Communicating with parent Dr. Pushpa Raj Sharma Professor of Child Health Institute of Medicine

Preparing the mind Do I have enough time? Can I start with smiling face? Can I listen showing my pleasant face? Can I provide her/him chair to sit? Do I have enough space for parents? Have I arranged the sitting arrangement appropriately?

Preparation Time Sitting arrangement Facial expression

Elements of conversation The opening conversation Leads to presenting complaint The middle conversation Leads to history of present illness The end conversation Recitation of the story as understood by health professional. The rest of the history Covers the routine element that has not covered up.

Starting the Process Greetings with smile Presence of other people. Eye contact Open ended questions. Nodding in between. Showing concern over her/his problems.

Parts of history taking Finding the disease: Entry questions Assessing the severity of the disease Threading questions Identifying the risk factors for the disease Assessing the other / associated illnesses

The treatment process Treatment Presenting complaint/chief complaint Differential diagnosis Historical information to validate the differential diagnosis Confirming by examination Final confirmation by investigations Treatment