250
Internet of Things (IoT)
FIGURE 12.9
A comprehensive physician consultation can be an information overload for the already exhausted mother.
BOX 12.2 CAPTURING THE PHYSICIAN’S
CONSULTATION FAITHFULLY INTO THE EHR
Components of a Consultation
Rationale
Complaints
The problem for which child has been brought today. Child may have several
problems, but parents bring to the hospital for the problem which is
distressing to them. For example, child may not be eating well, but would
have been brought to the hospital particularly on that day for diarrhea.
History of present illness
Details of the presenting problem. For example for diarrhea, frequency,
fluidity, and volume of the motion. Was there fever? Blood?
Past history
In case of diarrhea, the history of a similar problem in the past would
indicate either unfavorable environment or a susceptible body
constitution, both of which require evaluation.
Family history
Family history of wheeze, fits, and diabetes has an important bearing in
treating the child. At present if there are any communicable problems in
the family, like virus, fever is important to elicit.
Antenatal history
Hypertension, diabetes, and low thyroid problems can create havoc in the
newborn period. When the child grows they can act as impediments.
Birth history
Type of delivery indicates the amount of suffering the child might have
had; Usually prolonged labor results in operative deliveries.
Neonatal history
Seeds of problems like mental retardation are sown in the neonatal period.
Many disorders have their beginning in the neonatal period.
Developmental history
Human brain grows only in the first 3 years and if mental delay is not
picked up then there is high chance of the child becoming disabled. This is
the status of several children.
Nutritional history
Food intake is an important component in the development of a child,
which has both direct and indirect bearing on health.
Immunization history
Important in preventing many communicable illness.
Social and economic history
Economic and social circumstances make a child sick.
Other relevant issues
1. Separated parents. 2. Transport facilities not available for reaching the
health center.
Internet of Things (IoT)
FIGURE 12.9
A comprehensive physician consultation can be an information overload for the already exhausted mother.
BOX 12.2 CAPTURING THE PHYSICIAN’S
CONSULTATION FAITHFULLY INTO THE EHR
Components of a Consultation
Rationale
Complaints
The problem for which child has been brought today. Child may have several
problems, but parents bring to the hospital for the problem which is
distressing to them. For example, child may not be eating well, but would
have been brought to the hospital particularly on that day for diarrhea.
History of present illness
Details of the presenting problem. For example for diarrhea, frequency,
fluidity, and volume of the motion. Was there fever? Blood?
Past history
In case of diarrhea, the history of a similar problem in the past would
indicate either unfavorable environment or a susceptible body
constitution, both of which require evaluation.
Family history
Family history of wheeze, fits, and diabetes has an important bearing in
treating the child. At present if there are any communicable problems in
the family, like virus, fever is important to elicit.
Antenatal history
Hypertension, diabetes, and low thyroid problems can create havoc in the
newborn period. When the child grows they can act as impediments.
Birth history
Type of delivery indicates the amount of suffering the child might have
had; Usually prolonged labor results in operative deliveries.
Neonatal history
Seeds of problems like mental retardation are sown in the neonatal period.
Many disorders have their beginning in the neonatal period.
Developmental history
Human brain grows only in the first 3 years and if mental delay is not
picked up then there is high chance of the child becoming disabled. This is
the status of several children.
Nutritional history
Food intake is an important component in the development of a child,
which has both direct and indirect bearing on health.
Immunization history
Important in preventing many communicable illness.
Social and economic history
Economic and social circumstances make a child sick.
Other relevant issues
1. Separated parents. 2. Transport facilities not available for reaching the
health center.