≡ ▼
ABC Homeopathy Forum

 

The ABC Homeopathy Forum

Case Taking

if the case is taken properly, half of it is cured.

so, i invite the doctors to post here, tips gained from their valuable years of practice.

Thank you.
[message edited by healinghelp on Fri, 02 Sep 2011 04:42:26 BST]
 
  healinghelp on 2011-09-02
This is just a forum. Assume posts are not from medical professionals.
CHRONIC CASE TAKING GUIDE

1. Present Complaints: for each symptom note (a) Duration (b) Location (c) Sensation (d) Modalities (Time, Season, Weather, etc.) since which age each occurred.
2. Past history and the details of all the treatments taken.
3. Complaints since childhood. (Fits, Jaundice, Tonsils etc.) Vaccination effects.
4. Cold blooded or warm blooded. In which season are you better or worse?
5. Desires, aversions and disagreements of Food, Mind (thoughts) etc.
6. Emotions: Anger, Weeping, Fear etc. and what do you do (tend to do) during that time.
7. Position in sleep and Dreams.
8. Family health history heredity (father’s, mother’s and their blood relations)
9. Surgical operations done.
10. Injury to Body or Mind. (financial loss, loss of love)
11. Female symptoms during Crisis periods (Puberty, Pregnancy, Menopause etc.)
12. Perspiration: General or Local (palms, soles, head etc.) and odor (smell) if present.

ACUTE CASE TAKING GUIDE

1. Time of onset and duration.
2. Mode of onset, order of progress and treatments taken.
3. Exciting cause of attack. (dust, lifting over-weight, disagreeable food or got injured)
4. Present symptoms: Mind and thoughts and Physical symptoms.
5. Fever: (which comes first and then next: chill? Fever? Sweat?) thirst (present during which stage)
6. Peculiarities during fever: (a) fever and chill only (b) fever and sweat only (c) chill and sweat only. Other peculiar symptoms if any.
 
healinghelp last decade
The problems I have seen most often in students and new homoeopaths (which then can become lifelong bad habits) are:

1. Asking leading questions (very serious problem)
2. Not waiting for patient's to expand on what they were saying.
3. Not fully exploring everything a patient says.
4. Trying to fit patients only into known remedies.
5. Not looking at the hierarchy of the person when determining what is important (or not knowing how to judge where things are in the hierarchy)
6. Not being alert for peculiar symptoms and statements (or not even knowing what peculiar actually is)
7. Eliminating remedies on the basis of what the patient does not have that the remedy does
8. Not knowing what the essential features of a remedy are, that allow us to know that it will work when given to a patient with those same features (the nucleus or essence of a remedy)
9. Making assumptions about words, phrases, and meanings in the patient's interview without checking directly with the patient.
10. Jumping too soon to make prescriptions before having a full case.
11. Not connecting all the historical complaints and current complaints into a single chronic picture.
 
brisbanehomoeopath last decade
thanks mr. 'brisbanehomoeopath'

whenever the best and satisfied case taking was done by me, it is at the residence of the patient, among his or her relatives and friends and after that in privacy (only the doctor and patient not others listening).
That usually takes a minimum of 3 hours. i have seen, when it is completed the patient takes a deep long breath and smiles at me as if she is relieved.
 
healinghelp last decade
So my process generally speaking is:

1. Start with the main complaint. Explore it fully until the patient has nothing further to say on it. If the patient is unfamiliar with the needs of the homoeopath, make sure they answer all the 'what' 'where' 'how' 'when' 'why' questions.

2. Move to the other complaints that cause suffering, allowing the patient to choose which is most urgent to speak about.

3. Make sure you ask 'anything else?' before beginning to explore the case further.

4. Remain alert for repeated words, phrases, gestures or expressions that appear to link up all these complaints (pains, sensations, modalities, emotions etc) AND for any peculiar words (words that do not make sense when describing the problem). When the patient has finished describing the reasons they have come, begin by asking about these repeated or peculiar expressions. The totality will be formed from these things.

5. Come back to the main complaint, ask them to describe it once more to check to see if the repeated words reoccur, and to see if anything new is said about it.

6. If these areas have not already been discussed, ask in a very general way about Sleep, Appetite, Thirst, Sensitivity to the environment, Sexual energy, Physical energy.

7. Ask about historical problems from as early as infancy, if the patient knows this. Ask about family history of illness.

8. Ask about dreams, specifically reoccurring dreams or images and events in dreams.

9. Ask about childhood - the nature as a child will show the most uncompensated behaviour (appear most like the remedies as they are set out in the materia medicas). Often people will be able to discuss their qualities as a child more easily.
 
brisbanehomoeopath last decade
from LECTURE 23 dr.kent's philosophy
If you neglect making a careful examination, the patient will be the first sufferer, but in the end you yourself will suffer from it, and Homoeopathy also.
 
healinghelp last decade

Post ReplyTo post a reply, you must first LOG ON or Register

 

Important
Information given in this forum is given by way of exchange of views only, and those views are not necessarily those of ABC Homeopathy. It is not to be treated as a medical diagnosis or prescription, and should not be used as a substitute for a consultation with a qualified homeopath or physician. It is possible that advice given here may be dangerous, and you should make your own checks that it is safe. If symptoms persist, seek professional medical attention. Bear in mind that even minor symptoms can be a sign of a more serious underlying condition, and a timely diagnosis by your doctor could save your life.