Family Life Cycle: Emotional Process of Transition • Impact of Illness / Illness Trajectory Flashcards
(70 cards)
1
Q
represents composite of the individual developmental changes
of family members
A
FAMILY LIFE CYCLE
2
Q
It involves a sequence of stressful changes that require
compensating or reciprocal readjustment by the family to make
it functional
A
FAMILY LIFE CYCLE
3
Q
It provides a predictable, chronologically oriented sequence of
events in family life with which family physicians and other
health professionals are already familiar
A
FAMILY LIFE CYCLE
4
Q
Involve Increments Of
Mastery And Adaptation
A
1ST ORDER CHANGES
5
Q
“NEED TO DO”
A
1ST ORDER CHANGES
6
Q
- do not involve change in the main structure of the family
A
1ST ORDER CHANGES
7
Q
do not involve a change in an
individual’s identity and self image
A
1ST ORDER CHANGES
8
Q
- additions to existing state of
the individual’s self and family
A
1ST ORDER CHANGES
9
Q
Tasks that must be
accomplished by the family
and family members working
within a stage of the Family
Life Cycle.
A
1ST ORDER CHANGES
10
Q
it doesn’t
fundamentally alter the
family structure or require a
major reorganization of roles
and relationships.
A
1ST ORDER CHANGES
11
Q
Involve Transformation Of
An Individual’s State And
Meaning
A
2ND ORDER CHANGES
12
Q
NEED TO BE”
A
2ND ORDER CHANGES
13
Q
- Change in the very basic
attributes of the family
system
A
2ND ORDER CHANGES
14
Q
Change in the role and
identity of family members
A
2ND ORDER CHANGES
15
Q
- One characteristic
intergenerational
connectedness.
A
2ND ORDER CHANGES
16
Q
- involve significant shifts in
family dynamics, roles,
and often the overall
structure
A
2ND ORDER CHANGES
17
Q
Between Families
A
Unattached Young Adult
18
Q
At this stage, the young adult formulates personal goals in
developing as an individual, including forming a new family.
A
Unattached Young Adult
19
Q
EMOTIONAL
ISSUES: Honeymoon
stage
(0-2 years
A
Commitment to
the marriage
20
Q
STAGE CRITICAL TASKS: honeymoon
A
Differentiation from family
origin
Making room for spouse with
family and friends
Adjusting career demands
21
Q
emotional issues of early marriage stage 2-10 yrs
A
Maturing of
Relationship
22
Q
stage critical task of early marriage stage
A
Keeping romance in the
marriage
Balancing separateness and
togetherness
Renewing marriage
commitment
23
Q
emotional issue in long term marriage
A
farewells and planning
24
Q
stage critical task of long term marriage stage
A
Maintaining couple
functioning
Closing or adapting family
home
coping with death of spouse
25
This stage starts with pregnancy for the first child to emergence
of adolescents
Family with Young Children
26
Conflict with practices in the home and school regulations
may occur during this stage.
Family with Young Children
27
has generally reached a stage when
the parents are approaching a middle life stage and the
grandparents are in the later stage. Hence, it is not only
teenagers but also their parents who are undergoing crisis (i.e.
identity) at this stage.
Family with Adolescents
28
This stage starts when the first child reaches adolescent age
Family with Adolescents
29
* This stage begins when the first child leaves home and
ends when the last child leaves home.
Launching Family
30
This begins with departure of last child and continues
through retirement of one or both of the couple and ends when both are dead
Family in Later Years
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32
key principle of unattached young adult
* Accepting
parent
offspring
separation
33
Key Principle :Newly Married Couple
Commitment
to the new
system
34
key principle: Family with Adolescents
Increasing
flexibility of
boundaries to
include
children
independence
35
key principle: Launching Family
* Accepting a
multitude of
entries and
exits to the
family
system
36
key principle: Family in Later Years
Accepting the
shifting of
generational
goals
37
First Order Change: Unattached Young Adult
Extend social contact outside of
home includes dating clubs, and
recreation
* Job employment
* Living accommodation
38
First Order Change: Newly Married Couple
Establishing a home base in a
place to call their own
* Establishing a mutually satisfying
system for getting and spending
money
* Establishing mutually acceptable
patterns of who does what and
who is accountable to whom
* Establishing a continuity of
mutually satisfying sexual
relationship
* Establishing system of intellectual
and emotional communication
* Establishing a workable
relationship with relatives
* Establishing ways of interacting
with friends and associates in the
community
* Facing the possibility of
children
39
First Order Change: Family with Young Children
Supplying adequate space,
facilities and equipment for the
expanding family
40
Meeting predictable and
unexpected costs of family life with
small children
First Order Change: Family with Young Children
41
Providing facilities for widely
different needs.
