This document discusses family-oriented primary care (FOPC) and its importance in family medicine. FOPC views the family as an integral part of patient care. It recognizes that a person's health is influenced by their family relationships and environment. Practicing FOPC involves always considering the family's medical history, beliefs, and social factors during appointments. Tools like genograms and ecomaps are used to gather more information on a patient's family context to better identify health risks and needs. FOPC is especially relevant for primary care due to its focus on undifferentiated conditions and lifestyle diseases, which can be influenced by family dynamics.
This document discusses family-oriented primary care (FOPC) and its importance in family medicine. FOPC views the family as an integral part of patient care. It recognizes that a person's health is influenced by their family relationships and environment. Practicing FOPC involves always considering the family's medical history, beliefs, and social factors during appointments. Tools like genograms and ecomaps are used to gather more information on a patient's family context to better identify health risks and needs. FOPC is especially relevant for primary care due to its focus on undifferentiated conditions and lifestyle diseases, which can be influenced by family dynamics.
This document discusses family-oriented primary care (FOPC) and its importance in family medicine. FOPC views the family as an integral part of patient care. It recognizes that a person's health is influenced by their family relationships and environment. Practicing FOPC involves always considering the family's medical history, beliefs, and social factors during appointments. Tools like genograms and ecomaps are used to gather more information on a patient's family context to better identify health risks and needs. FOPC is especially relevant for primary care due to its focus on undifferentiated conditions and lifestyle diseases, which can be influenced by family dynamics.
This document discusses family-oriented primary care (FOPC) and its importance in family medicine. FOPC views the family as an integral part of patient care. It recognizes that a person's health is influenced by their family relationships and environment. Practicing FOPC involves always considering the family's medical history, beliefs, and social factors during appointments. Tools like genograms and ecomaps are used to gather more information on a patient's family context to better identify health risks and needs. FOPC is especially relevant for primary care due to its focus on undifferentiated conditions and lifestyle diseases, which can be influenced by family dynamics.
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Family-Oriented Primary Care
By Innocent Besigye MBChB, MMed What is a family?
An intimate nurturing group sharing the past,
present & future bound biologically or legally or socially. Why family in family medicine? • A family is the immediate physical, psycho- social & economic context for the interplay between health &illness • Place where disease/illness & healing/recovery occurs • Helps to identify family-related factors that promote health & provide support • Factors that may undermine the health care plan • Causes of lifestyle diseases can be found in the family • Genetic factors are well known: genetic tests & counseling • Risky beliefs & behaviors • Shift in the burden of disease from acute infectious to chronic lifestyle diseases Practicing FOPC • Always think family! • Considers family as an integral part of information gathering, clinical reasoning & patient care • Relevant in primary care due its nature of uncertainty and dealing with undifferentiated clinical conditions 5 Helpful Questions when thinking family • Has anyone else in the family had a similar problem? • What do family members believe caused the problem & how do they think it should be treated? • Who in the family is most concerned about the problem? • Have there been any other recent changes or stresses in your life? Are you or any members of your family experiencing any difficulties at present? • How can your family or friends assist you with this problem? Necessary Tools • Genogram • Ecomap • Family Circles Genogram • Systematic method of recording important information on patient’s context • Relevant for continuity of care • May help to identify patterns of organic as well as psychosocial & interpersonal problems • Preventive tool by drawing attention to the consequences of health risks in previous generations • Helps identify complex family problems that need referral to counselor/family therapist Symbols used in drawing genogram Ecomap • Diagrammatically documents & explores broader social systems within which the family operates • Household is placed at the centre & drawn within a circle using genogram symbols • A number of other circles are drawn around representing the typical parts of a larger system • Connections are then drawn between the systems & the household Sample Ecomap for Miss. T Systems Theory Human needs Any Questions?