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
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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)
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3
Q

8 life cycle stages + 1

A
  1. Independence
    Beginning the emotional separation from parents
  2. Coupling
    Establishing an intimate relationship with partner
    Further development of emotional separation from parents
  3. Learning to live together
    Dividing the various couple roles in an equitable way
    Establishing new, more independent relationship with family and friends
  4. Parenting
    Opening the family to include a new member
    Dividing the parenting roles
  5. 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
  6. Empty nest (launching children)
    Accepting the multitude of exits from and entries into the family system
    Adjust to the ending of parenting roles
  7. Retirement
    Adjusting to the end of the wage-earning roles
    Developing new relationships with children, grandchildren and each other
  8. 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?

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