Scribd
Upload
37 views4 pages

Care Study Writing Format

The document outlines a Nursing Care Study format for B.Sc Nursing students at MNR College of Nursing, detailing sections for patient information, nursing health history, physical examination, lab reports, management plans, and nursing care plans. It includes guidelines for documenting patient assessments, diagnoses, interventions, and evaluations. Additionally, it emphasizes the importance of bibliographic references and self-evaluation in the nursing care process.

Uploaded by

Ramana Bsv
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
37 views4 pages

Care Study Writing Format

The document outlines a Nursing Care Study format for B.Sc Nursing students at MNR College of Nursing, detailing sections for patient information, nursing health history, physical examination, lab reports, management plans, and nursing care plans. It includes guidelines for documenting patient assessments, diagnoses, interventions, and evaluations. Additionally, it emphasizes the importance of bibliographic references and self-evaluation in the nursing care process.

Uploaded by

Ramana Bsv
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

MNR COLLEGE Of NURSING

MNR Higher Education & Research Academy (MNR-HERA)


Fasalwadi, Narsapur Road, Sangareddy - 502 294, INDIA
--------------------------------------------------------------------------------------------------------------------

MEDICAL SURGICAL NURSING I&II


[Link] NURSING
Nursing Care Study Format

Nursing Care Study for

Patients Name: Mr. / Ms. ______________________________

Age: _____________

Final Diagnosis: _____________________________________

Student’s Name: ___________________

Course: __________________________

Year: ____________________________

Date Care Started: _________________

Date Care Ended/ Stopped: __________

Date of Submission: _________________

Submitted to:
Faculty Name: ______________________

Designation: _______________________

Institution: ________________________

1. Introduction
2. Nursing Health History
3. Physical Examination
4. Reports of Lab Investigation/diagnostic procedures done

Date Type of Investigation Patient’s Finding Interpretation

5. Management (Book Picture & Patient picture)


a. Medical Management

Dated Name of Dosage Route Frequency Action Side Nurse’s Date


Started the Effect Responsibility Discontinued
Medicin
e
I.V. Fluids: Name_________________Amount over 24 Hrs.____________Rate per minute_____

b. Surgical Management:

c. Nursing Management:

6. Disease condition
 Introduction
 Definition.
 Classification
 Etiology (Include Book picture & Patient picture)
 Pathophysiology
 Clinical manifestation (Book picture & Patient picture)
 Diagnostic evaluation (Book picture & Patient picture)
 Management (Book picture & Patient picture)

7. Nursing Care Plan:

Assessment Nursing Diagnosis Objectives Nursing Scientific Implementation Evaluation


interventions Rationale

Subjective Data:

Objective Data:
8. Daily Progress Notes:

9. Conclusion:
a) Date of ending the care:
b) Patient evaluation: (Condition of the patient while ending the nursing care)

c) Self Evaluation: (Learning achieved by caring for the patient


10. Bibliography

You might also like