A Anamnese Infantil
Por: thatarocha • 12/9/2021 • Abstract • 343 Palavras (2 Páginas) • 201 Visualizações
ANAMNESE
Dados Pessoais:
Nome: __________________________________________________________________________________________________________________________________________________
Data de nascimento: ____/____/_______
Estado Civil: ________________________ Sexo: _____
Escolaridade: ________________________ Religião: ___________________________
Endereço: __________________________________________________________________________________________________________________________________________________
_________________________________________________________________________
Tel: __________________________ Tel Com. ___________________ cel ____________
Nome do Pai:
__________________________________________________________________________________________________________________________________________________
Data de nascimento: ____/____/_______
Estado Civil: ________________________ Sexo: _____
Escolaridade: ________________________ Religião: ___________________________
Endereço: ___________________________________________________________________________________________________________________________________________________________________________________________________________________________
Tel: __________________________ Tel Com. ___________________ cel ____________
Nome da Mãe:
__________________________________________________________________________________________________________________________________________________
Data de nascimento: ____/____/_______
Estado Civil: ________________________ Sexo: _____
Escolaridade: ________________________ Religião: ___________________________
Endereço: ___________________________________________________________________________________________________________________________________________________________________________________________________________________________
Tel: __________________________ Tel Com. ___________________ cel ____________
Anamnese:
a) O que te traz aqui?
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
b) desde quando você nota essa problemática?
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
c) De que forma isso tem afetado as atividades e suas relações interpessoais? Como é a reação das pessoas do ambiente frente a isso?
_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
d) Em quais situações essa problemática ocorre? (onde, com quem)
_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
História Pessoal:
- Se souber fale sobre as condições em que ele(a) foi gerado, a expectativa familiar a respeito do nascimento e como nasceu (parto normal ou outro).
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
...