MODULE 2 FAMILY ASSESSMENT TOOLS Flashcards
Management of illness requires consideration of
personal and religious beliefs; social, economic or cultural problems; personal feelings and expectations, and family
allow us to have a systematic means of understanding the family and also to aid in the evaluation of the impact of illness to person and to family function
FAMILY ASSESSMENT TOOLS
different tools used to assess family structure and function
- Family tree or Genogram
- Family Map
- Family APGAR
- SCREEM
- Family Lifeline
A schematic or graphic chart representation of both the genetic pedigree of family and key psychosocial and interactional data using standardized symbols
FAMILY TREE/GENOGRAM
rr Four components of the family genogram are
- Structure
- Demographics
- Events
- Problems
Provides a quick overview of the family members and relationships
FAMILY TREE/GENOGRAM
A way to visually overlay biomedical and psychosocial information
FAMILY TREE/GENOGRAM
A study tool for gaining a comprehensive understanding of multigenerational family systems
FAMILY TREE/GENOGRAM
The greatest barrier to the universal adoption of the genogram
the time spent to develop one
Tool that reflects family relationships and interaction patterns
FAMILY MAP
Provides schematic description of whom to ask for assistance in making decisions for the patient
FAMILY MAP
Possible source of somatic complaint will also be identified basing from the mapping of family relationships
FAMILY MAP
how power & authority is distributed in the family
Hierarchy
rules defining who participates in the subsystem & how they participate
Boundaries
relationship between at least three people , where two collude against another
Coalition
unconscious assignment of roles to each member of the family
Role selection
positive relationship between any two members of a system
Alliance
occurs when boundaries are diffuse, as when parents have no privacy from their children or when members are overly reactive to stress on one member & demonstrate lack of individual autonomy
Enmeshment
boundaries that are too rigid, as when the mother & the child exclude the father’s involvement in parenting
Disengagement
occurs when a third person is drawn into a two pair system so as to diffuse anxiety or conflict w
Triangulation
are ordered sequences of interaction that typify how families function
Family patterns
• 10-15 minute pencil and paper tool that elicits the person’s perception and level of satisfaction on the current state of family relationships
FAMILY APGAR
Tool that qualitatively measures family functioning
FAMILY APGAR
FAMILY APGAR stands for
adaptation Partnership Growth Affection Resolve
Measures the satisfaction attained in solving problems by communicating
Partnership
Capability of the family to use inherent resources, which are either intra-familial or extra-familial
Adaptation
Measures satisfaction of the available freedom to change
Growth
Measures the member’s satisfaction with the intimacy and emotional interaction in the family
Affection
Measures member’s satisfaction with the commitment made by other members of the family
Resolve
Family system tool used for Symptoms that manifest as psychosomatic disorder such as headache, anxiety, depression, insomnia, fatigue and increased pediatric complaints
FAMILY APGAR
SCREEM STANDS FOR
S ocial C ultural R eligious E conomic E ducational M edical
Tool where the physician helps the family identify and assess their resources to meet a crisis situation
SCREEM
USED In situations where long term care is needed such as in chronically sick patients, terminally ill and hospice patients
SCREEM
Presentation of a family’s life events in a limited space which allows quick retrieval of information that provides identification of factors that may affect health of the family
FAMILY LIFELINE
Interpretation is based on most significant events that probably affects the health of each member or that may influence the health seeking behavior or perception of health of the individual or family
FAMILY LIFELINE
