Clinical and Communication Skills Recognise headaches that require urgent management (young age, associated meningism and/or focal neurology, associated vomiting, developmental regression, personality change) Physical examination including height and weight, blood pressure, visual acuity, fields and fundoscopy Assess for anxiety and depressive symptoms Assess for other medically unexplained somatic symptoms Understand the importance of psychosocial factors in precipitating/maintaining chronic and recurrent headaches Perform a HEADSS assessment in adolescent/older child
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Structuring framing and timing of primary care consultation
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Hauora Māori Understand context of educational inequities for Māori children: potentially relevant to both aetiology (e.g. discrimination) and effects (absenteeism more of an issue among Māori children, impacts on educational achievement) Acknowledgement of the disproportionate impact of illness on whānau employment/income, and therefore availability and models of caregiving Consideration of access to cultural/spiritual support for patient and whānau
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