family apgar juridedit

5/19/2018 Family APGAR Juridedit

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THE EUROPEAN JOURNAL OF COUNSELLINGPSYCHOLOGY, VOL 2, NO 2 (2013)

Assessment of FamilyFunctionality Among the

Elderly With Chronic Illness


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INTRODUCTION Situations of chronic health

problems can compromise thefunctional capacity andindependence of the elderly thusmaking them dependent on a

caregiver.


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It is also important to know howeach family member perceivesfamily functionality as some studieshave pointed to a discrepancy in theway it is perceived by the patientsand by their families, a discrepancy

associated with the diagnosis inquestion


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MATERIAL AND METHODS A cross-sectional, non-experimental, descriptive correlational study was conducted, with a

non-probability sample of convenienceconsisting of a total of 294 elderly men andwomen living in the district of Viseu - Portugal,patients of the primary health care unit in theirarea of residence.


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CRITERIA INCLUSION &

EXCLUSION Criteria for inclusion were age, 65 years old or

more and their presence in the health care unit,

and the criteria for exclusion were in cases ofdisabling psychiatric disease or dementia.


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FAMILY APGAR This is a 5-question assessment tool used for rapid

assessment of family function and dysfunction.

It measures an individuals level of satisfaction aboutfamily relationships.


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FAMILY APGAR Adaptation- the ability of a family to use and share

inherent resources which can be either intra- orextra-familial

Partnership- the sharing of decision making whichmeasures the satisfaction of solving problems

through communicating Growth- pertains to both physical and emotional

aspects and measures the satisfaction of thefreedom to change

Affection- emotions that are shared with and

between family members which measures thesatisfaction with the intimacy and emotionalinteraction that exist in the family

Resolve- refers to how time, money, and space areshared; this measures the satisfaction with thecommitment made by members of the family


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FAMILY APGARThere are 4 basic situations wherein the FamilyAPGAR is needed:

When the family is directly involved in caringfor the patient.

When treating a new patient in order to getinformation to serve as general view of familyfunction

When treating a patient whose family is incrisis. When a patients behavior makes you suspect

a psychosocial problem possibly due to familydysfunction.


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FAMILY APGAR

QUESTIONNAIRE Helps define the degree of the patients satisfaction or

dissatisfaction with family function


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Almost

always

(2)

Some

of the

time

(1)

Hardly

ever

(0)

A

I am satisfied that I can turn to myfamily for help when something istroubling me.

P

I am satisfied with the way my family

talks about things with me andshares problems with me.

G

I am satisfied that my family acceptsand supports my wishes to take onnew activities or directions.

A

I am satisfied with the way my familyexpresses affection and responds tomy emotions such as anger, sorrow,and love.

R

I am satisfied with the way my familyand I share time together.


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FAMILY APGAR

Scoring:

8-10 points = highly functional family 4-7 points = moderately dysfunctional

family

0-3 points = severely dysfunctional family


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RESULT


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Familyfunctionally

18,7%

HighlyFunctional

26,9%Mildly

dysfunctional

54,5%Severely

Dysfunctional


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95,2% had

at leastonechronic

disease

77,9%cardiovascular

disease38,3%

musculoskletaldisease

28,9%endocrine and

metabolicdisease

13,6%

genitourinarytract

11,6% digestivedisease

10,9% mentaldisorders

4,4%

oncologicaldisease

4,1%

hematologicaldisease

1% neurogicaldisease


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CONCLUSION There is a statistically significant relationship between

the family APGAR and the presence of chronicillness.

98.1% of the elderly who have chronic diseasesclassified their family as being severely dysfunction.

No statistical significance between the familyAPGAR and gender, age, marital status and

educational level.

family apgar juridedit

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