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Redaccion de historia clinica psicologica

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Like this document? Why not share! Embed Size px. Start on. Show related SlideShares at end. WordPress Shortcode. Published in: Education. Full Name Comment goes here. Are you sure you want to Yes No. Yessenia Zaragoza. No Downloads. Views Total views. Actions Shares. No notes for slide. Estructura de la Historia Clinica 1.

Modelo de historia clínica psicológica

Historia del problema actual. Historia personal historia escolar y social Datos del periodo pre, peri y postnatal condiciones anteriores al embarazo, parto. Historia familiar. La entrevista puede ser clasificada en entrevista abierta o libre, semidirigida o semiestructurada y cerrada o estructurada.

La primera consiste en que el entrevistador asume un rol no participante, dando al sujeto la consigna de que hable de lo que desee, sin limitarlo. Entre estas dos modalidades se encuentra la entrevista semiestructurada, donde el entrevistado habla sobre lo que desea pero el entrevistador puede introducir preguntas o pedir aclaraciones sobre puntos que hayan quedado confusos o se quieran ampliar. Por transferencia entendemos los sentimientos que surgen en el entrevistado con respecto al terapeuta.

Lo mismo que lo que ocurre en el consultante, estos sentimientos del profesional corresponden a sus experiencias pasadas, a situaciones de su vida personal y los deposita en el paciente.Publicado el 18 de jun.

Ejemplo de una historia clínica psicológica

Parece que ya has recortado esta diapositiva en. Inicio Explorar. Puedes cambiar tus preferencias de publicidad en cualquier momento. Mostrar SlideShares relacionadas al final. Full Name Comment goes here. Are you sure you want to Yes No. Jaxell Bautista. Marlye Swuam. Diana Gabriela. Pia Acosta. Luis Felipe Benitez Benitez.

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Sin descargas. Visualizaciones Visualizaciones totales. Acciones Compartido. No hay notas en la diapositiva. Recordar que en la mujer, es preferible ponerel nombre y apellido de soltera.

Brusca o lentamente. Desde su inicio hasta el interrogatorio actual. Medio Familiar. Medio social— Trabajos. Vacunas— Tabaco. Antecedentes Hereditarios Enfermedades transmitidas por consanguinidad, con o sin convivencia; a vecesparientes desconocidos o fallecidos. Activo indiferente, preferencial.

Acorde a edad y sexo. Lesiones primarias y secundarias. Puntos dolorosos. Latido de arterias temporales. Punto doloroso suboccipital. Punto doloroso. Globos oculares. Conducto lagrimal. Punto infraorbitario. Bola adiposa de Bichat. Permeabilidad de fosas nasales. Pulso preauricular.N no colocar el nombre del paciente, recuerde que se debe guardar la confidencialidad del caso Edad del paciente: Estado civil: Ocupacin: Si usted utiliza alguno de los bloques de preguntas, solicito adjuntar en los anexos de sus prcticas los cuestionarios, observaciones y o entrevistas aplicados como evidencia.

Para establecer el diagnstico presuntivo, es. No es necesario describirlas, basta con sealarlas, se recomienda establecer entre dos o tres trastornos, para identificar uno.

redaccion de historia clinica psicologica

Ej: F Trastorno depresivo no especificado F Episodio depresivo moderado. Por lo tanto, no solo sirve para indicar la necesidad de establecer una intervencin psicolgica, Ej. En el caso de requerir apoyo psicopedaggico por la formacin que ustedes poseen, la intervencin puede apoyarse en estos recursos. No se debe desarrollar que es lo que se va a realizar, ej: en la terapia familiar, solo se la menciona.

En una demencia precoz, este tipo de pensamiento nos hace esperar el defecto, la permanencia negativos. Por ejemplo, la observacin de fases anteriores en un depresivo. Sabemos que la depresin cursa por fases: si ya tuvo un episodio anterior que evolucion favorablemente con una medicacin y dur ocho meses, podemos presumir que ahora, en una segunda fase, la evolucin va a ser semejante.

Los pasos a seguir son los siguientes: Primera parte: Datos de filiacin: edad, sexo, estado civil, nacionalidad, domicilio, profesin u oficio. Se debe redactar el motivo de consulta Por quin fue solicitado y objetivos del mismo.

Actitud del entrevistado y referencia a sus motivaciones conscientes y la evolucin de la enfermedad. Procedimientos utilizados: Entrevistas nmero y frecuencia. Tcnica utilizada, lugar en que se llevaron a cabo. Tests especificar los utilizadosjuegos registros. Segunda parte: sntesis de los datos bibliogrficos o psicoanamnesis Descripcin sinttica del grupo familiar y de otros grupos que han tenido o tienen importancia en la vida del entrevistado.

Relaciones del grupo familiar con la comunidad: status socioeconmico, otras relaciones. Constitucin, dinmica y roles, comunicacin y cambios significativos del grupo familiar.

