How to Write a Nursing Case Study Report in Nepal: Structure and Care Plan
14 August 2026 · 8 min read
Nursing students in Nepal write case studies throughout PCL, BSc Nursing and BN programmes, and the same weakness appears again and again: pages of textbook disease description followed by a thin care plan. Your instructors already know the pathophysiology. What they are assessing is whether you can apply the nursing process to one real patient.
The standard structure
Introduction — why this case was selected and what you aimed to learn.
Patient profile — demographics, chief complaint, history of present illness, past medical and family history, socioeconomic background.
Disease review — a focused summary of the condition, compared explicitly against your patient.
Physical assessment — head-to-toe findings, vital signs and investigation results.
Nursing care plan — the core of the report.
Health education and discharge planning, then evaluation and conclusion.
Compare the book with the patient
The disease review earns marks when you set it against your patient directly: a two-column comparison of textbook signs and symptoms versus those actually present, with a note on which were absent. This one table shows clinical observation rather than copying, and it takes ten minutes.
Write nursing diagnoses correctly
A nursing diagnosis is not a medical diagnosis. Use the standard three-part form: the problem, related to the cause, as evidenced by your assessment data — for example, "Ineffective airway clearance related to retained secretions as evidenced by crackles on auscultation and productive cough." The evidence must come from your own assessment section; if it is not documented earlier in the report, it cannot appear here.
Care plan columns and priorities
Assessment data — subjective and objective, kept separate.
Nursing diagnosis — prioritised, with physiological and safety needs first.
Goal — specific and time-bound, such as "patient will maintain SpO2 above 92% within 4 hours".
Nursing interventions — with a scientific rationale for each one.
Implementation — what you actually carried out.
Evaluation — goal met, partially met or not met, with evidence.
The rationale column is the one students skip and instructors read closest. Every intervention needs a reason grounded in physiology or evidence, not "as per doctor's order".
Confidentiality and ethics
Use initials or a pseudonym, never the patient's full name, hospital registration number or identifiable photographs. Obtain verbal consent and record that you did. Nepali nursing programmes take this seriously, and identifiable patient data in a submitted report is a genuine problem, not a formatting slip.
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