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PEDIATRIC HISTORY TAKING PEDIATRIC  HISTORY  TAKING
Interviewing: Methods Active listening-use of silence plus on-verbal indications of interest such as nodding, maintaining an open, receptive body stance, leaning forward and maintaining eye contact- effective at the start of the interview Facilitation- door openers-invite patient to continue talking,rocking-uses words to indicate to the patient that the interviewer is listening or repeating-in the form of a question, word or phrase that the patient has just stated, will aid the patient in further elaborating his thoughts
Interview:Methods Questioning- may require open ended or specific questions-probing questions- requests more information in a specific area already mentioned by the patient; clarifying questions-requests an explanation of what has already been said specially if the interviewer is not sure of what the patient is trying to communicate
Interview: Methods ,[object Object]
Confrontation-focuses the patient’s attention on a component of his experience such as feelings, behaviour or statement.,[object Object]
Outline of History ,[object Object]
Chief  complaint-as stated by the informant, includes duration
Present Illness- begin with the nature and date of onset; specify the time of manifestations by period prior to admission; emphasis should be placed on the diagnostic importance of an accurate description of each of the symptoms or signs given, their occurrence, their progress,[object Object]
Family History: Attention to the family health is important. Are parents alive and healthy? Inquire about the size of the family, health and problems of other children, living conditions including housing and economic status.
Inquire into the occurrence of important diseases in the family including ailments which are relevant to the patient’s  present condition.,[object Object]
Social Condition: This gives information that they may be pertinent to the etiology and management. It should give the socio-economic status including home facilities, family problems, if any , bearing on the case as well as the educational attainment of parents.,[object Object]
Prenatal – Mother’s general health, toxemias, hormone or radiation therapy, virus or other infection, medication, pain, bleeding, threatened abortions.
Birth – Duration and circumstances of labor; analgesia used; home or hospital delivery and type; complications, birth weight; age off gestation.

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Pediatric History Taking Techniques

  • 1. PEDIATRIC HISTORY TAKING PEDIATRIC HISTORY TAKING
  • 2. Interviewing: Methods Active listening-use of silence plus on-verbal indications of interest such as nodding, maintaining an open, receptive body stance, leaning forward and maintaining eye contact- effective at the start of the interview Facilitation- door openers-invite patient to continue talking,rocking-uses words to indicate to the patient that the interviewer is listening or repeating-in the form of a question, word or phrase that the patient has just stated, will aid the patient in further elaborating his thoughts
  • 3. Interview:Methods Questioning- may require open ended or specific questions-probing questions- requests more information in a specific area already mentioned by the patient; clarifying questions-requests an explanation of what has already been said specially if the interviewer is not sure of what the patient is trying to communicate
  • 4.
  • 5.
  • 6.
  • 7. Chief complaint-as stated by the informant, includes duration
  • 8.
  • 9. Family History: Attention to the family health is important. Are parents alive and healthy? Inquire about the size of the family, health and problems of other children, living conditions including housing and economic status.
  • 10.
  • 11.
  • 12. Prenatal – Mother’s general health, toxemias, hormone or radiation therapy, virus or other infection, medication, pain, bleeding, threatened abortions.
  • 13. Birth – Duration and circumstances of labor; analgesia used; home or hospital delivery and type; complications, birth weight; age off gestation.
  • 14.
  • 15. Growth and Development: Mention month or year when the following were performed:
  • 16. Up to 1 year:
  • 17. Smiled, held head, rolled over, sat with support, crawled, stood with support, spoke single words – be specific, first tooth
  • 18. From 1 to 3 years:
  • 19.
  • 20. School placement and adjustments, specific aptitudes, specific disabilities, daily routine – play and sleep
  • 22. Sleeping habits, toilet training, enuresis, thumb sucking, nail biting, breath-holding, temper tantrums, masturbation, destructive, aggressive, shy, submissive, happy, difficult
  • 23. Immunization: Include dates given and any reactions
  • 24. BCG, Diphtheria, Pertussis, Tetanus, Poliomyelitis, Measles, Smallpox, Cholera El-tor or Cholera-Typhoid, others...
  • 25.
  • 26. Medical illnesses, operations or accidents, drug reactions
  • 28. Special senses – visual, hearing
  • 32. Genitourinary – bladder control, nocturia, and dysuria
  • 33.