Communicating with parent Dr Pushpa Raj Sharma Professor

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

Preparing the mind l l l 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 l Time l Sitting arrangement l Facial expression

Elements of conversation l The opening conversation – l The middle conversation – l Leads to history of present illness The end conversation – l Leads to presenting complaint 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 l l l 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 l Finding the disease: – l Assessing the severity of the disease – l l Entry questions Threading questions Identifying the risk factors for the disease Assessing the other / associated illnesses

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