10+ Patient Case Study Examples in PDF | DOC
25 hours ago 10+ Medical Case Report Examples. 1. Medical Case Report Policy. 2. Patient Informed Medical Case Report. It is not only the fact that it is necessary, but it is also a way for them to be able to know. To be able to know the status of a patient, their … >> Go To The Portal
Real-world examples of case reports Example 1: Normal plasma cholesterol in an 88-year-old man who eats 25 eggs a day This is the case of an old man with Alzheimer’s disease who has been eating 20-30 eggs every day for almost 15 years.
Full Answer
What should be included in a patient case report?
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.
How do you write a patient history in a case report?
□ List the patient’s family history. □ List the patient’s social history. □ List the patient’s medication history before admission and throughout the case report. □ Ensure that the medication history includes herbals, vaccines, depot injections, and nonprescription medications, and state that the patient was asked for this history.
How to write a patient case analysis?
Your patient case analysis is an investigation of a medical plight or case. When you present your findings, you have to balance the description of the situation and the detailing of the analyses. You have to illustrate how and why you came to a conclusion by providing the necessary background information.
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 case history of a patient?
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 patient case study include?
Case: This section provides the details of the case in the following order:Patient description.Case history.Physical examination results.Results of pathological tests and other investigations.Treatment plan.Expected outcome of the treatment plan.Actual outcome.
What is a case study example?
Prospective case study methods are those in which an individual or group of people is observed in order to determine outcomes. For example, a group of individuals might be watched over an extended period of time to observe the progression of a particular disease.
How do you write a case study example?
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 I write a medical case report?
Provide details of the clinical presentation and examinations, including those from imaging and laboratory studies. Describe the treatments, follow-up, and final diagnosis adequately. Summarize the essential features and compare the case report with the literature. Explain the rationale for reporting the case.
How do you write a patient medical report?
HOW TO WRITE A MEDICAL REPORTKnow that a common type of medical report is written using SOAP method. ... Assess the patient after observing her problems and symptoms. ... Write the Plan part of the Medical report. ... Note any problems when you write the medical report.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.
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.
How do you start a case study introduction?
How to write a case study responseIntroduction. Introduce the main purpose of the case study and briefly outline the overall problem to be solved.Description. Write a brief description of the case under discussion giving an outline of the main issues involved. ... Discussion. ... Conclusion / Recommendations.
How do you write a client 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.
How many words should a case study be?
500 to 1,500 wordsWhile the guidelines and template contain much detail, your finished case study should be only 500 to 1,500 words in length. Therefore, you will need to write efficiently and avoid unnecessarily flowery language.
How many pages should a case study be?
In conclusion, there is no right or wrong in how long a case study should be there is however some guidelines to follow. The recommended number of pages should be somewhere between 5-15. This seems to be an appropriate form to stick to.
What is a medical case report?
A medical case report or a case report is a document that is centered around studying new medical problems, the medical history of a patient and th...
Why is a medical case report so important?
The reason why it is so important is because it gives doctors and medical practitioners the information that they need.
Who writes the medical case report?
Doctors, nurses and those who take up medical fields are often the ones who are told to write a medical case report.
Who Writes the Patient Medical Report?
Health care providers do the patient medical report. The health care professionals make the documentation for a patient. It includes all the physic...
Who Can Have Access to a Patient Medical Report?
The health care providers have the access to the patient medical report. They keep the medical report as a history of medical records. Also, patien...
Is a Patient Medical Report a Legal Document?
If it is signed by a health care professional, then it is a legal document. It is permissible in any court of law. It is an evidence that the patie...
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.
What is a Patient Medical Report?
A patient medical report is a comprehensive document that contains the medical history and the details of a patient when they are in the hospital. It can also be given as a person consults a doctor or a health care provider. It is a proof of the treatment that a patient gets and of the condition that the patient has.
What You Should Include in a Patient Medical Report
A patient medical report has some important elements that you should not forget. Include all these things and you can learn how to write a patient medical report.
Importance of a Patient Medical Report
The reason why a patient medical report is always given is because it is important. Here, you can know some of the importance of a patient medical report:
How to Write a Good Patient Medical Report
A doctor is a doctor. They are not writers. They can be caught in a difficulty on how to write a patient medical report. If this is the case, turn to this article and use these steps in making a patient medical report.
Who Writes the Patient Medical Report?
