PAFP proceedings IV: Impact of Illness on the Family

Question 1

Family problems that contribute to the dse process:

Answer 1

Poverty
Unemployment
Other sickness of family
Chronic family dispute
Poor nutritional habit
Inadequate housing condition

Question 2

Factors of health care system that affects the family:

Answer 2

Setting of care
Type of cure
Ability to pay
Flexibility of health care system

Question 3

Primary biologic and psycho-physiologic disorder

Answer 3

Disease

Question 4

Biologic disorder + experience of the disease

Answer 4

Illness

Question 5

Major ILLNESS involves loss of:

Answer 5

Body parts
Ability to carry out normal activities
Sense of self-esteem
Dreams and plans for the future
Sense of invulnerabilty of one's self

Question 6

Stages of Family Illness Trajectory

Answer 6

Stage I: ONSET of illness to Dx
Stage II: Impact phase - RXN to Dx
Stage III: Major THERAPEUTIC efforts
Stage IV: Recovery phase: Early ADJUSTMENT to outcome
Stage V: Adjustment to PERMANENCY of outcome

Question 7

Stage with the ff physician responsibilities:

• explore the explanatory model and fear that patients bring
• explore conflict of the patient and aspects of pre-diagnostic phase of family

Answer 7

Stage 1: Onset of Illness

Question 8

Stage with the ff physician responsibilities:

• help cope by family conference, etc
• help families maintain openness to each other
• know that guilt is a natural response
• offer alternative interpretation of proposed therapeutics to bolster denial of family

Answer 8

Stage 2: Impact Phase

Question 9

Stage with the ff physician responsibilities:

• Remain open to the family and provide info
• work in harmony w/ the fam
• Coordinate all aspects of therapy
• Anticipate pathologic response (behavioral problem, acting out)

Answer 9

Stage 3: Major therapeutic efforts

Question 10

Stage with the ff physician responsibilities:

• Deal with immediate effects of trauma
• Alleviate anxiety and assure adeq rest
• Repeated reassurance
• Call on other members for support
• Clarify labeling once well and has returned to health

Answer 10

Stage 4: Early adjustment to the permanency of outcome

Question 11

Stage with the ff physician responsibilities:

• Assist patient and familt in relating to health care system
• Aid them in efficient and functional readjustment
• Aid in home care

Answer 11

Stage 5: Adjustment to the permanency of outcome

Question 12

How to evaluate family in crisis?

Answer 12

1. Assess FH of coping w/ problem & stressor
2. Determine style of family devt
3. Check role of pt in family
4. Monitor role disruption