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Saturday, March 1, 2008

RATIONAL APPROACHES to ILLNESS

In dealing with any disease, the first step toward diagnosis is found in the health history and its interpretation. All facts of significance in the lifestyle of the individual up to the time of illness should be evaluated as possible contributors to the present problem. Allergies to drugs, foods, or
environmental factors should also be evaluated in the face of present illness. Second, the careful analysis of the illness under question with all of its various symptoms, including other factors that have ensued from the first onset to the present need to be considered. Most diseases fit certain patterns. As organ systems and their disorders are discussed, these patterns will become obvious. Thus, the intelligent interpretation of a medical history provides one of the most valuable clues to understand illness and its proper diagnosis.
Remember this one caution in the proper interpretation of health history. Accurate recall for the patient is very important. However, most sick individuals color their subjective awareness of symptoms with substantial concern over the consequences of illness to their families. Fear of disease, disability, and even death may affect the person’s response to the otherwise clear question or stimulus. Although the story of every illness is extremely important, in most cases, it is not definitive, but rather narrows the number of diagnostic possibilities, and thus guides any subsequent investigation. A physician’s skill, knowledge, wisdom, and experience are most clearly evidenced in his history taking. Likewise, the thorough analysis of symptoms in home health care will provide your best clues toward understanding disease.