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Homeopathic Home » Case Management » Case Taking For Children


 

I. OBSERVE

A. Eyes: softness, sharpness, fear, hysterical, delicate, evil, irritable, dissatisfied,
pain...
B. Bodies: restless, hyper, slow, timid, aggressive, outgoing, obedient or disobedient,
how sensitive? Shy? Clumsy? Coordinated?

II. Differentiate: Is this a first-aid, acute, or chronic case/problem at this time?

III. Generals: Diet, sleep, weather, mental-emotional state, misc.

IV. Behavioral analysis

A. Playing:

1. Alone or with others?
a) leaders or followers?
b) plays with younger children or peers?
c) imaginative, builders, etc.
2. How does he/she play with animals and toys?
a) obsessed with blanket or toy?
b) rough, break things?
c) fear or love animals?
3. How competitive or aggressive?
4. Reaction to physical pain, scrapes, bumps, etc.

B. Independent vs. dependent

1. How responsible?
2. How handle being alone?
3. Reaction if doesn't get what he/she wants.
4. Reaction to strangers.

C. Patterns

1. Sleep
2. Feeding time, playing time, sleep time.

V. Developmental History

A. Learning to talk, walk, language, comprehension, musculoskeletal development.
B. Toilet training: how child went through it.
C. How was the pregnancy?
D. Family hx: TB, GC, CA

VI. Mental-Emotional State

A. Sensitivity to pain, injury, noise, touch, being carried.
B. Better or worse attention/consolation?
C. Sensitivity to other's pain, to parents fighting, to weather, movies, sad stories, how sensitive is their imagination?
D. Easily startled?
E. Family dynamics

1. How does he/she get along with siblings? Parents?
2. Reaction to new siblings.
3. Divorce
4. Military family, moved many times?
5. Alcoholism, drugs, tension in family?
6. Motivated by fear? Do parents threaten, frighten, humiliate? Fear of punishment by God?
7. Is the child compared with a sibling or parent, forced to live up to parent's role expectations?

VII. Family economics: adequate diet, nutritional status.

VIII. Story about the child. (Usually a chronic constitutional or acute case can be taken directly from a child aged 6 - 8 or older.)

A. Reactions to griefs, deaths, frights.
B. Mother's description of the pregnancy, labor, and birth.
C. Health and family history.

IX. Objective symptoms

A. Facial expression: observe pupils. How aware is the child of his or her environment?
B. Skin

1. Dry, moist, cool, warm.
2. Healthy or unhealthy?
3. Touch the chest, abdomen, forehead, hands and feet.
Note temp, character, moisture, etc.

C. Sweat: amount, parts that sweat, odor.
D. Moles, warts, birthmarks.
E. Tongue: color, furry or smooth?
F. Breath: Offensive?
G. Reaction to stimuli: light in eyes, noise, jar, pinch.
H. Urine and stool.
I. Strength: check grasp, posture. How does the child hold her head up?

X. Fears: Monsters, ghosts, strangers, the dark, movies, being alone, dogs, death, fears something will happen to the parents, something is creeping out of every corner, evil spirits, falling, noises

XI. Sleep: Insomnia: due to pain, fear, over-excitement, want attention, overactive mind?

XII. Food cravings and aversions: including thirst

XIII. Times, modalities for symptoms.



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Medicine Of The Day

Latin Name:
Calcarea Sulphurica

Common Name:
calcium sulfate, gypsum, plaster of Paris

Description:
Used for pus discharge and slow to heal wounds. A yellow film may appear on the bottom of tongue. Other symptoms include swollen glands and a burning sensations on the bottoms of feet. Symptoms are better in fresh air, and worse in cold, wet weather (Lockie 122).


Health Tip of the Day

Isabgol' and 'guar gum' are the best sources o fibre. The later will curb your craving for food while the former will work as a great laxative and flush your system.


Health Quote of the Day

There are three wicks you know to the lamp of a man's life: brain, blood, and breath. Press the brain a little, its light goes out, followed by both the others. Stop the heart a minute, and out go all three of the wicks. Choke the air out of the lungs, and presently the fluid ceases to supply the other centres of flame, and all is soon stagnation, cold, and darkness."
- Oliver Wendell Holmes, Sr.


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