Cover Image
close this bookWhere There Is No Doctor - A Village Health Care Handbook (Hesperian Foundation, 1993, 516 p.)
View the document(introduction...)
View the documentHOW TO USE THIS BOOK
View the documentTHANKS
View the documentTEACHING AIDS AT LOW COST
View the documentINTRODUCTION
View the documentNOTE ABOUT THIS NEW EDITION
Open this folder and view contentsWORDS TO THE VILLAGE HEALTH WORKER (Brown Pages)
Open this folder and view contentsChapter 1 - HOME CURES AND POPULAR BELIEFS
Open this folder and view contentsChapter 2 - SICKNESSES THAT ARE OFTEN CONFUSED
Open this folder and view contentsChapter 3 - HOW TO EXAMINE A SICK PERSON
Open this folder and view contentsChapter 4 - HOW TO TAKE CARE OF A SICK PERSON
Open this folder and view contentsChapter 5 - HEALING WITHOUT MEDICINES
Open this folder and view contentsChapter 6 - RIGHT AND WRONG USES OF MODERN MEDICINES
Open this folder and view contentsChapter 7 - ANTIBIOTICS: WHAT THEY ARE AND HOW TO USE THEM
Open this folder and view contentsChapter 8 - HOW TO MEASURE AND GIVE MEDICINE
Open this folder and view contentsChapter 9 - INSTRUCTIONS AND PRECAUTIONS FOR INJECTIONS
Open this folder and view contentsChapter 10 - FIRST AID
Open this folder and view contentsChapter 11 - NUTRITION: WHAT TO EAT TO BE HEALTHY
Open this folder and view contentsChapter 12 - PREVENTION: HOW TO AVOID MANY SICKNESSES
Open this folder and view contentsChapter 13 - SOME VERY COMMON SICKNESSES
Open this folder and view contentsChapter 14 - SERIOUS ILLNESSES THAT NEED SPECIAL MEDICAL ATTENTION
Open this folder and view contentsChapter 15 - SKIN PROBLEMS
Open this folder and view contentsChapter 16 - THE EYES
Open this folder and view contentsChapter 17 - THE TEETH, GUMS, AND MOUTH
Open this folder and view contentsChapter 18 - THE URINARY SYSTEM AND THE GENITALS
Open this folder and view contentsChapter 19 - INFORMATION FOR MOTHERS AND MIDWIVES
Open this folder and view contentsChapter 20 - FAMILY PLANNING - HAVING THE NUMBER OF CHILDREN YOU WANT
Open this folder and view contentsChapter 21 - HEALTH AND SICKNESSES OF CHILDREN
Open this folder and view contentsChapter 22 - HEALTH AND SICKNESSES OF OLDER PEOPLE
Open this folder and view contentsChapter 23 - THE MEDICINE KIT
Open this folder and view contentsTHE GREEN PAGES - The Uses, Dosage, and Precautions for the Medicines Referred to in This Book
Open this folder and view contentsTHE BLUE PAGES - New Information
View the documentVOCABULARY - Explaining Difficult Words
View the documentADDRESSES FOR TEACHING MATERIALS
View the documentDosage Blanks - For Giving Medicines to Those Who Cannot Read
View the documentPatient Report
View the documentInformation on Vital Signs
View the documentABBREVIATIONS - WEIGHT - VOLUME
View the documentBack cover

Patient Report

TO USE WHEN SENDING FOR MEDICAL HELP

Name of the sick person: ________________________ Age: _________
Male _____ Female _____ Where is he (she)? _____________________
What is the main sickness or problem right now? ___________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
When did it begin? ___________________________________________
How did it begin? ____________________________________________
Has the person had the same problem before? ____ When? __________
Is there fever? ____ How high? ____ When and for how long? ________
Pain? ________Where? ____________________What kind? _________

What is wrong or different from normal in any of the following?

Skin: _________________________ Ears: _______________________
Eyes: ________________________Mouth and throat: _____________
Genitals: __________________________________________________
Urine: Much or little? __________Color? ______ Trouble urinating? __
Describe: ________________ Times in 24 hours: ___Times at night: ___
Stools: Color? _____________ Blood or mucus? _______ Diarrhea?___
Number of times a day: ____ Cramps? ____ Dehydration? _____ Mild or
severe? ______________Worms? ____ What kind? ________________
Breathing: Breaths per minute: _____ Deep, shallow, or normal? ______
Difficulty breathing (describe): _____________ Cough (describe): _____
_______________ Wheezing? _____ Mucus? _____ With blood? ______
Does the person have any of the SIGNS OF DANGEROUS ILLNESS?
__________ Which? (give details) _______________________________
Other signs: ________________________________________________
Is the person taking medicine? ______ What? ______________________
Has the person ever used medicine that has caused a rash, hives (or bumps)
with itching, or other allergic reactions? ______ What? _______________
The state of the sick person is: Not very serious: ______ Serious: _______
Very serious: ______________

On the back of this form write any other information you think may be important.

Patient Report

TO USE WHEN SENDING FOR MEDICAL HELP

Name of the sick person: ________________________ Age: _________
Male _____ Female _____ Where is he (she)? _____________________
What is the main sickness or problem right now? ___________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
When did it begin? ___________________________________________
How did it begin? ____________________________________________
Has the person had the same problem before? ____ When? __________
Is there fever? ____ How high? ____ When and for how long? ________
Pain? ________Where? ____________________What kind? _________

What is wrong or different from normal in any of the following?

