1. Communicating with parent
Dr. Pushpa Raj Sharma
Professor of Child Health
Institute of Medicine

2. Preparing the mind Do I have enough time?
Can I start with smiling face?
Can I listen showing my pleasant face?
Can I provide her/him chair to sit?
Do I have enough space for parents?
Have I arranged the sitting arrangement appropriately?

3. Preparation
Time
Sitting arrangement
Facial expression

4. Elements of conversation
The opening conversation
Leads to presenting complaint
The middle conversation
Leads to history of present illness
The end conversation
Recitation of the story as understood by health professional.
The rest of the history
Covers the routine element that has not covered up.

5. Starting the Process Greetings with smile Presence of other people.
Eye contact
Open ended questions.
Nodding in between.
Showing concern over her/his problems.

6. Parts of history taking
Finding the disease:
Entry questions
Assessing the severity of the disease
Threading questions
Identifying the risk factors for the disease
Assessing the other / associated illnesses

7. The treatment process Treatment Presenting complaint/chief complaint
Differential diagnosis
Historical information to validate the differential diagnosis
Confirming by examination
Final confirmation by investigations
Treatment