If you were raised in the tiny Himalayan kingdom of Bhutan, one of your earliest memories would
most likely be hearing the national story of the four faithful friends. The story tells of a pheasant
that found a seed, a rabbit that helped plant and water it, a monkey that fertilized and weeded it, and
an elephant that stood guard to protect it. When the tree had grown to maturity, the animals climbed
on each other’s backs, forming a pyramid, to reach into the high branches so as to collect and share
the fruit. Editing this book has made me mindful of this tale of...
The community genogram is an assessment and treatment strategy that facilitates
the understanding of individuals and families in social and historical
context. We hope you will find that the community genogram provides a
rich source of data, enabling you and your clients to understand how concerns,
problems, and issues develop over time and across contexts.
Equally important, you will find the community genogram an invaluable
source of client strengths.
The answers to questions with high discriminating value can quickly narrow the range of potential causes of diarrhea and help determine whether treatment is needed. Important elements of the narrative history are detailed in Fig. 122-1.
Physical Examination The examination of patients for signs of dehydration provides essential information about the severity of the diarrheal illness and the need for rapid therapy. Mild dehydration is indicated by thirst, dry mouth, decreased axillary sweat, decreased urine output, and slight weight loss.