats ,
health deficits or foreseeable crisis
vi. From each category identify the problems that you can assist the family to
solve
vii. Nursing diagnoses for each problem identified in each category
viii. Objectives for follow up based on the nursing diagnoses that have been
selected
ix. Family Nursing care plan to be implemented during follow up
x. A work /Action plan for follow up based on the care plan –should include
resources needed
5. Actual home visits
a. Should be as per the objectives and the work plan
b. Include the activities to be carried out during each visit
c. Include lesson plan for each visit
d. Reasons for termination of the visits
6. Achievements as a result of the home visits
a. To the family
b. To the student
7. Conclusion
8. Recommendations
9. References
FOR THE FAIR COPY INCLUDE THE FOLLOWING:
Cover page
Title
Name of the student
College Number
Class
Date of completion of the case study
Table of contents
Acknowledgements
WHEN SUBMITTING FINAL COPY ATTACH THE MARKING KEY COMMUNITY
HEALTH NURSING CASE STUDY ON PAGE 87 OF YOUR NCK TRAINING
GUIDELINES
WRITE YOUR NAME ON THE COPY OF THE MARKING KEY
Fredrick Wekesa
HOD Nursing