Homeopathic Case Management723

7/30/2019 Homeopathic Case Management723

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Hahnemannian case management

based on Luc De Scheppers

Achieving and maintaining the similimum

Interactive PowerPoint Presentation

Just click the situation your patient presents!

Marc Van Wijk - 2006

STARTABOUT


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Case management

Immediate improvement

on all planes

Stop taking medicine


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Case management

Still no reaction

Obstructions to the cure Psychological block

New acute event Hyposensitive patient

Miasmatic block Wrong remedy?


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Case management

Obstructions to the cure

Lifestyle

Diet

Bad habits that cancel the remedy How was remedy taken?


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Case management

New acute event

Acute intercurrent

All possibilities after administration of remedy


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Case management

Miasmatic block

Nosode

Striking response

Brings forth a

clearly indicated

remedy

Continue nosode

while patient is

improving

If no response after

3 weeks, give

previous remedy if

still indicated


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Case management

Psychological block

A remedy can cure a kid, not educate it

Attitude; denial of ones own behavior

Patient isnt introspective, honest Not willing to change

...


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Case management

Hyposensitive patient

Adjust potency/dose


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Case management

Initial improvement on all planes,

then return of unaltered

symptoms

Potency not strong enoughJudge intensity and timing

of returning Sx

Lifestyle ? Miasmatic block

Severe pathology


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Case management

Potency not strong enough

Increase potency and/or

Increase frequency and/or Increase succussions


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Case management

Severe pathology

Internal damage/pathology so severe

that cure is impossible

Work from C6 up to LM


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Case management

Lifestyle

Perserving harmful lifestyle

Did the patient take allopatic drugs or other healing

modalities?

When the body is beginning to cure, using thepositive support of the homeopathic remedy, it

needs time to adjust to the renewed sense of

wellness!

Dont let the patients abuse their bodys again!


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Case management

Intensity and timing of returning Sx

Patient calls after initial improvement

Problems in work or relationship are

tugging the progress

Returning Sx more severe? Incurable

case?


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Case management

Quick, short agg. followed by improvement

and increase of strength

Selected potency and/or dose were a little too

high

Adjust by:

decreasing number of succussions

decrease amount of given remedy

decrease frequency of dose

increase amount of water used to diluteremedy

increase volume of remedy solution bottle


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Case management

Long lasting agg.

with eventual but

slow

progress to

improvement

Potency too high Extensivepathology

Unrecognised

one-sideddisease


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Case management

Potency and/or dose too high

Hypersensitive patient

Adjust by: decreasing number of succussions

decrease amount of given remedy

decrease frequency of dose increase amount of water used to dilute

remedy

increase volume of remedy solution bottle


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Case management

Extensive pathology

Borderline of incurability?

Present extensive pathology already

known? If not, refer for further tests

Always use very low potencies:

Start with 6C

Adjust dose/potency/succussions

After 6C, ascend to 12C, to 18C, to 24C, to

30C; from then, switch to LM


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Case management

Unrecognized one-sided disease

Advanced pathology becomes active layer

Use von Boenninghausen! Dont use deep-working, miasmatically

chosen remedies!


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Case management

Prolonged similar agg

followed by slow

continues decline

Unrecognized

hypersensitivepatient

Incurable case


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Case management

Unrecognized hypersensitive patient

Potency and/or dose far too high

Cancel remedy with camphor or

corresponding antidote; if it was the

similimum, give same remedy in lower

potency by 5th edition method.

Start again with much lower potency/dose

Olfaction can be used (6C) or micro-

solution.


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Case management

Incurable case

VF has no strength left to react

Advanced and terminal pathology?

Only palliation is possible: Acute zig-zag prescribing with 5th edition

method

Use von Boenninghausen

By preference, use vegetable remedies


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Case management

Similar agg

after every dose,

no matterwhich potency

Hypersensitivepatient Hystericalpatient


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Case management

Hysterical patients

A case of unmet emotional needs?

Need of attention? Ask other family

members.

Fixed delusions?

Give placebo until similimum is indicated

or until real emotional picture shows


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Case management

Isolated physical improvement

without general relief nor increase

in well-being orin M/E outlook

Distant simile and/or

Suppressedsymptom

Lifestyle and

relatedtreatments

Miasmatic block Extensive pathology


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Case management

Distant simile and/or suppressed symptom

Similimum not found

Possibly the external manifestation ofdisease has been suppressed

Acted as placebo?

Retake the case


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Case management

Immediate improvement on all planes

but of short duration followed by

long similar agg

Distant simile Miasmatic block

Cancellation of remedy Limit of curability

Deferred similar agg


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Case management

It is possible the patient cancels the

remedy : keeps on doing sport while being treated

for sport injury

takes antidoting food or drinks duringtreatment


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Case management

Rarely, some remedies have a deferred

aggravation

Dont change your prescription too hastily!


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Case management

Long-term improvement (weeks-months)

then sudden similar agg

No more repetition of the remedy!

VF needs no further stimulus of remedy

Repeating would create a remedy disease!


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Case management

Sx following Herings Set of observations

Healing takes place:

from within out

from more important organs to lesser important

from above to below in reverse order of appearance (reversible, presenting

and suppressed sx) Make a timeline during

anamnesis!

Duration of old, recurring sx depends on nature ofdisease, VF, potency, nature of remedy.


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Case management

New symptoms

appear

Wrong prescription Natural healingsymptoms


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Case management

Are they accessory sx? You might have a

simile Sx are not old, forgotten; the patient

never had them before:

STOP and retake the case


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Case management

Since about 20 years, Ive been studying homeopathy. Step by step, reading all thoseinspiring books, homeopathy became clear to me; however, some aspects of it, didnot

Until I read the most wonderful books of Luc De Schepper: Hahnemann revisited andAchieving and maintaining the similimum. All of a sudden, the hidden aspects showedthemselfs to me! Dr Luc seems to have the marvellous capacity to translate thetexts of Hahnemann into clear, pure, understandable language

Especially his strategic case management resulted in more succesful homeopathicprescribing; indeed, the second prescription is often the most difficult one.

It is for this reason I made this interactive powerpoint show. In a few mouse-clicks, youwill be able to find out how to act, using yourpatients information, during his secondvisit.

The more succesful our prescribing becomes, the more motivated we as homeopathsbecome. And this is in the interest of our patients, as well as in the interest ofhomeopathy itself.

Using homeopathy in a correct way, resulting in succesful prescribing is in fact a tribute toSamuel Hahnemann; its the proof that his Similia Similibus Curenturis still living!

Marc Van Wijk

Belgium2006

[email protected]
mailto:[email protected]?subject=Case%20managementmailto:[email protected]?subject=Case%20management


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Case management

Possibly, your remedy choice is wrong, soyou have to retake the case.

However, dont take this decision toohastily ! This mistake is made too often !

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Homeopathic Case Management723