Case study -3


Greetings good afternoon, as spoken today in practice favor of with your assigned patient please begin to perform your Case Study, which is in your practice manual. Follow the rubric. Recognize the historical evolution in mental health care to apply appropriate therapeutic strategies. The case study is a useful tool that allows the student and teacher to collaboratively reflect on the course of a patient’s treatment in a realistic and clinical way. The case study begins from the moment the information is obtained during the interview process, to carry out the diagnosis of the patient until the treatment of his medical condition. The parts that make up the Patient History for the Case Study and the evaluation criteria are described in the “Case Study Rubric for Mental Health” (Annex G). Manual in practice 41-43.MENTAL HEALTH CASE STUDY RUBRIC
Name: ___
No. Student: ____
Instructor: _______________________________
Criteria to be evaluated
1. Presentation (Uses APA suggested format)
2. Purpose of the Case Study (Objectives)
3. Case study a. Demographics
b. Medical Diagnosis
c. Definition, etiology
d. Clinical manifestations
and. Treatment
f. Nursing Care
g. Axes
• Own: I
• Axis: II
• Axis: III
• Axis: IV
• Axis: V
h. Main Complaint
i. Family History (genogram) Contains information related to interpersonal relationships and
mental health conditions.
j. Synthesis stage of growth and development (childhood to stage found: adolescence, adult,
aging)Erickson, Freud
k. Presents drug therapy (indications, via dose, adverse reactions, contraindications, nursing
4. Analyze laboratories
5. Nursing Care Plan
a. Dear (Patones according to Marjory Gordon)
b. Nursing Diagnosis (PES, NANDA), NOC, NIC, Rational, Evaluation and Review of the care plan.
Patterns according to Marjory Gordon
6. Rapporteur process a. Objectives
b. Stages of growth and development
c. Environmental description d. Stages of the therapeutic relationship
and. Therapeutic techniques
f. Use of defense mechanisms
g. Student verbal and non-verbal communication
h. Verbal and non-verbal communication from the client
i. Intervention analysis
j. Concepts
k. Other
7. Execution works (Evidence of your work, reflective diary, educational talk)
8. Conclusion: analysis, includes conceptual, or theoretical framework. Timely delivery of theoretical
basis, customer manifestations to explain pathology and customer prognosis.
9. Bibliography (Texts, magazines, internet Minimum five
10. Reaction to the nursing course and program
11. Reaction to the case study
12. Sharpness and clarity in presentation

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