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Components of good history taking include: 1., Chief Complaint. For what has the patient come to the clinic? Sometimes the patient may identify two or more conditions that they may wish to address. When this happens, we use the checklist in detail for each of the complaints.
How long has this condition lasted for? What is its onset? What it is severity/ character?
2. Past History of similar or related complaint 3. Family History eg. High BP in family members 4. Personal/ Social History eg. habits such as alcohol, smoking, etc and drug allergies |
In Digital health platforms, the task of history taking is shifted to the CHWs (Community Health Workers). Thus the value of history taking will depend on the CHW’s ability to elicit relevant information. At Intelehealth we have the required tools (clinical protocols) that will allow the CHW to obtain a relevant and detailed history via app prompts and we also train the CHWs periodically on newer updates or best practice procedures they can implement on the ground. The Hx Guide is a clinical history taking protocol and is akin to a checklist. It is a set of instructions or guidelines on what should be the next logical step, in this instance, what relevant detailed history should be inquired into.
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