case study report patient background

A medical case report, also known as a case study, is a detailed description of a clinical encounter with a patient. The most important aspect of a case report, i.e. the reason you would go to the trouble of writing one, is that the case is sufficiently unique, rare or interesting such that other medical professionals will learn something from it.

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What do you need to know about patient case reports?

Patient case reports are valuable resources of new and unusual information that may lead to vital research. Patient case reports are valuable resources of new and unusual information that may lead to vital research. How to write a patient case report Am J Health Syst Pharm.

How to write a patient case study?

Writing Your Patient Case Study 1 Work on Your Introduction Select a case. You have to identify your focus and scope for the study. ... 2 Get to Know the Participants You can have one or multiple case participants. ... 3 Perform Data Analyses Method Your results will depend on your interpretation of the raw data. ... 4 Report the Case Study Results

What is a case report study?

Case report study is a document that reflects the execution of the research program, contains the data obtained, their analysis, conclusions and practical recommendations flowing from them.

How do you write an abstract for a patient case report?

Summary: The abstract of a patient case report should succinctly include the four sections of the main text of the report. The introduction section should provide the subject, purpose, and merit of the case report.

How do you write a background of the case in case analysis?

From these steps you will create the content of your case study.Describe the situation/problem. The reader needs to have a clear understanding of the situation for which a solution is sought. ... Give background. ... Describe the solution. ... Evaluate the response to the solution. ... Tell the whole story.

How do you write a patient case report?

III. Patient case presentationDescribe the case in a narrative form.Provide patient demographics (age, sex, height, weight, race, occupation).Avoid patient identifiers (date of birth, initials).Describe the patient's complaint.List the patient's present illness.List the patient's medical history.More items...•

What should a case study report include?

A case study exampleStart with a clear headline. This should be like a newspaper headline that gives the most important information. ... Provide a snapshot. ... Introduce the client. ... State the problem, consequences, & hesitations. ... Describe the solution. ... Share the results & benefits. ... Conclude with words of advice and a CTA.

Do you need patient consent to write a case report?

Although not technically required, especially if the case report does not include any identifying information, some journals require informed consent for all case reports before publishing. The CARE guidelines recommend obtaining informed consent AND the patient's perspective on the treatment/outcome (if possible).

How do you introduce a patient in a case study?

First, we describe the complaint that brought the patient to us. It is often useful to use the patient's own words. Next, we introduce the important information that we obtained from our history-taking. We don't need to include every detail – just the information that helped us to settle on our diagnosis.

How do you take a case history of a patient?

Procedure StepsIntroduce yourself, identify your patient and gain consent to speak with them. ... Step 02 - Presenting Complaint (PC) ... Step 03 - History of Presenting Complaint (HPC) ... Step 04 - Past Medical History (PMH) ... Step 05 - Drug History (DH) ... Step 06 - Family History (FH) ... Step 07 - Social History (SH)More items...

What should a case study look like?

Case studies usually follow a typical story structure, which means they have a beginning, middle, and end. Think of them as a “before and after” snapshot of a customer's business – complete with quotes, statistics, and images. Business case studies are often created by the marketing team and given to the sales team.

How do you write a nursing case study report?

How to Write a Case Study Paper for NursingThe status of the patient. Demographic data. Medical History. ... The nursing assessment of the patient. Vital signs and test results. ... Current Care Plan and Recommendations. Details of the nursing care plan (including nursing goals and interventions)

How do you structure a good case study?

5 key steps for writing your case studyIntroduce the customer. Set the stage for your case study with an introduction. ... State the problem. Every product or service is a solution to a problem. ... Introduce your product. This is where you begin solving the problem. ... Show results. The big reveal. ... Prove it.

What is the difference between case study and case report?

Case studies are widely used in psychology to provide insight into unusual conditions. A case study, also known as a case report, is an in depth or intensive study of a single individual or specific group, while a case series is a grouping of similar case studies / case reports together.

Do case studies need ethical approval?

Case studies typically involves an ethical clearance committee looking at the research aims and methodologies of researchers to make sure that the research will be conducted in a way that protects the dignity, rights and safety of the research participants, and that the research design is ethically sound and is likely ...

Can medical students write case reports?

