The Family as a unit of care Flashcards
Why is FAMILY as a unit of care?
- Illness affecting the patient, affects their family
2. Doctor must understand that the transaction is a therapeutic aid
Triangular relationship exist between which people
- Doctor
- Patient
- Family
Thus, for optimal treatment to be achieved, the doctor leans heavily on the _____ and employs its members as_______
Family, therapeutic allies
Where to listen and honor the ideas and choices of the patient to bring about the utmost care to them
Dignity and respect
to communicate and share unbiased information with patients and families in useful ways. Patients and families
Information sharing
to encourage and support patients and families in care and decision making at
the level they choose.
Involvement
to invite patients and family members to work together with the health care staff to develop and evaluate policies and programs.
Collaboration
4 Core concepts of patient and family centered care: (DIIn Co?)
- Dignity and respect
- Information sharing
- Involvement
- Collaboration
consisting either of a married couple (or a divorced or widowed parent) with unmarried children or of a married couple without children.
Nuclear Families or small families
consisting of two or more generations with each generation composed of one married couple
Lineal families
consisting of two or more married couples
Joint families
in which one or both of the parents have had previous marriage, and possibly children from that marriage.
Blended families
where the child is not related by blood to the parent, but has been adopted legally.
Adoptive family
where one or more of the children are not the natural children or the parents.
Foster family
Attributes of a well functioning family
Role distinction is made clear and boundaries between the main family and extended ones have been placed.
The 6 Filipino Family Unit
(My BASIC, EXTENDED, 3x Strong CLOSE family)
- Basic unit of society
- Extended families
- Closely knit
- Strongly influenced by tradition
- Strong sense of loyalty to the family and community
- Strong family support system
4 Importance of Families for Filipinos
(First Universal Close Link)
- First exposure to social groups
- Universal and persistent
- Closely knit
- Link between individual and society
8 Functions of Filipino Families (We’Re So ReSt-ed, we Called Ed)
- Welfare and protection
- Reproduction / Biological maintenance
- Socialization
- Religion
- Status placement
- Citizenship and political behavior
- Education
- Economics
9 Strengths of the Filipino
family :
- Provide for the family
- Respect for each other
- Communicate
- security
- Friendship
- Responsibility
- Flexibility
- Unity
- Traditions
5 Family Attributes Affecting Health Care :
(The ORDINary PARENT SET-UP some SOCIAL VALUES)
- Ordinal position
- Parent child interaction / family
relationship - Social class pattern of behavior
- Family set up
- Filipino values
generally persevering, serious, more responsive to adults and are achievement oriented
First born
optimistic, sociable, aggressive and competitive but may be manipulative
middle child
demanding, outgoing,
narcissistic but affectionate
Youngest child
Where the child becomes insecure, aggRessive, sadistic, nervous, stubborn and uncooperative to the parent
Rejecting parent
Where child becomes careless, disobedient, uncooperative to the parent
submissive parent
Where child is tense, uncooperative, quarrelsome and Disinterested towards their parents
Dominating parent
Where child becomes
aggressive, neurotic, jealous, delinquent,
less confident and less trusting of adults
Absent father or mother
The set-up where parents respect child’s decision and ideas are tolerant, tend to be understanding and permissive and cooperative
democratic set up
The set up where children are brought up develop poor self reliance; suspicious of adults and become hostile when in pain
authoritarian set up
a form of family organization in which the father is dominant
Patriarchal family
authority rests with the
oldest female
Matriarchal
type of authority where the father and mother share
authority
Egalitarian
authority rests with the
wife due to the absence of the husband
Matricentric
The family as a special unit is a_________
Lifelong involvement
5 reasons why the family is a unit of care:
(an ALLY in a SOCIAL PROBLEM can REGULATE INFLUENCE)
- It is the social context of health care
- Patient problem = family problem
- They are the greatest ally in treatment
- They regulate access to health care
- The family influences the patient’s personality, values, beliefs, and experiences.
5 Family Influences on Health:
(it is IMPORTANT to INFECT than to AFFECT the GENE of the CHILD)
- Genetic
- Child development of health behavior
- infection
- affect morbidity and mortality
- important in recovery
Theory wherein a continuous interlocking human relationship organized in such a way that a change in one member affects other members. It is more than a collection of
The family system theory
4 Role of Family in Health and Illness:
(PROVIDE NEEDS & CARE until the OFFER is GRANTED)
- Offers remedies and advice
- Grants or withholds the sick role
- Provides needs of health care and treatment
- Provides care until recovery
Why Study the Impact of
Illness?
Sickness of patient causes suffering and disruption to the whole family
5 Family Illness Trajectory stages (MOIRA)
- Onset of Illness
- Impact phase
- Major therapeutic efforts
- Recovery phase
- Adjustment to permanency of the outcome
Why the Need to Understand Family Illness Trajectory
Allows the family physician to predict, anticipate and deal with the family’s response to illness
The father when family member is hospitalized
becomes a special economic burden
The mother when family member is hospitalized
greatest impact on other family members
The child when family member is hospitalized
special syndrome of emotional problems of families
2 areas by which the patient & family react if a member is afflicted by illness
- emotional plane
2. cognitive plane
initially denial, disbelief,
anxiety followed by emotional upheaval (anger, anxiety, depression )
Emotional plane
tension and confusion
and probable lack of capacity for problem solving
Cognitive plane
4 Major Therapeutic Efforts
(PALE)
- Psychological state
- Assumption of responsibility of responsibility
- Lifestyle
- Economy of therapeutic plan
What is Early Adjustments to Outcomes Recovery
Return from the hospital initiates a gradual recovery from being sick to adaption
What is the adjustment to the Permanency of the Outcome?
Continued unwillingness to incorporate the reality of the permanency of the loss may be a sign of pathology
3 Impact of Illness
(ESE)
- emotional trauma
- social dislocation
- economic catastrophe
4 Evaluating Family in Crisis
(DRAM)
- Assess family history of coping with problem and stressor
- Determine style of family development
- Role of patient in the family
- Monitoring role disruption
The moment of diagnosis remains the most difficult time of the entire illness experience.
Terminal Illness
3 What the doctor can do in a patient with terminal illness:
(PAA)
- Assist patient and his family in health care systems
- Aid the patient and family in efficient and functional readjustment
- Provide quality care
Provides little time for physical and psychological adjustment
Acute and Rapid illness
Illness that limbos on the State of uncertainty
Chronic or debilitating illness
