Manual of Child Neurology: Problem Based Approach to Common Disorders

Author(s): Mohammed . M.S. Jan

DOI: 10.2174/978160805022211201010014

Examining the Difficult Child

Pp: 14-16 (3)

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Abstract

SHS investigation development is considered from the geographical and historical viewpoint. 3 stages are described. Within Stage 1 the work was carried out in the Department of the Institute of Chemical Physics in Chernogolovka where the scientific discovery had been made. At Stage 2 the interest to SHS arose in different cities and towns of the former USSR. Within Stage 3 SHS entered the international scene. Now SHS processes and products are being studied in more than 50 countries.

Abstract

Children are generally more difficult to examine when compared to adults. As well, physicians are usually judged by parents according to their skills in examining their children. Difficult and poorly cooperative children remain the most challenging group to examine accurately and completely. The physician becomes less confident and the neurological signs questionable if the child was uncooperative. Certainly, repeated examinations and experience play an important role; however, solid knowledge, strong communication skills, accurate observation skills, and use of proper techniques are crucial for eliciting and interpreting neurological signs in difficult children. In this chapter, I present some practical tips and skills that can be utilized to improve the likelihood of obtaining accurate information about the neurological status of young and difficult children.

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