Diseño y Redacción del Informe Psicológico e Historia Clínica

Salud, accidentes y enfermedad del grupo y de sus miembros integrantes. Muertes, edad y ao en que tuvieron lugar, causas de las mismas. Actitud de la familia frente a los cambios, a la enfermedad y al enfermo de importancia para el diagnstico. Recuerde que todo este informe no debe realizarlo con ttulos, debe elaborarlo en forma de ensayo. Evitar al mximo dar muchos detalles o repetir prrafos o las fundamentaciones de los hallazgos, se fundamenta. Colocar el Eje I de la evaluacin multiaxial.

Incluir una posibilidad pronostica desde el punto de vista psicolgico. No olvide de colocar su firma! Cerrar sugerencias Buscar Buscar. Saltar el carrusel. Carrusel anterior. Carrusel siguiente. Cargado por jopa Fecha en que fue cargado Jul 13, Tras finalizar el caso todos los datos cuantitativos se recogen en un Excel para usarse como material de ayuda en futuras investigaciones.

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Its actually awesome piece of writing, I have got much clear idea about from this piece of writing. I really, really enjoyed this article, Steve.

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I also try to survey my customers in the most relaxed way possible. I use an app called Feedbackstr, which gives me the option to print out flyers, hang up posters, and order little plastic displays for my tables and cash registers.

I include QR codes and URLs in all of my flyers, which gives my customers the opportunity to reach the survey via smart phone (QR code scanner app) or short URL (browser).

I believe it really differentiated my company from all the rest in the high-competition industry I work in. I really like your article. I run a shop and costumer service is very important part of this job. Happy client will come back to me. I find your tips really interesting. Some very crucial points for marketers. Like many others, I also liked asking for reviews when in positive and enthusiastic state from your customers. Great post, great Tips, Steve. Your post freshend up my mind.

This was exactly what I needed. This post nailed it.Some of these systems are explained in-game, but may be easy to miss, while others are left a bit vague. We've put together a collection of tips that'll give you a little leg-up, and get you skipping on your way to rescuing Peach. Check out our full review of Super Mario Odyssey, and for more about the game, check out our roundup article containing features, gameplay videos, and everything you need to know about Super Mario Odyssey.

You can also check out our roundup containing tips, guides, and things we wish we knew. Privacy PolicyAd ChoiceTerms of UseHelpAdvertisePartnershipsCareersMore Sitesgiantbomb.

¿Cómo llenar una historia clínica?

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redaccion de historia clinica psicologica

And they really did it. They helped me 11. And yes, you may know a few of these already -- but there's probably at least one you don't. What software to buy.Summary statistics about the discovered rules. These fields are documented in Numeric Field Summary. As in the numeric field summary, the presence of counts or bins depends on the number of distinct values.

For items derived from numeric fields represent number ranges, this is the numerical value where the bin ends for a particular item.

It may be null when the range is open ended. Note that the bin is inclusive for regular items but exclusive for complementary items. For items derived from numeric fields represent number ranges, this is the numerical value where the bin starts for a particular item. The zero-based item index in the list if the item has a complementary item associated.

An array of zero-based item ids for the LHS of the rule. These ids represent the index of the item in the items list. A pair with coverage for the items in the LHS of the rule expressed as a proportion of total instances, and absolute number of counts.

A real number between 0 and 1 representing the p-value for the rule. An array of zero-based item ids for the RHS of the rule. A pair with coverage for the items in the RHS of the rule expressed as a proportion of total instances, and absolute number of counts.

A pair with support for the items in the RHS of the rule expressed as a proportion of total instances, and absolute number of counts. A status code that reflects the status of the association creation. See n-gram for more information. Example: true category optional The category that best describes the topic model.

redaccion de historia clinica psicologica

Specifies the fields that won't be included in the topic model. Example: "MySample" tags optional A list of strings that help classify and index your topic model. This will be 201 upon successful creation of the topic model and 200 afterwards.

Make sure that you check the code that comes with the status attribute to make sure that the topic model creation has been completed without errors.

This is the date and time in which the topic model was created with microsecond precision. True when the topic model has been built in development mode. The list of fields's ids that were excluded to build the topic model. The list of input fields' ids used to build the topic model.

In a future version, you will be able to share topic models with other co-workers or, if desired, make them publicly available. Whether to include a contiguous sequence of two items from a given sequence of text. Only the names of the topics can be updated. If ommitted, both damped and non-damped trends will be tried and the best models returned.

If it is omitted, then the missing values are filled via spline interpolation before fitting. Example: "median" description optional A description of the time series up to 8192 characters long. Example: "This is a description of my new time series" error optional Any of the following values to specify types of ETS models: 1 (additive), 2 (multiplicative).

Multiplicative error models are only available when the objective field has strictly positive values (greater than 0). Example: 100 name optional The name you want to give to the new time series. Example: 2 tags optional A list of strings that help classify and index your time series.

This will be 201 upon successful creation of the time series and 200 afterwards. Make sure that you check the code that comes with the status attribute to make sure that the time series creation has been completed without errors. This is the date and time in which the time series was created with microsecond precision.


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