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Case taking and analysis

Case taking and analysis. What is a homeopathic consultation?. When does the consultation become homeopathic ?. Why choose to open up the possibility of a homeopathic treatment ?. You were recently on a course Colleague referral Patient request Well established indication

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Case taking and analysis

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  1. Case taking and analysis www.facultyofhomeopathy.org

  2. What is a homeopathic consultation? When does the consultation become homeopathic ? www.facultyofhomeopathy.org

  3. Why choose to open up the possibility of a homeopathic treatment ? • You were recently on a course • Colleague referral • Patient request • Well established indication • Strange, rare or peculiar symptom www.facultyofhomeopathy.org

  4. Two Goals of The Homeopathic Consultation • Understanding the patient’s illness • Finding the remedy www.facultyofhomeopathy.org

  5. Koelher p. 68 - 85 “ The aims of case-taking are initially the same as in modern medicine generally. A diagnosis is to be made where possible. The prognosis is determined and assessed. A treatment plan is drawn up.” www.facultyofhomeopathy.org

  6. Koelher p. 68 - 85 “A patient’s signs and symptoms provide the material for finding the appropriate homoeopathic drug ...................... the next stage is the encounter with the patient.” www.facultyofhomeopathy.org

  7. The “Encounter” • Understanding the patient • Ask the patient for examples • Try to put yourself in the patient’s shoes • The practitioner’s attitude www.facultyofhomeopathy.org

  8. Koelher p. 68 - 85 • Preconditions for good history-taking • calmness, time, patience, unbiased attitude, careful attention www.facultyofhomeopathy.org

  9. Vithoulkas p. 169 -189 “the environment should be quiet, with harmonious, simple, esthetic decor.” www.facultyofhomeopathy.org

  10. The Homeopathic History • Presenting complaint • Past Medical History, Family History, Drug History, Social History, Allergies • “Complete Symptoms” www.facultyofhomeopathy.org

  11. What is a “Complete Symptom” ? • Aetiology • Localisation • Sensation • Modality www.facultyofhomeopathy.org

  12. The Homeopathic HistoryGenerals • Appetite • Food • Aversions • Desire • Aggravations • Thirst • Sleep and Dreams www.facultyofhomeopathy.org

  13. The Homeopathic HistoryGenerals • Temperature • Perspiration • Weather • Time • Menses www.facultyofhomeopathy.org

  14. The Homeopathic History • Other systemic enquiry • Mental symptoms www.facultyofhomeopathy.org

  15. The Homeopathic HistoryMentals • How would you describe yourself ? • How would others describe you ? www.facultyofhomeopathy.org

  16. The Homeopathic HistoryMentals • Anxieties • Fears • Depression, apathy • Lack of self-confidence • Irritability, anger • Sensitivity, tears www.facultyofhomeopathy.org

  17. The Homeopathic HistoryMentalsQuality of relationships • company • consolation • confrontation • contradiction • jealousy • sexual function www.facultyofhomeopathy.org

  18. The Homeopathic HistoryMentalsCognitive function • Memory • Concentration • Mistakes • Delusions www.facultyofhomeopathy.org

  19. Recording the History Where to record the history www.facultyofhomeopathy.org

  20. Recording the HistoryHow to record the history • one symptom per line • underlining • clarity • intensity • spontaneity www.facultyofhomeopathy.org

  21. Recording the HistoryHow to record the history • margins for remedies • marking selected symptoms with an asterix • recording sheets www.facultyofhomeopathy.org

  22. Making Sense of it all • Diagnosis • Prognosis www.facultyofhomeopathy.org

  23. Quality or “Precision” of symptoms • Characteristic, striking and unusual symptoms • Spontaneous symptoms - with emphasis • “Complete symptoms” • Long-standing or new symptoms which are deteriorating www.facultyofhomeopathy.org

  24. Making sense of it all • What symptoms are important to the patient? • What symptoms are you trying to “treat” ? • “Complete symptoms” • “Strange, rare and peculiar symptoms” • Where is the level of disturbance ? www.facultyofhomeopathy.org

  25. “Complete symptoms” • Aetiology • Localisation • Sensation • Modality www.facultyofhomeopathy.org

  26. The level of the disturbance • Peripheral - “local” • Physiological - “central” or “general” • Mental • cognitive • emotions www.facultyofhomeopathy.org

  27. Ranking order of symptoms • SRPs - Strange, rare and peculiar • Aetiology • Mental and intellectual symptoms • General symptoms relating to the whole person • Local symptoms with modalities &/or concomitants www.facultyofhomeopathy.org

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