Case reports are written with the goal of sharing information for medical, scientific, or educational purposes. They often serve as medical or even undergraduate students' first experience with medical writing and they provide a solid foundation for manuscript preparation and publication.

How do you write a good patient care report?

There are seven elements (at a minimum) that we have identified as essential components to documenting a well written and complete narrative.Dispatch & Response Summary. ... Scene Summary. ... HPI/Physical Exam. ... Interventions. ... Status Change. ... Safety Summary. ... Disposition.

What is the format for report writing?

Report writing is a formal style of writing elaborately on a topic. The tone of a report and report writing format is always formal. The important section to focus on is the target audience. For example – report writing about a school event, report writing about a business case, etc.

How do you start a report?

The first section you start writing in your report is always a summary or introduction. This should stretch across just one or two pages to give your reader a brief glimpse into what your results or findings are.

How do you write a nursing patient report?

How to write a nursing progress noteGather subjective evidence. After you record the date, time and both you and your patient's name, begin your nursing progress note by requesting information from the patient. ... Record objective information. ... Record your assessment. ... Detail a care plan. ... Include your interventions.

What is patient case report?

Patient case reports are valuable resources of new and unusual information that may lead to vital research.

What should be included in the abstract of a patient case report?

The abstract of a patient case report should succinctly include the four sections of the main text of the report. The introduction section should provide the subject, purpose, and merit of the case report.

Implications of Hypertension during Gestation

High blood pressure is the exerted amount of force by the human blood against the arteries’ walls. It is considered that such blood pressure is already high once it reaches 140 mmHg systolic (National Institutes of Health, n.d.) and 90 mmHg diastolic.

Cite this page

WowEssays. (2022, January, 25) Free Case Study On Patient’s Personal And Medical History. Retrieved February 05, 2022, from https://www.wowessays.com/free-samples/free-case-study-on-patients-personal-and-medical-history/

How many paragraphs should a patient share their perspective?

The patient should share their perspective on the treatment (s) they received in one to two paragraphs. It is often best to ask for informed consent and the patient’s perspective before you begin writing your case report. Appendices (If indicated). Submission to a scientific journal.

What is follow up and outcomes?

Follow-up and outcomes: describe the clinical course of the episode of care during follow-up visits including (1) intervention modification, interruption, or discontinuation; (2) intervention adherence and how this was assessed; and (3) adverse effects or unanticipated events. Regular patient report outcome measurement surveys such as PROMIS® may be helpful.

What should be included in a short acknowledgement?

Acknowledgements. A short acknowledgements section should mention funding support or conflicts of interest, if applicable.

How many paragraphs should a conclusion be?

The conclusion, usually one paragraph, offers the most important findings from the case without references.

Is it easier to write sections of a case report in a different sequence than the order in which the sections?

Know that it is easier to write the sections of a case report in a different sequence than the order in which the sections appear in a published case report.

Is it easy to write a case report?

Writing a case report accurately and transparently is not easy. We provide online training in writing case reports at Scientific Writing in Health and Medicine (SWIHM) which includes access to CARE-writer, an online app that can be used to write case reports or case report preprints.

Can you submit a case report to a scientific journal?

Follow author guidelines and journal submission requirements when writing and submitting your case report to a scientific journal. You may wish to contact the journal before submitting your manuscript. (Download a partial list of journals that accept case reports.) Journals that do not explicitly accept case reports may publish case reports as components of other articles. Online training in writing case reports is available from Scientific Writing in Health and Medicine (SWIHM).

What is a medical case study?

Your medical case study is an expounded and well-researched original observation. Since you or your team are the ones who witnessed the events you wished to tell, your report should be as clear and detailed. A well-written case study includes a thorough analysis of the medical situation.

How to write a case study?

In your overview, you can write an abstract of the entire case study . Next, you may proceed to illustrate the medical history of the patient and her state during the consultations. Did she look ill? What were her complaints? In the following sections, you can introduce related literature of the case. You should cite journal articles, and if possible, news relevant to your case. You then narrate your response and discuss in detail what can be learned from your study. Download this free template so you can get started on yours!

Why is case study important?

