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Entry points in case taking the students must know

Published on 1 May 2025

Category Health & Wellness

Description of Entry Points in Case-Taking

Case-taking is the process of collecting detailed information from a patient or client to understand their condition and plan appropriate care or intervention. For students, mastering the key entry points means knowing how to begin and guide a comprehensive, ethical, and person-centered conversation.

🧠 Essential Entry Points in Case-Taking Students Must Know

Case-taking is the foundational step in fields like medicine, nursing, psychology, and social work. Understanding the entry points helps students gather relevant, accurate, and structured information. Here's the core content students should master:

1. Patient Demographics

Full name, age, sex, occupation, and address

Marital status, contact information

Date and time of consultation

Purpose: Builds context and ensures patient identity verification.

2. Chief Complaint (CC)

Primary reason the patient/client came for help

Duration and progression of the issue

Example: "Severe headaches for the past 2 weeks"

Purpose: Guides the rest of the case-taking and narrows the diagnostic focus.

3. History of Present Illness (HPI)

Onset, location, duration, character, aggravating/relieving factors, associated symptoms (OLDCARTS method)

Prior episodes or interventions

Purpose: Deepens understanding of the current complaint.

4. Past Medical and Surgical History

Major illnesses, hospitalizations, operations, trauma

Childhood illnesses, vaccinations

Purpose: May reveal contributing factors or comorbid conditions.

5. Family History

Genetic or hereditary illnesses

Mental health issues in the family

Family structure

Purpose: Identifies risk patterns and support systems.

6. Social History

Lifestyle, habits (smoking, alcohol, substance use)

Occupation, living conditions, relationships

Education level

Purpose: Evaluates environmental and social contributors to health.

7. Medications and Allergies

Current and past medications

Known drug or food allergies

Purpose: Avoids harmful interactions and guides treatment.

8. Review of Systems (ROS)

Systematic review of each body system (e.g., respiratory, cardiovascular, gastrointestinal)

Asks about symptoms not already mentioned

Purpose: Uncovers hidden or related issues.

9. Psychological/Emotional State

Mood, anxiety, sleep, stress levels

Coping mechanisms and support

Purpose: Holistic view of the patient’s well-being.

10. Consent and Confidentiality

Ensure informed consent is obtained

Clarify limits of confidentiality

Purpose: Ethical and legal obligation in case-taking

For further information click on this link https://www.youtube.com/watch?v=Ycz4ETuKB1U

Dr Banaras Khan

0 Courses

52 Articles

Doctor Banaras Khan Awan. D.H.M.S Ex-Principal, Ghandara Homeopathic Medical College, Taxila He has attended many national and international seminars. He continues to deliver lectures in different cities across the country. Some of his video lectures are available on YouTube. He also attended 10 days workshop with George Vithoulkas in Alonisos Greece in June 1998. His articles are published regularly in Pakistani homeopathic magazines. He is the writer of two Homoeopathic books “Lectures on Homoeopathy” and Mere Mehman (my guests) (Urdu language), published by the Society of Homeopaths Pakistan. He is an active member of many Homeopathic organizations including the Asian Homoeopathic Medical League. He is the voice chairman of the Society of Homeopaths Pakistan.