family encounter
DESCRIPTION
Family encounter. Group 8 ASMPH 2013. MAGAT FAMILY. Chronic illness. Malnutrition Intestinal parasitism. TOOLS. Understanding family dynamics. Family Genogram. Family Structure: Blended and Disjointed Family Life Cycle: Family with Adolescents and Young Children. Family Map. - PowerPoint PPT PresentationTRANSCRIPT
Family encounterGroup 8 ASMPH 2013
MAGAT FAMILY
Name of Family Member
Age/Sex Occupation
Charles Magat 4 / M -Chickie Magat 19 / F Part-time
candy wrapper
Kevin Magat 18 / M Out of school youth
Charlene Magat 14 / F Out of school youth
Manuel Cruz (Chickie’s live-
in partner)
33 / M Night time security guard
Chronic illness
Malnutrition Intestinal parasitism
TOOLSUnderstanding family dynamics
Family Genogram
Family Structure: Blended and Disjointed Family Life Cycle: Family with Adolescents and Young
Children
Family Map
19 yo Chickie
18 yo Kevin 14 yo Charlene
ADAPTATION
1 0 1
PARTNERSHIP
1 1 1
GROWTH 0. 0 0AFFECTION 1 0 1RESOLVE 0 1 1 General Assessment
3 2 4
RESOURCE PATHOLOGY
Social *
Cultural *
Religious *
Economic *
Educational *
Medical *
Goal Setting
PROBLEM GOALSCharles’s cough and colds Avoid triggerCharles’s malnutrition Planning meals
Feeding programNo to junk foodNo smoking
Mother leaving the family Expression and recognition of feelings
Kevin’s and Charlene’s education
Education in the futurePart-time job
Family Promotive Care Plan
Index Patient
Family Member
Screening Tests
Immunizations/ Prophylaxis
Lifestyle Modification
Counseling Needs
Charles Magat
AnthropometricsPPD skin testAFB Sputum smear
For catch-up immunization as much as that can be freely provided by the health center: BCG, Hepatitis B, DPT, HiB, IPV, MMR, VaricellaCetirizine syrupMupirocin to prevent empyema
Avoid known triggersNutritious dietEnvironment modification of cleaningp potential hazards to patient’s safety
Child psychology focusing on disjointed family dynamicsSafety measures counseling
Sister
Chickie Magat
Urinalysis for UTIsPPD skin testAFB Sputum smearT4, TSHCBC
For catch-up immunization as much as that can be freely provided by the health center: BCG, Hepatitis B, DPT, HiB, IPV, MMR, Varicella, TETANUSAntibiotics for her wound
Stop smoking and drinking
Basic Nutrition PlanningHygiene and Wound CareReproductive Health Lecture
Brother
Kevin Magat
HEADSSS interviewPPD skin testAFB Sputum smear
For catch-up immunization as much as that can be freely provided by the health center: BCG, Hepatitis B, DPT, HiB, IPV, MMR, Varicella
Stop smoking and drinkingFinish high school
Adolescent counseling
Sister
Charlene Magat
HEADSSS interviewUrinalysis for UTIsAFB Sputum smearT4, TSH
For catch-up immunization as much as that can be freely provided by the health center: BCG, Hepatitis B, DPT, HiB, IPV, MMR, Varicella
Proper diet and exerciseFinish high school
Hygiene and Wound CareAdolescent counselingReproductive Health Lecture
Live-in Partner
Manuel Cruz
BP check PPD skin testAFB sputum smear
To consider anti-hypertensive medications
Stop smoking and drinking
Nicotine and alcohol withdrawal counselling
Interventions done
Mediating family conference Counseling Education
Song and dance OPD follow-up
Anthropometrics For deworming Cough/colds treatment
Summary
Index Patient Chronic Illness Family dynamics Tools used Goals Plans
Insights
The family unit can be the greatest asset or the worst liability in the battle against chronic malnutrition.
Education is the key to converting the family to become an asset.
Disjointed families can still be functional given proper guidance.
Medical interventions also need the cooperation of the family.
Journal
Aboud, F., Shafique S. and S. Akhter, 2009. “A Responsive Feeding Intervention Increases Children’s Self-Feeding and Maternal Responsiveness but Not Weight Gain.” The Journal of Nutrition: Community and International Nutrition.
Get on the Balcony and see the bigger picture.
END