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Module 6 Family Medicine > Intro to fam med and FAMILY STRUCTURE AND FAMILY FUNCTION > Flashcards

Intro to fam med and FAMILY STRUCTURE AND FAMILY FUNCTION Flashcards

1
Q

why study family and community mendicine

A
  • shows that HC that emphasizes PHC has better outputs
  • better health outcome
  • less hospitilization
  • increased patient satisfaction
  • lower costs
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2
Q

Characteristics of Primary Health Care

A

› First contact accessibility
› Person-focused longitudinal care
› Comprehensiveness
› Coordination

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3
Q

as both an academic discipline and clinical
specialty
● Included in basic medical education

A

FAMILY MEDICINE

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4
Q

FAMILY MEDICINE

A
  • ● One of the major rotations in medical postgraduate
    internship
  • comprehensive and holistic care to individuals and families
    › Integrates biomedical, behavioral, and social factors that
    may affect individual’s health
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5
Q

what is the basic social unit

A

family

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6
Q

COMMUNITY MEDICINE

A
  • concerned for a population or a group of people
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7
Q

Community medicinde focuses on

A

epidemiology, screening, environmental health,
and others
● It focuses on:
› Health of community
› Concern with the promotion of health
› Prevention of disease and disability
› Rehabilitation through collective social action

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8
Q

similarities of Fam and com med

A
  • both clinical and public
  • RHU and OPD
  • educate public on health education
  • public health activities under the city health officer
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9
Q

is able to see patient in the context of

family, community, and society

A

› Family physician

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10
Q

addresses peoples issues and at
the same is able to see the situation in the context of the
family and individual

A

Community physician

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11
Q

PATHWAYS FOR SPECIALIZATION IN FAMILY

MEDICINE

A
  1. Traditional or Conventional Hospital-based Training- 3yrs
  2. Innovatice Practice based training- 4 -5yrs
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12
Q

All doctors are expected to be

A

Five- Star Physicians

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13
Q

distinct attitudes, skills, and knowledge
that qualify them to provide continuing and comprehensive
medical care, health maintenance, and preventive services

A

Five- Star Physicians

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14
Q

Five- Star Physicians are

A
  • Educator
  • Counselor
  • Manager
  • Social mobilizer
  • Researcher
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15
Q

what is the scope of family medicine

A

scope of family medicine encompasses all ages, both

genders, each organ system, and every disease entity.

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16
Q

focus of family physician

A

● Individual (patient-centered)
● Family (family-focused)
● Community (community-oriented)

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17
Q
  • analyze family pyschodynamics
  • screem
  • apgar
  • family map
    Identifying problems in the family that affects the patient
    should also be addressed to have a better health
A

Counselor

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18
Q
  • researcher, decision making is based on evidence
  • appraise medical literature
  • evidence based
A

Researcher

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19
Q

Empowerment of patients and families through:

  • Health education and lifestyle modification
  • Health promotion and disease prevention
  • Early diagnosis and treatment
  • Disability limitation, rehabilitation, and palliation
A

education

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20
Q 
make links and conncections 
- first contact 
last out should be 
- provide care womb to tomb 
- Refer cases appropriately to coordinate
A

Manager

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21
Q

› Lead and actively participate in health policy-making
› Advocate patients’ rights and safety
› Mobilize communities towards worthy projects

A

Social mobilizer

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22
Q

what is soap

A

Subjective
Objective
Assesment
Plan

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23
Q

THE JOY OF FAMILY PRACTICE

A
  • patients share there trust and

- provide better health care

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24
Q

the center of 5 star physician

A

Health care provider

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25
Q

types of family structure

A
  • Nuclear family
  • extended fam
  • blended fam
  • single parent
  • communal fam
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26
Q
  • basic unit of fam
  • married fam with children
  • married fam no children
  • widow/divorced and with children
A

