Case History Flashcards
1
Q
What are the 6 types of case history questions?
A
- birth history
- medical history
- daily intake/feeding routine
- feeding history
- parent concerns
- meal-time setup (8 months+)
2
Q
5 birth history questions
A
- pregnancy complications
- prem vs term, birth weight
- birth complications
- time spent in NICU (if any)
- First child, other siblings?
3
Q
7 Medical history questions
A
- Diagnosis
- Congenital vs acquired (probe about anything that may have happened a few weeks/months in, whenever trouble began?)
- Medications
- Future prognosis and intervention
- General wellbeing
- Hospitalisations/surgeries
- Reflux/colic/food sensitivity
4
Q
3 Daily intake/feeding routine questions
A
- How long for a feed/meal time?
- Number of wet nappies
- Bowel movements (constipated/diarrhoea)
5
Q
6 Feeding history questions
A
- When did the problems start? (birth vs over time vs after a particular event)
- Breast fed/bottle fed (bottle fed, when and why)
- If bottle fed, type of milk, type of teat/bottle
- if the child has spent time in hospital – any history of tube feeds
- Parent description of difficulties
- Weight trajectory
6
Q
5 meal-time set up questions (8 months+)
A
- When are meals
- Who feeds/supervisors
- Where are they
- What do they sit in
- What equipment do they use
7
Q
what is not normal in infants
A
- Cough/scream/cry at sight or introduction of feed
- Cough after feeds or during sleep
- Refusal to feed/suck
- Gagging prior to or during milk feed
- Continual detachment
- Difficulty sucking/establishing SSB rhythm
- General fussing
- Snack/small feeds
- Feeds taking more than 40 minutes
- Poor growth
8
Q
what is not normal in toddlers
A
- Choking/gagging on food
- Refusal of solids
- Vomiting after meals
- Limited range of food acceptance
- Spitting out foods
- Overstuffing mouth
9
Q
what are the general red flags?
A
- Choking, gagging or coughing during meals
- Problems with vomiting
- Nasal reflux
- History of eating and breathing coordination problems, with ongoing respiratory issues
- Parents reporting child as being ‘picky 2+more well child checks
- Inability to transition to baby food purees by 10 months of age/ accept any table food solids by 12 months of age
- Inability to transition from breast/bottle to a cup by 16 months of age
- not weaned off baby foods by 16 months of age
- Avoidance of all foods in specific texture or nutrition group
- Food range of less than 20 foods
- An infant who cries and/or arches at most meals
- meals are battles
- Parent repeatedly reports that child is difficult for everyone to feed
- Parental history of eating disorder, with child not meeting weight goals
