11. Prob familiaux /Family issues Flashcards
1
Q
Why ask about family issues
A
- understand their impact on the patient’s illness
- the impact of the illness on the family
2
Q
when to ask about family issues
A
- periodically
- at important life-cycle points (e.g., when children move out, after the birth of a baby)
- when faced with problems not resolving in spite of
appropriate therapeutic interventions (e.g. medication compliance, fibromyalgia, hypertension)
3
Q
8 life cycle stages + 1
A
- Independence
Beginning the emotional separation from parents - Coupling
Establishing an intimate relationship with partner
Further development of emotional separation from parents - Learning to live together
Dividing the various couple roles in an equitable way
Establishing new, more independent relationship with family and friends - Parenting
Opening the family to include a new member
Dividing the parenting roles - Living with the adolescent
Increasing the flexibility of the boundaries to allow the adolescent to move in and out of the family system
Refocusing on midlife marital and career issues - Empty nest (launching children)
Accepting the multitude of exits from and entries into the family system
Adjust to the ending of parenting roles - Retirement
Adjusting to the end of the wage-earning roles
Developing new relationships with children, grandchildren and each other - Old age
Dealing with lessening abilities and greater dependence on others
Dealing with losses of friends, family members and eventually each other
In the normal aging process, there is often a decline in physiologic function
Weigh potential harms of screening
Consider risks/benefits of treatment if a disease is detected, functional status, comorbid conditions and predicted life expectancy
*** separation amoureuse not in there?