family assessment tools.ppt
TRANSCRIPT
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Family Assessment Tools
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Objectives of the Subject
• Discuss the significance of family assessment tools in the health care delivery.
• Analyze uses of the different family assessment tools.
• Utilize the most appropriate family assessment tool in a given medical condition.
• Know the extent of the physician’s involvement with the patient’s family
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Why do we Need tools to Assess the family?
• assess family functioning• assess coping mechanisms of the family• assess resources• assess family structure • to have a picture of the multigenerational
patterns of behavior or illnesses. • to assess the normal crisis or common illness
to be encountered in each stage of development.
• to provide anticipatory care and guidance.
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What do you know about GENOGRAM?
• inheritance patterns
• family illness
• family members
• family relationships
• significant dates
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When to use the GENOGRAM?
• Used in all kinds of patients, can be alternative to the narrative personal and social history.
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What do you know about FAMILY MAP?
• Family relationships
• Interaction patterns
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When to use the FAMILY MAP?
• Psychosomatic disorders
• Difficult patients (poor compliance)
• “Thick file syndrome”
• Alcohol and drug abuse
• Multiple presentations by multiple family members.
• Chronically ill and terminally ill patients.
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What do you know aboutFAMILY APGAR?
• Patient’s satisfaction to the family functioning.
• Subjective
• Limited to what the patient want to disclose regarding his family.
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When to use FAMILY APGAR?
• Symptoms that manifest as psychosomatic disorder such as frequent headache, anxiety, depression, insomnia, fatigue, and increased pediatric complaints.
• Difficult patients• Marital or sexual difficulties• Multiple presentations by multiple family members.• Drug or alcohol abuse• Evidence of sexual and physical abuse in wife or child• “The thick file syndrome”
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What do you know aboutSCREEM?
• Sources of help
• Barriers to patient care
• Relationship of health behaviors, practices and utilization of health services
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When to use the SCREEM?
• Chronically ill patients
• Terminally ill patients
• Hospice and palliative care
• Difficult and non-compliant patients
• Caregiver fatigue
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What do you know aboutFAMILY LIFELINE?
• Family history
• Significant events
• Significant event that may have an effect on patient’s health.
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When to use the FAMILY LIFELINE?
• Long term illness is anticipated
• Presence of difficulty in care giving
• Non-compliance to treatment strategies
• Cases when the doctor needs to “think family” such as inappropriate behavior in the antenatal/postpartum care.
• Drug and alcohol abuse
• Sexual or physical abuse.
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Other TOOLS
• DRAFT (Draw a Family Test)
• The Family Circle
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Five Levels of Involvement
Level 1: Minimal emphasis on Family on the health care delivery
Level 2: Ongoing medical information and advice. Works collaboratively with patients and families, and understands the triangular nature of MD-Px-Family relationship
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Five Levels of Involvement
Level 3: Feelings and support. The physician understands normal family development and how family reacts to stress.
Level 4: Assessment of family dysfunction and provide intervention.
Level 5: Family Therapy