Nuclear Family

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27
Q

Includes 3 generations
a. Family of procreation - parents and children
b. Family of origin - grandparents
› Could be unilaterally or bilaterally extended

one other memeber of the family

A

Extended Family

› pertain to a

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28
Q

› One or both parents have had a previous marriage
and possibly children from that marriage
› Includes step-parents and step-children brought
about by annulment, separation, and remarriage

A

Blended family

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29
Q

result from the loss of a spouse or death,
divorce, and separation
› May result from out-of-wedlock birth of a child or from
adoption
› May result from one parent working outside the
Philippines

A

Single parent family

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30
Q

of individuals which re formed for specific
ideological or societal purposes
› May not be related
› Share common resources and living arrangements

A

Communal family

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31
Q

Basic areas of function of family

A
  • biologic
  • economic
  • educational
  • psychological
  • socio cultural
32
Q

responsible for reproduction and
child-rearing to become contributing members of the
family

A

biological

33
Q

family should prepare their children for life
› They should teach skills, values, and attitudes that
would equip their children to learn, work, form
friendships, and contribute to society

A

Educational

34
Q

family should have the provision of adequate
financial resources and ensure the financial security
of its members
› Adequate financial resources, resources allocation,
financial security

A

Economic

35
Q

family should promote natural development of
personalities, offer psychological protection for its
members, and promote ability to form relationships
within the family circle

A

Psychological /affection

36
Q

The family should teach their children the values of
the society and share informations about culture and
beliefs
› Socialization of children
› Promotion of status and legitimacy

A

Socio cultural

37
Q

is defined on the basis of structure

A

family

38
Q

group of people related by blood, marriages, or
adoption, which live together in one household.” - United
Nations

A

Family

39
Q

group of persons living under one roof and

sharing the same kitchen and housekeeping arrangements.

A

household

40
Q

1987 Philippines constitution

A
  • sanctity of family institution
  • › Filipino family is the foundation of the nation
    › Protects and promotes the right to ehealth of the people
41
Q

as a basic autonomous social

institution

A

Family

42
Q

what is the foundation of the nation

A

Filipino Family

43
Q

BY DIFFERENT VIEWPOINTS of family

A

Sociological
biological
psychological

44
Q

WHY STUDY THE FAMILY?

A

● Psychosocial stress can occur within the family..
● Source of Social Support
● Transmission of infectious disease

● Health behaviour is acquired from the family
● Defines health and illness
● Makes health decisions

45
Q

TWO PRINCIPLES

A
  • Whatever illness that may best the patient will affect
    the entire family in varying degree
  • A triangular relationship exists and involves the
    doctor, the patient, and the family, all providing inputs
    and interaction that can be used in managing and
    addressing the issues pertinent to the case.
    › Therapeutic triad
46
Q

WHAT IS FAMILY HEALTH CARE?

A

Taking care of all individuals in the family one by one
● Dealing with the family as object of management
● Influencing family members to change factors affecting
each individual’s health FAM

47
Q

TYPES OF SET-UP

A

Democratic

Authoritarian

48
Q

AUTHORITY PATTERNS

A
  • Patriarchal
  • matriarchal
  • egalitarian
  • within the family= age
49
Q

authority outside the family

A

social class, professional status or official

government affiliation, and ecclesiastical positions

50
Q

ORDINAL POSITION

A

first born
second born
youngest

51
Q

PARENT-CHILD INTERACTION

A
  1. Rejecting Parent
    - has an insecure, aggressive, nervous, and stubborn
    child.
  2. Submissive Parent
    - has a careless and disobedient child.
  3. Dominating Parent
    - has an uncooperative and quarrelsome child.
  4. Absent Father or Mother at Home
52
Q

Fear- for life and children

A

Most common reason) reason why victims are hesitant to leave relationships

53
Q

in same-sex relationship: Fear for exposure and hate

crimes.)