Health care providers do the patient medical report. The health care professionals make the documentation for a patient. It includes all the physicians, nurses, and doctors of medicine. It also includes the psychiatrists, pharmacists, midwives and other employees in the allied health.
Who Can Have Access to a Patient Medical Report?
The health care providers have the access to the patient medical report. They keep the medical report as a history of medical records. Also, patients’ access to the patient medical report is a must. It is their right to see their medical report. It is against the law not to show them their medical report.
Is a Patient Medical Report a Legal Document?
If it is signed by a health care professional, then it is a legal document. It is permissible in any court of law. It is an evidence that the patient is under your care. Thus, it can be used in court as an essential proof. So, keep a patient medical report because you may need it in the future.
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.
What is the OCR rule for private practice?
OCR determined that the private practice denied the individual access to records to which she was entitled by the Privacy Rule.
Is a radiology patient covered by worker's compensation?
However, the patient was not covered by worker’s compensation and had not identified worker’s compensation as responsible for payment. OCR’s investigation revealed that the radiology practice had relied upon incorrect billing information from the treating hospital in submitting the claim.
Is a pharmacy card protected health information?
The pharmacy did not consider the customer's insurance card to be protected health information (PHI). OCR clarified that an individual's health insurance card meets the statutory definition of PHI and, as such, needs to be safeguarded.
Can an HMO disclose PHI?
An OCR investigation indicated that the form the HMO relied on to make the disclosure was not a valid authorization under the Privacy Rule.
Simple Medical History
Once you have collected these medical data, you can record them as a pdf by using this medical history PDF template. In addition, you don't need to be worried about the safety of data, because our forms are HIPAA compliant.
Doctors Note
Validate the medical condition of the patient by giving them a Doctor's Note Template. This PDF template shows the medical diagnosis of the patient and medical treatment.
Patient Medical Record
Medical History Record PDF template lets you collect the patient's data such as personal information, contact information in an emergency case, general medical history. By using this sample, the doctor ensures the patient's better care and treatment.
Short Medical History
Medical History Record PDF template is mostly used in order to provide significant information about the health history, care requirements, and risk factors of the patient to doctors. It is for collecting data from the patients.
Veterinary Hospital Treatment Sheet
Veterinary Hospital Treatment Sheet helps both the hospital and pet owners in understanding and tracking a pet's treatment process. Just like any other hospitals, keeping patient's treatment records is necessary to monitor progress and make sure proper treatment is given.
COVID-19 Vaccine Administration Record
Keep track of patient vaccination records online. Secure with GDPR, CCPA, and optional HIPAA compliance. Download or print as PDFs. Free, easy-to-customize template.
Dental Health Record
The Dental Health Record Template is easy for patients to fill out and designed to get the doctor the most important information. Patients can fill out their information on a computer or tablet using our Dental Health Record Template.
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 illustratio...
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 …
Conclusion
- Patient case reports are valuable resources of new and unusual information that may lead to vital research.
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 humanistic lessons to the health …
Advantages of 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. These events deserve to be reported since they might provide insights on some exceptions to general r…
Limitations of Case Reports
- Observing a relationship between an exposure and a disease in a case report does not mean that it is causal in nature. This is because of: 1. 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 the relationship betw…
Real-World Examples of Case Reports
- Example 1: Normal plasma cholesterol in an 88-year-old man who eats 25 eggs a day
This is the case of an old man with Alzheimer’s disease who has been eating 20-30 eggs every day for almost 15 years. [Source] The man had an LDL-cholesterol level of only 142 mg/dL (3.68 mmol/L) and no significant clinical atherosclerosis (deposition of cholesterol in arterial walls)! H… - Example 2: Recovery from the passage of an iron bar through the head
This is an interesting case of a construction foreman named Phineas Gage. [Source] In 1848, due to an explosion at work, an iron bar passed through his head destroying a large portion of his brain’s frontal lobe. He survived the event and the injury only affected 1 thing: His personality! Af…
References
- Sayre JW, Toklu HZ, Ye F, Mazza J, Yale S. Case Reports, Case Series – From Clinical Practice to Evidence-Based Medicine in Graduate Medical Education. Cureus. 2017;9(8):e1546. Published 2017 Aug 7...
- Nissen T, Wynn R. The clinical case report: a review of its merits and limitations. BMC Res Notes. 2014;7:264. Published 2014 Apr 23. doi:10.1186/1756-0500-7-264.
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