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Block 1 Module 2: The Family in medicine > The Family as a unit of care > Flashcards

The Family as a unit of care Flashcards

1
Q

Why is FAMILY as a unit of care?

A
  1. Illness affecting the patient, affects their family

2. Doctor must understand that the transaction is a therapeutic aid

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2
Q

Triangular relationship exist between which people

A
  1. Doctor
  2. Patient
  3. Family
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3
Q

Thus, for optimal treatment to be achieved, the doctor leans heavily on the _____ and employs its members as_______

A

Family, therapeutic allies

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4
Q

Where to listen and honor the ideas and choices of the patient to bring about the utmost care to them

A

Dignity and respect

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5
Q

to communicate and share unbiased information with patients and families in useful ways. Patients and families

A

Information sharing

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6
Q

to encourage and support patients and families in care and decision making at
the level they choose.

A

Involvement

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7
Q

to invite patients and family members to work together with the health care staff to develop and evaluate policies and programs.

A

Collaboration

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8
Q

4 Core concepts of patient and family centered care: (DIIn Co?)

A
  1. Dignity and respect
  2. Information sharing
  3. Involvement
  4. Collaboration
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9
Q

consisting either of a married couple (or a divorced or widowed parent) with unmarried children or of a married couple without children.

A

Nuclear Families or small families

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10
Q

consisting of two or more generations with each generation composed of one married couple

A

Lineal families

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11
Q

consisting of two or more married couples

A

Joint families

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12
Q

in which one or both of the parents have had previous marriage, and possibly children from that marriage.

A

Blended families

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13
Q

where the child is not related by blood to the parent, but has been adopted legally.

A

Adoptive family

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14
Q

where one or more of the children are not the natural children or the parents.

A

Foster family

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15
Q

Attributes of a well functioning family

A

Role distinction is made clear and boundaries between the main family and extended ones have been placed.

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16
Q

The 6 Filipino Family Unit

A

(My BASIC, EXTENDED, 3x Strong CLOSE family)

  1. Basic unit of society
  2. Extended families
  3. Closely knit
  4. Strongly influenced by tradition
  5. Strong sense of loyalty to the family and community
  6. Strong family support system
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17
Q

4 Importance of Families for Filipinos

A

(First Universal Close Link)

  1. First exposure to social groups
  2. Universal and persistent
  3. Closely knit
  4. Link between individual and society
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18
Q

8 Functions of Filipino Families (We’Re So ReSt-ed, we Called Ed)

A
  1. Welfare and protection
  2. Reproduction / Biological maintenance
  3. Socialization
  4. Religion
  5. Status placement
  6. Citizenship and political behavior
  7. Education
  8. Economics
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19
Q

9 Strengths of the Filipino

family :

A
  1. Provide for the family
  2. Respect for each other
  3. Communicate
  4. security
  5. Friendship
  6. Responsibility
  7. Flexibility
  8. Unity
  9. Traditions
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20
Q

5 Family Attributes Affecting Health Care :

A

(The ORDINary PARENT SET-UP some SOCIAL VALUES)

  1. Ordinal position
  2. Parent child interaction / family
    relationship
  3. Social class pattern of behavior
  4. Family set up
  5. Filipino values
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21
Q

generally persevering, serious, more responsive to adults and are achievement oriented

A

First born

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22
Q

optimistic, sociable, aggressive and competitive but may be manipulative

A

middle child

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23
Q

demanding, outgoing,

narcissistic but affectionate

A

Youngest child

24
Q

Where the child becomes insecure, aggRessive, sadistic, nervous, stubborn and uncooperative to the parent

A

Rejecting parent

25
Q

Where child becomes careless, disobedient, uncooperative to the parent

A

submissive parent

26
Q

Where child is tense, uncooperative, quarrelsome and Disinterested towards their parents

A

Dominating parent

27
Q

Where child becomes
aggressive, neurotic, jealous, delinquent,
less confident and less trusting of adults

