Article Text

Download PDFPDF

PP-101 Paediatric history-taking and physical examination – a revised, holistic approach
Free
  1. Mizna Shahid,
  2. Farhana Sharif
  1. Royal College of Surgeons in Ireland, Dublin 2

Abstract

Aim This booklet aims to provide a holistic overview of history-taking and physical examination. Various studies highlight the importance of effective history-taking and physical examination, which can lead to a diagnosis around 75% of the time. However, a holistic approach to the process is vital, where not only is a physician attempting to reach a diagnosis, but a patient should also feel supported. Throughout the process, screening for social, emotional and developmental issues is crucial for overall well-being as these conditions are becoming increasingly prevalent in paediatrics.

Material and Method Resources discussing the various aspects of paediatric history-taking and physical examinations were gathered, as well as links for questionnaires and screening toolkits.

Results Strategies for developing a therapeutic bond with patients are discussed - amongst these are empathy, encouraging reflection and clear communication. Differences in history-taking and physical examinations between adults and paediatrics are highlighted, such as the need to include younger patients’ parents/guardians, as well as the importance of gathering information on infant/child overall development, including social and emotional health. Links to resources and screening tools to gain an overall holistic picture of the infant/child’s well-being are included to supplement the history-taking and physical examination processes. One such resource included is a Happiness Toolkit, developed by one of the booklet authors, which aims to encourage self-care skills to improve mental health in children. An illustrated storybook and a wellness diary accompany the Happiness Toolkit. A detailed developmental evaluation handout, with accompanying animations, is also included to enhance the history-taking process. Explanations of the underlying neuroscience behind the resources are included.

Conclusions This digital booklet highlights various aspects of history-taking and physical examination. Links are provided to available resources and screening tools to mitigate against the rising tide of social, emotional and behavioural issues in paediatrics to achieve a holistic approach to history-taking and physical examination.

  • Paediatric
  • History-taking
  • Physical Examination
  • Holistic

Statistics from Altmetric.com

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.