This makes case study a valuable resource for improving our techniques in evaluation and treatments. When you are writing your case studies, you are responsible for the direction that science progresses towards. Knowing how to structure your report is then essential so that your findings will be communicated well. We added this example template to help you produce a substantial and informative case study. You can download the PDF file of this study for your personal reference.

Why are case studies useful?

Because the case studies are basically informative notes about an undocumented situation, they are useful learning supplements for medical students.

What is medical research?

Medical research is, at its core, dedicated to the improvement of human health. In the medical field, case studies are analyses of the conditions of real people in real-life scenarios. From our investigations, we arrive at a new research direction.

Is a case study a one size fits all manual?

Case studies are not a one-size-fits-all manual of operations. Because an entry is considered a novel observation in medical and clinical practice, case studies can still function as informative notes for other doctors. Your case study will be made available as reference when it is made public.

Is there a manual for clinical operations?

There is no manual for clinical operations that covers every possible medical case. Occasionally, health personnel would encounter a strange, undocumented condition of their patients. The life of a person is too delicate a constitution just to be handled carelessly.

On this page

This is a fictitious case that has been designed for educative purposes.

Background

Mrs Beryl Brown (01/11/30) is an 85 year old woman who was admitted to the Hume Hospital by ambulance after being found by her youngest daughter lying in front of her toilet. Her daughter estimates that she may have been on the ground overnight.

Social history

I understand that Mrs Brown has been residing in her own home, a two story terrace house, in Melbourne for almost 60 years. She has lived alone since her husband died two years ago following a cardiac arrest. She has two daughters. The youngest daughter Jean has lived with her for the past year, after she lost her job.

Current function

Mrs Brown has a history of Alzheimer’s disease; type II diabetes – insulin dependent; hypertension; high cholesterol and osteoarthritis. She has had two recent admissions to hospital for a urinary tract infection and a fall in the context of low blood sugars.

The current risks

Mrs Brown is at high risk of experiencing falls. She has reduced awareness of the left side of her body and her ability to plan and process information has been affected by her stroke. She is now requiring one to two people to assist with all her tasks of daily living and she lacks insight into these deficits.

Attempts to trial least restrictive options

We have convened two family meetings with Mrs Brown, both her daughters and several members of the multi-disciplinary team. The outcome of the first meeting saw all parties agree for the ward to provide personalised carer training to Jean with the aim of trialling a discharge home.

Recommendation

The treating team believe they have exhausted all least restrictive alternatives and that a guardianship order is required to make a decision on Mrs Brown’s discharge destination and access to services. The team recommend that the Public Advocate be appointed as Mrs Brown’s guardian of last resort.

How is a case study report structured?

A case study report structure is determined by the purpose of the research, its tasks (purely marketing or more general, theoretical), and its immediate addressee. Logic, the sequence of the description of the data obtained, of course, is related to the sequence of questions in the questionnaire or form, with the sequence of various research procedures but not always exactly repeats it. The author should not miss the data that is momentous both for the researchers themselves and for those who will get acquainted with the results of the research. Building the text, the researcher, proceeds from the logic of the program. He tells how exactly and with what results the tasks set in it are solved. If the program formulated hypotheses, it is necessary to present (based on the received data) their proof or refutation.

What is a case report?

Case report study is a document that reflects the execution of the research program, contains the data obtained, their analysis, conclusions and practical recommendations flowing from them. Careful analysis (and not just a description) of the figures and facts obtained is the main task, or rather, the purpose of the report.

What should follow from conclusions?

Recommendations should follow from conclusions, be targeted, realistic. They logically complete the work. References and appendixes are additional parts of a case study report. The format for case study report, as a rule, corresponds to the format in conformity with a research itself was made.

Why is it important to include data about the difficulties encountered by researchers?

In many cases, it is useful to include the data about the difficulties encountered by researchers, the impact of these difficulties on the results obtained, and how mistakes and failures will be taken into account in further scientific and practical work.

What should be included in a cover page for a case study?

It is logical to begin with a cover page that includes a topic of a case study, names of investigators and the topic of

Should a sociological report include graphics?

For clarity, the text should also include graphics and tables, but should not be oversaturated with them. If this is a marketing study of the target audience using sociological methods, the report becomes more interesting if the classified data and statements based on them (and, in the future, conclusions, and recommendations) are supplemented with concrete names, facts, and live statements of the respondents.