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Block 1 Module 2: The Family in medicine > Family conference > Flashcards

Family conference Flashcards

1
Q

Functions of Primary care Family conference

A
  1. Education
  2. Prevention
  3. Support
  4. Challenge
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2
Q

by means of a family meeting, the misperceptions of the members may be unearthed, by discussing their health beliefs, the physician can more effectively educate and can model the behavior being taught.

A

Education

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3
Q

the family meeting will help prevent family dysfunction if the impact of illness is discussed, the family’s strength and resources could be identified

A

Prevention

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4
Q

the moral support given by the physician could help unify the family as well as aid them in coping with the crisis

A

Support

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5
Q

the family meeting can be used as a way of challenging the family members to share their individual capabilities to help the member who is ill.

A

Challenge

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6
Q

In organizing a meeting the physician must consider these 4 things:

A
  1. Who should attend?
  2. When will the family meeting be set?
  3. Where will the family meeting be conducted?
  4. How will the family be convened?
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7
Q

4 situations where a family meeting could take place

A
  1. Hospitalization
  2. Death and dying
  3. Routine pregnancy
  4. Diagnosis of a chronic illness
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8
Q

Steps in conducting a family conference

A
  1. Socialize with family
  2. Set goals
  3. Discuss problems or issues
  4. Identify resource
  5. Give tasks
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9
Q

Level of Physician Involvement

A
  1. Level 1: minimal emphasis on the family
  2. Level 2 Providing medical information and advice
  3. Level 3: Eliciting feelings and providing emotional support.
  4. Level 4: Systematic family assessment and planned intervention
  5. Level 5: Family Therapy
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10
Q

Routinely convene the Family in the following circumstances

A

a. Hospitalization
b. Routine obstetrical and well-child care
c. Terminal illness and death
d. Serious chronic illness

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11
Q

Consider convening the family in the following circumstances:

A

a. Serious illness
b. Compliance problems
c. Poor control of chronic illness
d. High utilization of medical service by
an individual or family
e. Somatization
f. Anxiety or depression
g. substance abuse
h. Parent- child problems
i. Marital and sexual difficulties

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12
Q

Avoid the following when convening the family

A
  1. Being ambivalent and uncertain

2. Accepting patients word that his family will not come

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13
Q

Steps in family counselling

A
  1. Discuss clinical problem
  2. Define clinical problem
  3. Reflect the feeling
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14
Q

How to discuss the clinical problem

A
  1. Reason for consult
  2. Medical history
  3. Assess health condition by physical exam
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15
Q

How to Define the clinical Problem

A
  1. Explore the patient’s and the family’s health understanding
  2. Identify the emotionally critical misperception
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16
Q

How to Reflect the feeling

A
  1. Show empathy
17
Q

Sample Questions:

Patient:

A

a. What does your sickness do to you?
b. What can you no longer do that you would like to do?
c. How do you feel about your sickness?
d. How does your family react to you because of your illness?
e. How do you feel about their reaction?

18
Q

Sample Questions:

family members:

A

a. How does his sickness affect to you?

b. How do you fell about his sickness?

19
Q

Sample Questions:

Both patient and family members:

A

a. What do you think will happen to the illness in the future ?
b. What do you fear most about the illness? What is the worst thing that could happen?

20
Q

How to correct the misinterpretation

A
  1. Define the problem
  2. Etiology (Emphasize genetic predisposition Vs. transmission)
  3. Signs and symptoms
  4. Treatment
21
Q

How to address the patient’s problem

A
  1. Share findings with the patient and family.
  2. Involve the patient and the family in the management plan to the appropriate extent.
  3. Further discuss treatment to correct remaining misperception
22
Q

Sample questions for addressing the patient’s and family’s problem

A

a. What type of treatment do you think would be most helpful?
b. What important results do you expect from this treatment?

23
Q

Sample questions for addressing the patient’s problem

A

a. What might make healing difficult for you?

b. What do you like your doctor to do for you?

24
Q

How to do Goal –setting

A
  1. Summarize discussion

2. Mutual needs explicated

25
Q

Sample questions for addressing the goal to the patient

A

What would you like your family to do for you?

26
Q

Sample questions for addressing the goal to the family

A

What would you like him to do for you?

27
Q

Sample question for re-contracting to meet each other’s needs.

A

Will each one of you state what you are willing to do for each other in response to the needs expressed?

28
Q

What to do during Closing and Follow –up

A
  1. Ask for clarificatory questions or ask for important learnings.
  2. Do a feelings check
  3. Se specific date and time for follow up.

Block 1 Module 2: The Family in medicine (13 decks)

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