Pedia Case Study Format
Pedia Case Study Format
Pedia Case Study Format
Angeles City
NCM 102 - Format Case Study ( Pedia )
I. INTRODUCTION
1. PERSONAL DATA
(name, age, sex, religion, name of parents, address, date of
birth, place of birth, nationality, date of admission-and discharge)
a. size of family
b. mother’s previous pregnancies in chronological order and her
attitudes towards them, mode of deliveries
c. living condition including housing and economic status
d. cultural factors affecting the health of the family (superstitious
beliefs, health attitudes)
3. PERSONAL HISTORY
Note : Nursing responsibilities prior to, during and after the procedure
should also be included
A. Schematic Diagram
1. Book Centered
2. Patient-centered
B. Synthesis of the disease
A. MEDICAL MANAGEMENT
b. DRUGS
Name of Date ordered Route of General Indications(s)Clients
drug(s) Date administration action , Or response
generic Given/taken Dosage and Classification Purpose (s) to
and brand Date frequency of Mechanism of (patient- medication
name changes/ d/c admin action centered) With
actual side
effects
NOTE: Nursing responsibilities prior to. During and after the
treatment should also be included
c. DIET
a. Brief description
b. Nursing responsibilities prior to, during and after the operation
1. Altered…..
2. risk for …
Vital signs (Include
PR,RR,BP,PP, actual
TEMP results)
Lab procedure (Include
actual
results)
DRUGS
DIET
Activity/Exercise
2. DISCHARGE PLANNING
a. General condition of client upon discharge
b. METHOD
VII. BIBLIOGRAPHY