A

(2nd most common) in same-sex relationship: Fear for exposure and hate

54
Q

whats the majority age of abused

A

20-24

55
Q

● Majority were physical or sexual violence, followed by

physical violence

A

highest form of abuse for girls is sexual

56
Q

NDHS 2017, 1 in 4
ever-married women aged 15-49 has ever experienced
physical violence, sexual or emotional violence from
husband or partner

A

Women who are separated, divorced or widowed are more

likely to experience ALL forms of

57
Q

RA 9262 AND PHYSICAL INJURY

A

or Anti-Violence Against Women Act of
2004 which penalizes abusive husbands and live-in
partners.

58
Q

what is family violence

A

violence is abuse of power within relationships of
family, trust or dependency. It can include many forms of
abusive behavior:

59
Q

who are the primary victims of family violence

A

women
› children
› seniors
› people with disabilities

60
Q

Risk factors for girls and women or who are targeted for abuse or trafficking

A
  • Usually young
  • From poor socio-economic background
  • Who belongs to an ethnic/Cultural group
  • Disability
61
Q

Primary biologic and psycho-physiologic disorder

› Physiological abnormalities taking place in a patient’s

A

Disease

62
Q

Includes the sufferer’s perceptions, emotions, and
experiences of the disease and the broad range of
dislocations felt by both the sufferer and his family

A

Illness

63
Q

Includes the sufferer’s perceptions, emotions, and
experiences of the disease and the broad range of
dislocations felt by both the sufferer and his family

A

Illness

64
Q

types of onset

A

acute

gradual

65
Q

types of course

A

progressive
constant
relapsing

66
Q

types of outcome

A

no effect on life span
progressive then fatal
unpredictable

67
Q

STAGES IN FAMILY ILLNESS AND

TRAJECTORY

A

STAGE I: Onset of Illness to Diagnosis

STAGE II: Impact phase- Reaction to Diagnosis

STAGE III: Major Therapeutic Efforts

STAGE IV: Recovery Phase - Early Adjustment to
Outcome

STAGE V: Adjustment to the Permanency of the
Outcome

68
Q

Stages of Family Reaction

A 
1. Denial (few days to few weeks)
› if prolonged, it could lead to a premorbid pattern of
abnormal behavior.
2. Anger
3. Bargaining
4. Depression
5. Acceptance
69
Q

Family assessment tools:

A
  1. Family lifeline
  2. Family genogram
  3. Family map
  4. Family APGAR
  5. SCREEM
  6. Draw-a-family-test (DRAFT)
  7. Family circle
70
Q

Summarizes the history of the family, particularly
chronologically significant experiences

  • how the family has coped
A

Family lifeline

71
Q 
Used to gather data about an indivi
Very excellent tool to use in learning about the family
structure
› Components
- Family Tree
- Functional chart: genogram gives a more dynamic
image of the family
- Family illness/history
A

Family Genogram

72
Q

is a tool designed to reflect family
relationships and interaction patterns
● It facilitates the communication of information about the
family system and its dynamics in order to address
psychosocial issues

A

Family map

73
Q

qualitatively measures family functioning
● Rapid screening instrument for family dysfunction
● Elicit the patient’s perception and level of satisfaction on
the current state of her family member’s relationships.

Adaptation 
Partnership 
growth 
affection 
resolve
A

apgar

74
Q

It is very important in the assessment of the family as to
its capacity to participate in provision of health care or
to cope with crisis
› Commonly used when the need for care is long or last a
lifetime
› It can also be used to assess the resources of the difficult
and non-compliant patients.
● It is an acronym that represents family resources
› Social, Cultural, Religious, Economic, Education, Medical

A

screem

75
Q

Provides clues on the significant psychological issues
within the family system.
● Task: patient is asked to draw members of his/her family.
› Does not measure the person’s inherent ability to
draw but how he pictures his family members.

A

DRAW-A-FAMILY-TEST (DRAFT)`

76
Q

brief, graphic method for disclosing, gathering, and
discussing family dynamics as discussed by one or more
family members
● Often used in individuals, but they can be applied to small
groups as well
● Through this tool one can assess openness, boundaries,
support, function, triangulation, and interdependence..draw variable sizes of circle

A

family circle

Module 6 Family Medicine (1 decks)

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