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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.

25
Meaning of APGAR
Adaptation, partnership, growth, affection and resolve
26
involves utilizing and sharing resources
Adaptation
27
The sharing of decision making measures satisfaction in communication
Partnership
28
measures the satisfaction of the available freedom to change
Growth
29
how emotions are shared
Affection
30
how time, money, space are | shared, measures commitment
Resolve
31
Range indicating highly functional family
8-10
32
Range indicating moderately dysfunctional
4-7
33
Range indicating severely dysfunctional
0-3
34
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
Functional chart
35
Life events and clinical events are put side by side according to _____ showing correlation
Dates of occurrence
36
Brief graphic method for disclosing, gathering and discussing family dynamics as discussed by 1 or more family members
Family Circle Technique
37
Meaning of Screem
Social, Cultural, Religous, Education, Economic, Medical
38
Facilitates the communication of information about the family system and its dynamics in order to address psychosocial issues.
Minuchin’s Family Map
39
over-involvement with each other
Enmeshment
40
Symbol for enmeshment
3 parallel lines
41
isolation from each other or little emotional response
Disengagement
42
Symbol for Disengagement
dotted lines
43
Family talk directly to each other,
Triangulation
44
Symbol for triangulation
an open ended arrow. The open end embracing 2 individuals and the pointed end embracing a 3rd person
45
when 1 member is siding with another member
Coalition
46
Symbol of coalition
bracket
47
A pictorial representation of a family’s connections to persons and/or systems in their environment
Ecomap
48
3 separate connections of an Ecomap
1. Strength of the connection 2. Impact of the connection 3. Quality of connection
49
weak connection, draining | Energy/resources, not stressful symbol
arrow pointing from person to source of stress
50
strong connection, Providing | Energy/resources, not stressful symbol
institution or aspect pointing towards the person
51
Weak Connection, No impact | on Energy/resources, stressful
Wavy line between person and institution/aspect
52
Tenuous/Uncertain Connection, Providing Energy/resources, Not stressful symbol
Dashed line from insitution/aspect drawn towards the person
53
6 Domains of the Ecomap
1. Neighborhood 2. Community services 3. Social groups 4. Education 5. Significant personal relationship 6. Employment
54
Drawing an ecomap
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
is used to illustrate the impact of the connection in an ecomap
arrow
56
is used to illustrate a stressful connection in an ecomap
jagged/wavy
57
Brief summary can be written________ in the ecompa
inside the domain circle
58
___ should be identified in the ecomap
Domains

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

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