Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

behavioral medicine > Special populations- family and older adults > Flashcards

Special populations- family and older adults Flashcards

1
Q

3 parts of the family systems approach

A

disease, assessment, intervention

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

disease

A

Disease:

viewed as an ongoing process requiring continuity of care between health care provider and the family

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

assessment

A

Assessment:

the relational context in which disease management takes place becomes paramount

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

intervention

A

Intervention:
shifted from the patient to the family
family environment and other family (members are potential targets for intervention)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

If the individual is to change, his or her ______ must change.

A

If the individual is to change, his or her social context must change.
An individual’s problems impact all family members and the family’s reaction affects the individual.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

5 protective factors for disease management

A
  1. Family closeness and connectedness
  2. Problem-focused family coping skills
  3. Clear family organization and decision making
  4. Supportive relationships with extended family
  5. Direct communication among family members regarding the chronic disease
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

8 risk factors for disease management

A
  1. Intrafamilial hostility
  2. Criticism
  3. Blame
  4. Psychological trauma related to the initial diagnosis and treatment of the disease
  5. Extra-familial stress
  6. Lack of extra-familial support system
  7. Family perfectionism and rigidity
  8. Presence of psychopathology
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

4 characteristics of the family system

A
  1. External and internal boundaries
  2. Internal hierarchy
  3. Self-regulation through feedback
    homeostasis
  4. Changes with time, adapting to family lifecycle development
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

the family lifecyle

A 
The single adult
Forming a committed relationship
The family with young children
The family with adolescents
Launching children
The family in later life
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

the family lifecycle: difficulties negotiating tasks associated with any of the stages results in ….

A

result in increased problems for the family in resolving later family lifecycle stages.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

family cohesion. when the system is out of balance, what are the 4 types of out-of-balance families we see?

A

Enmeshed family
Disengaged family
Closed system
Open system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what things can make a dysfunctional family? when one family member…

A

One family member often exhibits overt pathology
Identified as patient and considered by family as cause of family difficulties
One family member may act as an enabler

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what things can make a dysfunctional family? cohesion problems…

A

Cohesion problems: Overly thick boundaries, unhealthy triangulation, enmeshment, disengagement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what things can make a dysfunctional family? roles and communication problems…

A

Role diffusion and confusion

Communication patterns and defense mechanisms are rigid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

4 steps of family-focused intervention

A
  1. assessing the family
  2. reframe attention to underlying family problems
  3. empathic witnessing
  4. referral
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q
  1. assessing the family
A

Get a relatively complete understanding of the major conflicts or issues in the family.
Understand how the sick role, if present, is functioning as a coping strategy for the patient and the family.
Conduct the interview so that patients can bring out the full intensity of their feelings about the family problems.

17
Q

assessing the family: 5 things to ask about (screening)

A

family problems, medical problems, family dysfunction, lifecycle, patient-provider

18
Q

assessing the family: screening question: family problems

A

“how are things going with your family?”

19
Q

assessing the family: screening question: medical problems

A

“How is your family dealing with your medical problems?”

20
Q

assessing the family: screening question: family dysfunction

A

“I know you have been depressed lately; how has your family reacted to that?”

21
Q

assessing the family: screening question: lifecycle

A

“How are you handling the fact that your children are in high school?

22
Q

step 1: assessing the family: screening question: patient-provider

A

What does your family think about the treatment we’ve agreed upon?”

23
Q

what does a genogram-based interview (pedigree) include information about?

A

Demographic data
Dates of significant life events such as births, death, marriages, divorces, diagnosis of illness
Psychiatric, substance abuse, and medical histories
Key personality characteristics
Description of relationships
Roles
Family functioning

24
Q

genogram symbol for male/female, patient of interest, conflict, enmeshed family, triangular relationship, committed relationship, separated, divorced, biological relationship

A 
male- square, female- circle
patient- extra square/circle around 
conflict- wavy lines
enmeshed- 3 parallel lines
triangular - triangle 
committed- single horizontal line 
separated- horizontal line with slash
divorced- double horizontal line with slash 
bio relationship- single vertical line
25
Q

step 2: reframe attention to underlying family problems

A

Focus the patient’s and family’s attention on the underlying family problems and away from the physical symptoms and sick role.
Encourage the family to adopt healthy strategies for coping.

26
Q

step 3: empathic witnessing

A

Provide emotional support and empowerment to the patient

Enhance the therapeutic alliance

27
Q

step 4: referral

A

Not always needed
Provide access to psychoeducation, relationship- strengthening programs for patients and their family members
Address any resistance to family-focused intervention or to psychotherapy.

28
Q

advantages of family-focused perspective:
Expands _______ of more aspects of the management process
Incorporates more of the important players who ______
Harnesses the ___ and _____ of the family to optimize care
Brings in the family as an _____
Addresses a broad array of ____ and _____that can affect outcomes over time
Acknowledges family as ______ and responds to their ______

A

Expands clinical flexibility of more aspects of the management process
Incorporates more of the important players who participate in disease management
Harnesses the power and resources of the family to optimize care
Brings in the family as an active participant
Addresses a broad array of protective and risk factors that can affect outcomes over time
Acknowledges family as caregivers and responds to their needs, stresses

29
Q

By 2020, __% of Americans will be over 65

A

20%

30
Q

Adult children can be ____, ____ or _____

A

overprotective, overinvolved, or in denial

31
Q

4 signs of successful aging

A

Acceptance of change
Good relationships with family and friends
Positive view of one’s life story
Ability to find new sources of self-esteem

32
Q

factors that promote successful aging

A 
Luck (avoiding injury, good genes)
Good health behaviors 
Proper Diet	Adequate Sleep
Physical Activity	Stress Management	
Strong relationships (friends and family)
Financial security
Spirituality
Feeling valued by society
Role in family/society; opportunity to be productive
33
Q

2 types of risk factors for unsuccessful aging

A

social and physical conditions

34
Q

risk for unsuccessful aging: 4 social conditions

A

Highly mobile, rapidly changing communities
Youth-oriented aesthetics
Deaths of family members and friends
Forced retirement

35
Q

risk for unsuccessful aging: 4 physical conditions

A 
- all about limiting function- 
Urinary incontinence
Chronic pain
Gait/mobility problems
Hearing and vision loss
36
Q

signs of problems with aging

A 
Declining hygiene
Social withdrawal
Poor nutrition
Falls
Alcohol abuse
Chaotic finances
Denial of health problems
37
Q

considerations for communicating with elderly patients:

Ask early in interview if you are _______
Speak _______
Active ______skills are important
Shorter more _____visits
Xtra pair of _______
______! They are on a different time schedule than you!

A

Ask early in interview if you are being heard and understood
Speak distinctly, more volume IF necessary
Active listening skills are important
Shorter more frequent visits
Xtra pair of reading glasses
Patience! They are on a different time schedule than you! Take your time.

38
Q

family and caregiver interview:
Can help provide complete _______
Can give insight to ….
May need to occur …..

A

Can help provide complete view of problem
Can give insight to memory/intellectual decline, depressive symptoms, paranoid thinking, limited ADLs
May need to occur outside the exam room (with permission from pt) in a separate interview

behavioral medicine (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions