Topics Discussed: behavioral pediatrics; child examination; diagnostic interview for children and adolescents.
Sections: The Classic History, Why Is a Collaborative Arrangement Beneficial?, Using Motivational Interviewing, The Challenge of Age, Going Forward, References.
Excerpt:"The medical history represents the single-most important opportunity
to obtain individualized medical information. Since it is an opportunity and
not a guaranteed source of information, the caregiver or patient
during the interview may unknowingly miss critical data. Language
proficiency, patient and caregiver cognitive abilities, readiness
to change behavior, interest in seeking health care, and personal
comfort with the practitioner are only a few factors that may influence
the ability to obtain vital information. The information in this
chapter can enhance the health care provider's ability
to obtain patient information and to delve more deeply into patient
motivation and understanding than the classically structured patient
history. It assumes that it is a caregiver of a patient that is being
interviewed, but the principles described apply to interviewing
patients when developmentally appropriate. A more detailed discussion
of communication approaches is provided in Chapter 3...."
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