Hypnotherapy Case
P.P. is a 4-year-old boy who presents to the pediatrician’s office with pain in his right ear.
Subjective Data
Mom states that her son woke up in the middle of the night crying two nights ago. She gave the child ibuprofen, and he went back to sleep. Last night he woke up in pain, and he was inconsolable. She felt he should be seen by the physician.
Attends preschool program
Lives with mother
Father estranged
Objective Data
TM appears inflamed – it is red and may be bulging and immobile
T 100.3
Last ibuprofen 3 hours ago
1. What other assessments should be included for this patient?
-Inspection of the ear with ophthalmoscope.
2. What questions are appropriate for a patient presenting with earache?
-When did
Subjective Data
Mom states that her son woke up in the middle of the night crying two nights ago. She gave the child ibuprofen, and he went back to sleep. Last night he woke up in pain, and he was inconsolable. She felt he should be seen by the physician.
Attends preschool program
Lives with mother
Father estranged
Objective Data
TM appears inflamed – it is red and may be bulging and immobile
T 100.3
Last ibuprofen 3 hours ago
1. What other assessments should be included for this patient?
-Inspection of the ear with ophthalmoscope.
2. What questions are appropriate for a patient presenting with earache?
-When did