how to do a patient case report

by Mr. Marshall Abshire DDS 8 min read

How to write a patient case report - PubMed

18 hours ago Summary: The format of a patient case report encompasses the following five sections: an abstract, an introduction and objective that contain a literature review, a description of the case report, a discussion that includes a detailed explanation of the literature review, a summary of the case, and a conclusion. The abstract of a patient case report should succinctly include the four … >> Go To The Portal


How to write 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. It must explain why the case report is novel or merits review, and it should include a comprehensive...

III. Patient case presentation
  1. Describe the case in a narrative form.
  2. Provide patient demographics (age, sex, height, weight, race, occupation).
  3. Avoid patient identifiers (date of birth, initials).
  4. Describe the patient's complaint.
  5. List the patient's present illness.
  6. List the patient's medical history.
Oct 1, 2006

Full Answer

How to write a report based on a case study?

  • The title should contain a phrase like case study or case report, so that readers understand what type of study it is.
  • An effective title might also say what condition the patient had, how it was treated, and whether the outcome was successful.
  • Most titles are less than 10 words long.

Can I write my own case report?

You can write a report and ask the judge to consider it, and if the circumstances are complex, probably should — same if the damages are composed of more than a few items, and you can attach receipts, etc. Remember, whatever you submit to the judge you must submit an exact copy to the other side, so you will need a total of three copies (one for yourself).

How to actually get your patients to write a review?

Are you posting a comment because:

  • You want to help others by providing genuine insights?
  • You are furious and feel the need to vent?
  • You are seeking revenge for a high bill or a canceled appointment?
  • You are a serial poster who simply likes posting across all social platforms?

Where can I publish a case report?

Tools to Use When Deciding Where to Publish

  • Jane (Journal / Author Name Estimator) Search for journals that might be interested in publishing your article. ...
  • Journal Citation Reports Weighs and ranks journals by a number of criteria. ...
  • Journal Citation Reports Quick Reference Cards Handout showing how to use JCR including definitions of various metrics and screenshots.

More items...

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How do you present a patient's case?

Case: Tom MurphyPresenting problem. You should start with a sentence that includes the patient's name, sex (Mr/Ms), age, and presenting symptoms. ... History of presenting problem. ... Medical and surgical history. ... Drugs. ... Family history. ... Social history. ... Review of systems. ... Findings on examination.More items...•

How do you write a nursing case 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 write a case report PDF?

The sections of the case report are the title, abstract with keywords, introduction, case description, discussion with conclusions and references. The case report should be clear, concise, coherent, and must convey a crisp message. Common pitfalls and mistakes will be discussed.

What is a case report in nursing?

Case reports are a common type of medical research article that details symptoms, signs, diagnosis, treatments, and follow-up of one or more patients[1]. They are becoming increasingly more common and comprise a significant proportion of the articles in many medical and nursing journals.

How do you structure a case study?

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.

How do you write a case?

Step 1: Case Origin Identify the needs Step 2: Establishing the needs The search for specific issues, ideas, and individuals or organizations that might supply the case information Step 3: Initial Contact The establishment of access to material on the case subject Step 4: Data Collection The gathering of the relevant ...

How do you make a report?

How to write a report in 7 steps1 Choose a topic based on the assignment. Before you start writing, you need to pick the topic of your report. ... 2 Conduct research. ... 3 Write a thesis statement. ... 4 Prepare an outline. ... 5 Write a rough draft. ... 6 Revise and edit your report. ... 7 Proofread and check for mistakes.

How is a report written?

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.

What is case report example?

A case report is a descriptive study that documents an unusual clinical phenomenon in a single patient. It describes in details the patient's history, signs, symptoms, test results, diagnosis, prognosis and treatment.

What are the 3 methods of case study?

He has helpfully characterised three main types of case study: intrinsic, instrumental and collective[8]. An intrinsic case study is typically undertaken to learn about a unique phenomenon. The researcher should define the uniqueness of the phenomenon, which distinguishes it from all others.

What should I do after writing a case report?

Once you have written a draft of the case report, you should seek feedback on your writing, from experts in the field if possible, or from those who have written case reports before .

What is required to submit a case report?

Journals often have specific requirements for publishing case reports, which could include a requirement for informed consent, a letter or statement from the IRB and other things.

Why is it important to write a case report?

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.

Does CHM have funding for publication?

It is best practice to check the journal's Info for Authors section or Author Center to determine what the cost is to publish. CHM does NOT have funds to support publication costs, so this is an important step if you do not want to pay out of pocket for publishing.

Is it free to publish a case report?

Be aware that it may not be free to publish your case report. Many journals charge publication fees. Of note, many open access journals charge author fees of thousands of dollars. Other journals have smaller page charges (i.e. $60 per page), and still others will publish for free, with an "open access option".