Skin: _________________________ Ears: _______________________
Eyes: ________________________Mouth and throat: _____________
Genitals: __________________________________________________
Urine: Much or little? __________Color? ______ Trouble urinating? __
Describe: ________________ Times in 24 hours: ___Times at night: ___
Stools: Color? _____________ Blood or mucus? _______ Diarrhea?___
Number of times a day: ____ Cramps? ____ Dehydration? _____ Mild or
severe? ______________Worms? ____ What kind? ________________
Breathing: Breaths per minute: _____ Deep, shallow, or normal? ______
Difficulty breathing (describe): _____________ Cough (describe): _____
_______________ Wheezing? _____ Mucus? _____ With blood? ______
Does the person have any of the SIGNS OF DANGEROUS ILLNESS?
__________ Which? (give details) _______________________________
Other signs: ________________________________________________
Is the person taking medicine? ______ What? ______________________
Has the person ever used medicine that has caused a rash, hives (or bumps)
with itching, or other allergic reactions? ______ What? _______________
The state of the sick person is: Not very serious: ______ Serious: _______
Very serious: ______________

On the back of this form write any other information you think may be important.

Patient Report

TO USE WHEN SENDING FOR MEDICAL HELP

Name of the sick person: ________________________ Age: _________
Male _____ Female _____ Where is he (she)? _____________________
What is the main sickness or problem right now? ___________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
When did it begin? ___________________________________________
How did it begin? ____________________________________________
Has the person had the same problem before? ____ When? __________
Is there fever? ____ How high? ____ When and for how long? ________
Pain? ________Where? ____________________What kind? _________

What is wrong or different from normal in any of the following?

Skin: _________________________ Ears: _______________________
Eyes: ________________________Mouth and throat: _____________
Genitals: __________________________________________________
Urine: Much or little? __________Color? ______ Trouble urinating? __
Describe: ________________ Times in 24 hours: ___Times at night: ___
Stools: Color? _____________ Blood or mucus? _______ Diarrhea?___
Number of times a day: ____ Cramps? ____ Dehydration? _____ Mild or
severe? ______________Worms? ____ What kind? ________________
Breathing: Breaths per minute: _____ Deep, shallow, or normal? ______
Difficulty breathing (describe): _____________ Cough (describe): _____
_______________ Wheezing? _____ Mucus? _____ With blood? ______
Does the person have any of the SIGNS OF DANGEROUS ILLNESS?
__________ Which? (give details) _______________________________
Other signs: ________________________________________________
Is the person taking medicine? ______ What? ______________________
Has the person ever used medicine that has caused a rash, hives (or bumps)
with itching, or other allergic reactions? ______ What? _______________
The state of the sick person is: Not very serious: ______ Serious: _______
Very serious: ______________

On the back of this form write any other information you think may be important.

Patient Report

TO USE WHEN SENDING FOR MEDICAL HELP

Name of the sick person: ________________________ Age: _________
Male _____ Female _____ Where is he (she)? _____________________
What is the main sickness or problem right now? ___________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
When did it begin? ___________________________________________
How did it begin? ____________________________________________
Has the person had the same problem before? ____ When? __________
Is there fever? ____ How high? ____ When and for how long? ________
Pain? ________Where? ____________________What kind? _________

What is wrong or different from normal in any of the following?

Skin: _________________________ Ears: _______________________
Eyes: ________________________Mouth and throat: _____________
Genitals: __________________________________________________
Urine: Much or little? __________Color? ______ Trouble urinating? __
Describe: ________________ Times in 24 hours: ___Times at night: ___
Stools: Color? _____________ Blood or mucus? _______ Diarrhea?___
Number of times a day: ____ Cramps? ____ Dehydration? _____ Mild or
severe? ______________Worms? ____ What kind? ________________
Breathing: Breaths per minute: _____ Deep, shallow, or normal? ______
Difficulty breathing (describe): _____________ Cough (describe): _____
_______________ Wheezing? _____ Mucus? _____ With blood? ______
Does the person have any of the SIGNS OF DANGEROUS ILLNESS?
__________ Which? (give details) _______________________________
Other signs: ________________________________________________
Is the person taking medicine? ______ What? ______________________
Has the person ever used medicine that has caused a rash, hives (or bumps)
with itching, or other allergic reactions? ______ What? _______________
The state of the sick person is: Not very serious: ______ Serious: _______
Very serious: ______________

On the back of this form write any other information you think may be important.

Patient Report

TO USE WHEN SENDING FOR MEDICAL HELP

Name of the sick person: ________________________ Age: _________
Male _____ Female _____ Where is he (she)? _____________________
What is the main sickness or problem right now? ___________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
When did it begin? ___________________________________________
How did it begin? ____________________________________________
Has the person had the same problem before? ____ When? __________
Is there fever? ____ How high? ____ When and for how long? ________
Pain? ________Where? ____________________What kind? _________

What is wrong or different from normal in any of the following?

Skin: _________________________ Ears: _______________________
Eyes: ________________________Mouth and throat: _____________
Genitals: __________________________________________________
Urine: Much or little? __________Color? ______ Trouble urinating? __
Describe: ________________ Times in 24 hours: ___Times at night: ___
Stools: Color? _____________ Blood or mucus? _______ Diarrhea?___
Number of times a day: ____ Cramps? ____ Dehydration? _____ Mild or
severe? ______________Worms? ____ What kind? ________________
Breathing: Breaths per minute: _____ Deep, shallow, or normal? ______
Difficulty breathing (describe): _____________ Cough (describe): _____
_______________ Wheezing? _____ Mucus? _____ With blood? ______
Does the person have any of the SIGNS OF DANGEROUS ILLNESS?
__________ Which? (give details) _______________________________
Other signs: ________________________________________________
Is the person taking medicine? ______ What? ______________________
Has the person ever used medicine that has caused a rash, hives (or bumps)
with itching, or other allergic reactions? ______ What? _______________
The state of the sick person is: Not very serious: ______ Serious: _______
Very serious: ______________

On the back of this form write any other information you think may be important.

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