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Block 1 Module 2: The Family in medicine > Tools of Family assessment > Flashcards

Tools of Family assessment Flashcards

1
Q

Situations where family relationships are needed

A
  1. Family needed for care
  2. New patient
  3. Family in crisis
  4. Patients with high clinic utilization
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2
Q

Components for See patient only Family-Centered Care

A

Minor acute problems and self limiting problems (I.e. back pain, fracture)

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3
Q

Components for Family conference desirable

A

Regular occurrence of symptoms and routine visits

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4
Q

Components for Family involvement essential-chronic

A

Chronic illness and death

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5
Q

A total evaluation of health care involving family relationships, family social and cultural systems resulting to better evaluation and better health care

A

FAMILY SYSTEMS MEDICINE

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6
Q

Steps in incorporating the family systems approach to clinical practice

A
  1. know the family structure
  2. Under stand its normal functions
  3. Learn to assess family structure and function in clinical practice
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7
Q

Components of the Family Genogram

A
  1. Pedigree chart or Family tree
  2. Functional charting containing psychosocial and interactional data
  3. Medical history of family illness
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8
Q

How to input on the Family Genogram?

A
  1. 3 generations
  2. first born is written in the left
  3. Family name above each major family unit
  4. Index patient -arrow
  5. Date indicated when the chart was developed
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9
Q

Genogram Symbol for male

A

Square

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10
Q

Genogram Symbol for female

A

Circle

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11
Q

Genogram symbol for death

A

Square or circle with a slash over it

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12
Q

Genogram symbol for Pregnancy

A

Triangle

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13
Q

Genogram symbol for dizygotic twins

A

two circles with an attachment on top

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14
Q

Genogram symbol for monozygotic twins

A

two circles with an attachment both top and bottom

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15
Q

Genogram symbol for marriage and year

A

square and circle with a line between them

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16
Q

Genogram symbol for divorce

A

square and circle connected with a line with 2 slashes on said line

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17
Q

Genogram symbol for not married/living together

A

square and circle with dotted line connecting them

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18
Q

Genogram symbol for separation and year

A

square and circle with a line between them. Said line has 1 slash with the date of separation written below it

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19
Q

Genogram symbol for consanguineous marriage

A

square and circle with two lines connecting them from below instead from their side

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20
Q

Genogram symbol for Married couple, each with multiple spouses

A

multiple lines connecting multiple circles or square with slashes between these shapes

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21
Q

Genogram symbol for adopted

A

Letter A

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22
Q

Genogram symbol for induced and spontaneous abortion

A

small circle

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23
Q

Genogram symbol for number of births of unknown sex

A

number indicating how many of these births are unknown sex

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24
Q

is a five-item function screening questionnaire in which the patient is asked to described how family members communicate, eat, sleep and carry out home, school and job responsibilities.

A

APGAR

25
Q

Meaning of APGAR

A

Adaptation, partnership, growth, affection and resolve

26
Q

involves utilizing and sharing resources

A

Adaptation

27
Q

The sharing of decision making measures satisfaction in communication

A

Partnership

28
Q

measures the satisfaction of the available freedom to change

A

Growth

29
Q

how emotions are shared

A

Affection

30
Q

how time, money, space are

shared, measures commitment

A

Resolve

31
Q

Range indicating highly functional family

A

8-10

32
Q

Range indicating moderately dysfunctional

A

4-7

33
Q

Range indicating severely dysfunctional

A

0-3

34
Q

Gives a dynamic image of the family, allows one to judge the totality of the family unit, its strengths and weaknesses and ability to withstand future stressful even

A

Functional chart

35
Q

Life events and clinical events are put side by side according to _____ showing correlation

A

Dates of occurrence

36
Q

Brief graphic method for disclosing, gathering and discussing family dynamics as discussed by 1 or more family members

A

Family Circle Technique

37
Q

Meaning of Screem

A

Social, Cultural, Religous, Education, Economic, Medical

38
Q

Facilitates the communication of information about the family system and its dynamics in order to address psychosocial issues.

A

Minuchin’s Family Map

39
Q

over-involvement with each other

A

Enmeshment

40
Q

Symbol for enmeshment

A

3 parallel lines

41
Q

isolation from each other or little emotional response

A

Disengagement

42
Q

Symbol for Disengagement

A

dotted lines

43
Q

Family talk directly to each other,

A

Triangulation

44
Q

Symbol for triangulation

A

an open ended arrow. The open end embracing 2 individuals and the pointed end embracing a 3rd person

45
Q

when 1 member is siding with another member

A

Coalition

46
Q

Symbol of coalition

A

bracket

47
Q

A pictorial representation of a family’s connections to persons and/or systems in their environment

A

Ecomap

48
Q

3 separate connections of an Ecomap

A
  1. Strength of the connection
  2. Impact of the connection
  3. Quality of connection
49
Q

weak connection, draining

Energy/resources, not stressful symbol

A

arrow pointing from person to source of stress

50
Q

strong connection, Providing

Energy/resources, not stressful symbol

A

institution or aspect pointing towards the person

51
Q

Weak Connection, No impact

on Energy/resources, stressful

A

Wavy line between person and institution/aspect

52
Q

Tenuous/Uncertain Connection,
Providing Energy/resources,
Not stressful symbol

A

Dashed line from insitution/aspect drawn towards the person

53
Q

6 Domains of the Ecomap

A
  1. Neighborhood
  2. Community services
  3. Social groups
  4. Education
  5. Significant personal relationship
  6. Employment
54
Q

Drawing an ecomap

A
  1. Target family members are put in the center using genogram symbols
  2. Domains applying at the household level can be charted at the household level
  3. Each individual can be brought out of the center to its on circle and domains
  4. In complex cases- individuals or household can be illustrated on its own in a separate page
  5. Lines are used to illustrate the existence of a connection and its strength ( dotted line-tenous uncertain, dashed line-weak, straight line-strong
55
Q

is used to illustrate the impact of the connection in an ecomap

A

arrow

56
Q

is used to illustrate a stressful connection in an ecomap

A

jagged/wavy

57
Q

Brief summary can be written________ in the ecompa

A

inside the domain circle

58
Q

___ should be identified in the ecomap

A

Domains

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

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