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TASK:
1. Be acquainted with the different family assessment tools and be able to apply and interpret it
given an assigned family.
2. Identify the medical and psychosocial problems of ALL members of the family.
3. Identify both short and long term plans to achieve family wellness.
4. Educate family members to promote health and prevent diseases
5. Review and apply establishing rapport, dealing with different types of patients and family
medicine principle.
6. Use communication and counseling skills in health education
7. Present a FAMILY HEALTH CASE
8. Individual REFLECTION PAPER
WHAT TO TEACH?
1. How to get a family profile? – can go to the house of the family once only
2. Obtain a COMPREHENSIVE HISTORY AND PHYSICAL EXAMINATION of the INDEX patient.
3. Describe an FAMILY STRUCTURE
4. Review the family assessment tools then apply it to an assigned family.
a. GENOGRAM - 3 GENERATION
b. ECOMAP
c. APGAR
d. SCREEM
e. FAMILY LIFELINE
f. FAMILY LIFE CYCLE WITH DISCUSSION ON THE 1ST AND 2ND ORDER CHANGE
g. FAMILY DIAGNOSIS
FAMILY GENOGRAM
FAMILY MAP
FAMILY APGAR
Interpretation:
SCREEM
RESOURCES PATHOLOGY
SOCIAL + communication isolated
CULTURAL Pride in ethnicity Feels inferior
RELIGIOUS Satisfying spiritual experience Rigid rituals
ECONOMIC stable Problematic
EDUCATIONAL Adequate comprehension Handicapped
MEDICAL Available health care Not utilizing health care facilities
FAMILY LIFELINE
- A tool that summarizes the history of the family, particularly the individual or the family’s
significant experiences over the period of time in a chronologically-sequenced manner.
Maintaining mutually
satisfying sexual
relationship
Creating and
maintaining effective
communication system
within the family
Tapping resources
Maintaining contacts
with the extended
family
Participating in
community life
The P family is a nuclear type of family composed of the father E. P., the mother P. P.,
children D. P. and El. P living together in one household but with 2 other families from the
side of E. P. living around the block.
The family lives on the earnings of both E. P. and P. P., who both works as employees of
Department of Private Works and Highways. The income is divided into basic expenses in the
house and the children’s education.
This is a democratic family wherein a decision is made after discussing it with the members of
the family. The parents guide their children at the same time respect their opinions.
There are well-defined boundaries with clear rules and expectations yet balanced with
adequate flexibility that allows adaptation.
WELLNESS PLAN
E. P. FAMILY
Compliance to medications and wearing of back brace
Regular follow up with physicians
Monitoring of Blood pressure, CBC (hemoglobin, WBC, platelet), sugar, creatinine, and
Calcium levels
Encourage open communication with his family for him to vent out his feelings
P. P.
Annual physical examination
Screening: FBS, lipid profile, pap smear, breast exam
Screen for caregiver fatigue
Encourage open communication and bonding with her family to relieve stress from work
and from being a caregiver.
D. P.
Educate about personal hygiene
Educate about common adolescent issues: sexuality, premarital sex, sexually transmitted
diseases, vices
Encourage open communication with other family members especially regarding his
thoughts on his father’s illness
EL. P.
Educate about personal hygiene
Educate about common adolescent issues: sexuality, premarital sex, sexually transmitted
diseases, vices
Encourage open communication with other family members especially regarding his
thoughts on his father’s illness