Review Flashcards
for accreditation
5 star family physician
- Healthcare Provider
- Educator
- Researcher
- Manager
- Social Mobilizer
Transtheoretical Model of Change in Behavior (6)
- Precontemplation
- Contemplation
- Preparation
- Action
- Maintenance
- Termination
Family Life Cycle (6)
- Unattached young adult
- Newly married couple
- Family with young children
- Family with adolescents
- Launching family
- Families in later life
Family Illness Trajectory (5 stages)
- Onset of illness to dx
- Impact phase (rxn to dx)
- Major therapeutic efforts
- Early adjustments to outcome
- Adjustment to the permanency of outcome
2 Planes of St 2 of Family Illness Trajectory
- Emotional
2. Cognitive
4 Phases of Cognitive Plane of Family Illness Trajectory
Phase 1: Tension and confusion
Phase 2: Repeated failure in deriving dx
Phase 3: Increasing assessment and receptivity
Phase 4: Acceptance
8 Family Assessment Tools
- Family Genogram
- APGAR
- Minuchin Family Map
- SCREEM
- FACES
- FES
- DRAFT
- Family Lifeline
APGAR means:
Adaptation Partnership Growth Affection Resolve
Minuchin Family Map
for communication of info
Enmeshment (overinvolved)
Disengagement (isolated)
Triangulation (direct)
Coalition (siding)
SCREEM (tool x source of help)
Social Cultural Religious Economic Educational Medical
FACES mean
Family Adaptability and Cohesion Evaluation Scale (30 items, 1-5 scale)
DRAFT means
DRaw
A
Family
Test
Family tool used to show significant events in a chronological sequence
Family Lifeline
Family typology (3)
- Regenerative
- Rhythmic
- Versatile
Type of family w/
INC coherence
INC hardiness
Regenerative (vulnerable/secure/durable)
Type of family that values routine and shared purpose
RHYTHMIC (unpatterned/intentional/structuralized)
Type of family w/
INC flexibility and bonding
Versatile (fragile/bonded/pliant)
Parenting styles (5)
- Democratic
- Authoritarian
- Permissive
- Rejecting
- Uninvolved
Parenting style -> energetic, friendly, self-reliant, cheerful and achievement-oriented child
Democratic
Parenting style -> unfriendly, conflicting, irritable, unhappy, unstable child
Authoritarian
Parenting style -> impulsive, rebellious, low-achieving child
Permissive
Parenting style -> Immature, psychologically troubled child
Rejecting
Parenting style -> Lonely and withdrawn, low-achieving child
Uninvolved parenting
Active listening skills (3)
- Attending
- Bracketing/Reflecting
- Leading
Components of Reflecting (active listening skills)
Feelings
Content
Experience
SPIKES model in disclosing med info
Setting Perception Invitation Knowledge Emotions Strategy
5 A’s in Smoking Cessation
Ask Advise Assess Assist (to quit) Arrange (ff up)
What does CAGE mean in alcoholism screening?
C - CONCERN by the person that there is a problem (Have you ever felt that you should CUT down on your drinking?)
A- APPARENT to others that there is a problem (Have you ever become ANNOYED by the criticisms of your drinking?)
G - GRAVE consequences (Have you ever felt GUILTY about your drinking?)
E- EVIDENCE of dependence or tolerance (Have you ever had a morning EYE OPENER to get rid of a hangover?)
FICA spiritual hx tool
FAITH and belief (Do you have spiritual beliefs that cope w/ stress? If no, what gives your life meaning?)
IMPORTANCE (Have your beliefs influenced how you take care of yourself in this illness?)
COMMUNITY (Are you part of a spiritual or religious community? Is this of support to you and how?)
ADDRESS IN CARE (How would you like me to address these issues in your health care?)
4 main dimensions covered in Comprehensice Geriatric Assessment (British Geriatric Society)
- Physical
- Functional
- Psychological
- Social assessment
Tools for assessing PHYSICAL domain of Comprehensive Geriatric Assessment (CGA)
BMI, MNA (Mini Nutritioinal Assessment), Lean body mass measurement, Unintentional wt loss in past 6 mos
Tools for assessing FUNCTIONAL domain of Comprehensive Geriatric Assessment (CGA)
IADL ADL Gait speed/TUG (Timed Up and Go) Falls assessment Vision and hearing assessment
Tools for assessing PSYCHOLOGICAL domain of Comprehensive Geriatric Assessment (CGA)
MMSE MoCA Mini-Cog GDS (Geriatric Depression Scale) PHQ-9 (Health Questionnnaire-9)
Tools for assessing SOCIAL domain of Comprehensive Geriatric Assessment (CGA)
MOS (Medical Outcomes Survey) social support survey
6 Sequential Steps of COPC
Definition Characterization Prioritization Assessment Intervention Evaluation