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EJEMPLO DE HISTORIA CLINICA para Impimir Es Editable
EJEMPLO DE HISTORIA CLINICA para Impimir Es Editable
MOTIVO DE CONSULTA
Hipótesis:
ASPECTO OBSERVACIONES
FÌSICO
Vestimenta formal,
Vestimenta ordenada.
Higiene Corporal Limpio, aseado.
Posturas Erguido
ACTITUDES SI NO OBSERVACIONES
Preocupación excesiva X Por la separación de sus
padres.
Preocupación acorde a X
la realidad
Indiferencia X
COMPORTAMIENTO SI NO OBSERVACIONES
Seductor X
Tímido X
Agresivo X
Burlón X
Desconfiado X
Arrogante X
Colaborador X
ESTRUCTURA FAMILIAR:
Padre: __________________________________ Edad: _________ escolaridad___________________
Profesión: ____________________________ estado civil_________ número de hijos_______________
Hermanos_______________________________
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DESARROLLO EVOLUTIVO
Hijo deseado: ________________ No Deseado __________________ Accidental: _______________________
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Alimentación:
Lactancia: Normal: ______ Artificial: ______ Mixta: ______________ Ritmo: __________________________
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Desarrollo motor
MOVIMIENTOS DURANTE EL EMBARAZO:
Lenguaje
Balbuceo: __________________________ Imitación De Sonidos: ____________________________________
Sueño
Lugar: ______________________________________________ Sólo: _____ Acompañado: _____ Edad: _____
NECESIDAD DE ELEMENTOS DE COMPAÑÍA: Luz: ____ Juguetes: ____ Almohada: _____ Horario: ________
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SOCIABILIDAD
AMIGOS PREFERIDOS: Sí: __ No: __
RELACIÓN CON COMPAÑEROS: Excelente: ___ Muy Buena: ____ Buena: _____ Regular: _____ Mala: ____
RELACIÓN CON LOS MAESTROS: Excelente: ____ Muy Buena: ___ Buena: ___ Regular: ____ Mala: ____
REACCIÓN ANTE MUDANZA: Ira: ___ Inconformidad: ___ Alegría: ____ Impotencia: ____
TIEMPO DEDICADO POR PADRES A LA CONVIVENCIA FAMILIAR: POCO: ___ Nada: ___ Mucho:____
APLICACIÓN DE DISCIPLINA:
PREMIOS: Por Obediencia: ___ Responsabilidad: __ Cumpleaños: __ Excelentes Calificaciones: ____
DISCIPLINA POR: Desobediente: ___ Irresponsable: _____ Irrespetuoso: _____ Malas Calificaciones: ______
HIJOS PREFERIDOS: Mayor: ___ Menor: ___ Varón: ____ Mujer: ____
RELACION ENTRE LOS PADRES: Excelentes: ___ Muy Buenas: ___ Buenas: ___ Malas: ____ Regular: ____
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SUCESOS IMPORTANTES A LO LARGO DE LA VIDA DEL NIÑO:
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OTROS______________________________________________________________________________________
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PSICODIAGNÒSTICO__________________________________________________________________________
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PRONOSTICO________________________________________________________________________________
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PSICOTERAPIA_______________________________________________________________________________
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RECOMENDACIONES:
Familiares____________________________________________________________________________________
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Escolares_____________________________________________________________________________________
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Laborales_____________________________________________________________________________________
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Medicas______________________________________________________________________________________
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Otros________________________________________________________________________________________
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RESPONSABLE