A

Absent father or mother

28
Q

The set-up where parents respect child’s decision and ideas are tolerant, tend to be understanding and permissive and cooperative

A

democratic set up

29
Q

The set up where children are brought up develop poor self reliance; suspicious of adults and become hostile when in pain

A

authoritarian set up

30
Q

a form of family organization in which the father is dominant

A

Patriarchal family

31
Q

authority rests with the

oldest female

A

Matriarchal

32
Q

type of authority where the father and mother share

authority

A

Egalitarian

33
Q

authority rests with the

wife due to the absence of the husband

A

Matricentric

34
Q

The family as a special unit is a_________

A

Lifelong involvement

35
Q

5 reasons why the family is a unit of care:

A

(an ALLY in a SOCIAL PROBLEM can REGULATE INFLUENCE)

  1. It is the social context of health care
  2. Patient problem = family problem
  3. They are the greatest ally in treatment
  4. They regulate access to health care
  5. The family influences the patient’s personality, values, beliefs, and experiences.
36
Q

5 Family Influences on Health:

A

(it is IMPORTANT to INFECT than to AFFECT the GENE of the CHILD)

  1. Genetic
  2. Child development of health behavior
  3. infection
  4. affect morbidity and mortality
  5. important in recovery
37
Q

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

A

The family system theory

38
Q

4 Role of Family in Health and Illness:

A

(PROVIDE NEEDS & CARE until the OFFER is GRANTED)

  1. Offers remedies and advice
  2. Grants or withholds the sick role
  3. Provides needs of health care and treatment
  4. Provides care until recovery
39
Q

Why Study the Impact of

Illness?

A

Sickness of patient causes suffering and disruption to the whole family

40
Q

5 Family Illness Trajectory stages (MOIRA)

A
  1. Onset of Illness
  2. Impact phase
  3. Major therapeutic efforts
  4. Recovery phase
  5. Adjustment to permanency of the outcome
41
Q

Why the Need to Understand Family Illness Trajectory

A

Allows the family physician to predict, anticipate and deal with the family’s response to illness

42
Q

The father when family member is hospitalized

A

becomes a special economic burden

43
Q

The mother when family member is hospitalized

A

greatest impact on other family members

44
Q

The child when family member is hospitalized

A

special syndrome of emotional problems of families

45
Q

2 areas by which the patient & family react if a member is afflicted by illness

A
  1. emotional plane

2. cognitive plane

46
Q

initially denial, disbelief,

anxiety followed by emotional upheaval (anger, anxiety, depression )

A

Emotional plane

47
Q

tension and confusion

and probable lack of capacity for problem solving

A

Cognitive plane

48
Q

4 Major Therapeutic Efforts

A

(PALE)

  1. Psychological state
  2. Assumption of responsibility of responsibility
  3. Lifestyle
  4. Economy of therapeutic plan
49
Q

What is Early Adjustments to Outcomes Recovery

A

Return from the hospital initiates a gradual recovery from being sick to adaption

50
Q

What is the adjustment to the Permanency of the Outcome?

A

Continued unwillingness to incorporate the reality of the permanency of the loss may be a sign of pathology

51
Q

3 Impact of Illness

A

(ESE)

  1. emotional trauma
  2. social dislocation
  3. economic catastrophe
52
Q

4 Evaluating Family in Crisis

A

(DRAM)

  1. Assess family history of coping with problem and stressor
  2. Determine style of family development
  3. Role of patient in the family
  4. Monitoring role disruption
53
Q

The moment of diagnosis remains the most difficult time of the entire illness experience.

A

Terminal Illness

54
Q

3 What the doctor can do in a patient with terminal illness:

A

(PAA)

  1. Assist patient and his family in health care systems
  2. Aid the patient and family in efficient and functional readjustment
  3. Provide quality care
55
Q

Provides little time for physical and psychological adjustment

A

Acute and Rapid illness

56
Q

Illness that limbos on the State of uncertainty

A

Chronic or debilitating illness

Block 1 Module 2: The Family in medicine (13 decks)

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