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  • 1. The Family Department of Primary Care Medicine University of Malaya
  • 2. Madam Chan
    • 60-year-old
    • Left hemiparetic stroke
    • Chronic diabetes on glibenclamide tablets
    • Bilateral cataracts with poor vision
    • Going to be discharged
  • 3. What problems do you foresee?
  • 4.
    • Widow
    • Lives with son who has three children aged 12,15 and 17.
    • Son is an engineer.
    • Daughter-in-law is a teacher.
  • 5. What is a family?
    • The Family is a group of people who live together and are related through marriage, birth or adoption.
  • 6. Family
    • Basic unit of the society
    • Primary unit of the society
    • Biological unit of the society
    • Cultural unit of the society
    • Epidemiological unit of the society
  • 7. FAMILY STRUCTURE Consists of both parent’s and their children. Nuclear Family Children may be cared for by one parent for a number of reasons.- separation of parents, divorce, death of one parent , unmarried mothers, work commitments which means one parent may need to live away from home. Lone/single Parent Families Children are related through birth or adoption to one parent only. Stepparent Families In some cultures families may include grandparents and other close relatives. Extended Families
  • 8. The Stages in the Family Life cycle
  • 9. FAMILY CYCLE
  • 10.  
  • 11. FAMILY IN HEALTH AND DISEASE
    • Child rearing
      • Care and training of children
    • Socialization
      • Regulation of sexual behaviour and reproduction
      • Provides needs eg Economic, Recreation, Protective, Religious, Education
    • Personality formation
      • Shapes health beliefs and habits
  • 12. ROLE OF FAMILY IN HEALTH AND ILLNESS
    • Care of dependents/sick person-
      • to take over the role of the ill person when he/she is no longer capable of performing
      • the family will offer remedies and advice
      • Regulates access to care
      • Grants or withholds the sick role
      • Provides needs of health care and treatment
      • it will provide care until recovery and long term support
  • 13.  
  • 14. Symbols Male Female Sex Unknown Index Person Deceased Married Living Together Conflict Connector Divorced Separated Institutionalized Foster Child Adopted Twins
  • 15. Draw this family’s genogram
    • Encik Hanif, a 57-year-old man, comes to see you for treatment of hypertension. He is married and has 4 children. Of this, three are from his first marriage and they are Abdul, Bob and Che Tom. His fourth child, Dollah, is from his second marriage when he married Aminah following his first wife’s death 20 years ago.
    • Abdul is married to Arina and they have one child, Amran. Bob is still single while Dollah was recently divorced from his wife. Che Tom has two children, Faiz and Fara. Her husband passed away in a road traffic accident.
  • 16. Hanif, 57 Aminah Abdul Arina Bob Che Tom Dollah Amran Faiz Fara d. 1996

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