11. Prob familiaux /Family issues

Question 1

Why ask about family issues

Answer 1

• understand their impact on the patient’s illness
• the impact of the illness on the family

Question 2

when to ask about family issues

Answer 2

• 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)

Question 3

8 life cycle stages + 1

Answer 3

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?