Do you need informed consent for 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. The CARE guidelines recommend obtaining informed consent AND the patient's perspective on the treatment/outcome (if possible).

Do journals have informed consent?

Journals may have their own informed consent form that they would like you to use, so please look for this when selecting a journal. Once you've identified the case, selected an appropriate journal (s), and considered informed consent, you can collect the required information to write the case report.

What to ask for in a case report?

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. Follow author guidelines and journal submission requirements when writing and submitting your case report to a scientific journal.

Do you need informed consent for a journal?

The patient should provide informed consent (including a patient perspective) and the author should provide this information if requested. Some journals have consent forms which must be used regardless of informed consents you have obtained. Rarely, additional approval (e.g., IRB or ethics commission) may be needed.

What is a case report?

Case Report: A Beginner’s Guide with Examples. A case report is a descriptive study that documents an unusual clinical phenomenon in a single patient. It describes in details the patient’s history, signs, symptoms, test results, diagnosis, prognosis and treatment.

Why do we need case reports?

Case reports offer, in general a fast, easy and cheap way to report an unusual observation or a rare event in a clinical setting, as these have very small probability of being detected in an experimental study because of limitations on the number of patients that can be included.

Is a case report causal?

Observing a relationship between an exposure and a disease in a case report does not mean that it is causal in nature. The absence of a control group that provides a benchmark or a point of reference against which we compare our results. A control group is important to eliminate the role of external factors which can interfere with ...

Is a case report representative of the entire population?

So, results from a case report cannot be representative of the entire population.

1. Talk to Colleagues

If you encounter a striking or unique patient case in your clinical practice that seems worthy of a case report, talk to your colleagues and senior clinicians to determine if the patient case is of interest for further research and documentation in the form of a case report.

2. Conduct Research

Once you have determined the viability of a patient case for a case report, conduct research to ensure this case will present new and/or unique findings to the wound care community. Use online medical databases to research peer-reviewed journal articles to review similar cases and/or the condition (s) presenting in your patient.

3. Seek Permission

Gain the permission of the patient (s), or in the case of a deceased patient, the next-of-kin. You may also need to seek permission from the patient's primary case manager depending on your position and facility protocol.

4. Compile the Patient Background and History

Create the presentation of the patient case and wound care treatment. Include the clinical background of the case. It is in this section that you will describe the case and start with the basics:

5. Document Wound Assessment

Once you have set the stage, follow up with the wound assessment. Describe the location, etiology, wound history, size, and appearance of tissue, exudate and periwound skin.

6. Describe Treatment Protocol

The next section should address and explain the treatment protocol that was implemented. Describe your wound management approach here. List what treatment intervention and/or product (s) were used, how much, frequency of dressing change and any other pertinent information.

7. Document Results

Describe and detail what wound changes you observed and at what time intervals during the treatment process. Discuss how many days transpired until closure was observed.

What Is a Patient Care Report?

We often hear of care reports based on by medical teams or by medical authorities. Yet, we are not sure how this differs from the kind of report that is given to us by the same people. So this is the time to make it as clear as possible.

How to Write a Patient Care Report?

Where do you even begin when you write a patient care report? A lot of EMS or EMTs do know how to write one since they are trained to do so.

What is a patient care report?

A patient care report is a document made mostly by the EMS or EMTs. This documented report is done after getting the call. This consists of the information necessary for the assessment and evaluation of a patient’s care.

What should not be written in a patient care report?

What should be avoided in a patient care report is making up the information that is not true to the patient. This is why you have to be very careful and very meticulous when writing these kinds of reports. Every detail counts.

Who is in charge of reading the patient care report?

The person or the people who will be reading the report are mostly medical authorities. When you are going to be passing this kind of report, make sure that you have all the information correctly. One wrong information can cause a lot of issues and problems.

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Abstract

Format of The Patient Case Report

  • Case reports should encompass the following five sections: an abstract, an introduction and objective with a literature review, a description of the case report, a discussion that includes a detailed explanation of the literature review, a summary of the case, and a conclusion.6,7 Supplementary parts such as tables, figures, graphs, and illustrations provide essential data an…
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Summary

  • Patient case reports are valuable resources of new and unusual information that may lead to vital research and advances in clinical practice that improve patient outcomes. Case reports should contain an abstract and four sections—an introduction, case presentation, discussion, and conclusion. The introduction provides the subject, purpose, and merit of the case report and the …
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Conclusion

  • Patient case reports are valuable resources of new and unusual information that may lead to vital research.
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Appendix A—Criteria For Publishable Case Reports

  • Publishable patient case reports include cases that: 1. Advance medical science and spawn research; 2. Describe rare, perplexing, or novel diagnostic features of a disease state; 3. Report therapeutic challenges, controversies, or dilemmas; 4. Describe a new surgical procedure; 5. Report how a drug can enhance a surgical procedure; 6. Teach humanis...
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