* Working out money matters in the
family with teenagers
* Sharing the tasks of
responsibilities of family living.
* Putting the marriage relationship
into focus.
* Keeping the communications
system open.
* Maintaining contacts with the
extended family.
* Growing into the world as a family
and as a person.
* Reworking and maintaining a
philosophy of life.
First Order Change: Family with Adolescents
42
Adjusting to the physiologic
changes of middle age.
* Discovering new satisfaction in relation with spouse.
* Setting up a comfortable home for themselves that accommodate periodically other members of the
family.
* Helping their adolescent children to free themselves and become responsible and happy adults with
families of their own.
* Re-examining their living
arrangement with their own
parents.
* Adjusting to the reality of their own
work situation.
* Assuring security for their later years.
* Participating in community life.
* Reaffirming the values of life that have real meaning esp. dependent
newly married children.
* Sexual relationship with spouse.
First Order Change: Launching Family
43
Adjusting to physiologic changesof later life.
* Re-examining their living
arrangements.
* Participating in-group activities.
* Maintaining contact with younger generations.
first order changes: Family in Later Years
44
Differentiation of the self
in relation to the family of
origin
second order changes: Unattached Young Adult
45
Development of intimate
peer relationship
* Establishment of self in
work
second order changes: Unattached Young Adult
46
Realignment of
relationship with
extended
families and friends to
include spouse
Formation of marital
system
second order changes: Newly Married Couple
47
Accepting marital system
to make space for
children
Second Order Changes: Family with Young Children
48
Taking on parenting role
* Realignment of relationship
with extended family to
include parenting and
grandparenting roles
Second Order Changes: Family with Young Children
49
Shifting of parent-child
relationships to permit the
adolescent to move in and
out of the system.
* Refocus on mid- life,
marital and career issues.
Second Order Changes: Family with Adolescents
50
Beginning shift towards
concern for the older
generation.
Second Order Changes: Family with Adolescents
51
Renegotiating of marital
system as a dyad
* Development of adult to
adult relationship
between grown- up
children and their
parents.
second order changes: Launching Family
52
Realignment of relationship
to include in-laws and
grandchildren.
second order changes: Launching Family
53
Dealing with disabilities
and death of parents,
grandparents.
second order changes: Launching Family
54
Maintaining own and or
couple functioning and
interest in the face of
physiologic decline,
exploration of new familial
and social options.
second order changes: Family in Later Years
55
Support for more central
role for middle
generation.
second order changes: Family in Later Years
56
Making room in the
system for the wisdom
and experience of the
elderly generation
without over- functioning
them.
second order changes: Family in Later Years
57
Dealing with loss of
spouse, siblings and other
peers and preparation for
own death, life review and
integration.
second order changes: Family in Later Years
58
The stage experienced prior to contact with health care
providers.
Stage I - ONSET OF ILLNESS
59
stage of illness trajectory: Medical beliefs & previous experiences provide influence to
meaning of illness.
Stage I - ONSET OF ILLNESS
60
RESPONSIBILITIES OF THE PHYSICIAN: Stage I - ONSET OF ILLNESS
* explore routinely the explanatory model & fear that patients
bring to the clinic set-up
61
The physician who presents the diagnosis is responsible for
making a clinical judgment about the amount of information the
patient can absorb, given his present level of anxiety or
shock.
STAGE II - REACTION TO DIAGNOSIS-IMPACT PHASE
62
RESPONSIBILITIES OF THE PHYSICIAN:STAGE II - REACTION TO DIAGNOSIS-IMPACT PHASE
Anticipate number of problems and help families to cope and
adapt more through family conference, discussion with
parents, etc
63
illness trajectory: * The physician should deal with multiple variables, works in
harmony of the wishes of the patient and family, and
coordinates all aspects of the therapy, which involve specialist
& others.
STAGE III. MAJOR THERAPEUTIC EFFORTS
64
RESPONSIBILITIES OF THE PHYSICIAN: STAGE III. MAJOR THERAPEUTIC EFFORTS
Remain open to the family, indicate they will not be abandoned,
provide them information.
* Deal with multiple variables; consider all factors in planning.
* Work in harmony with patient & family.
* Coordinate all aspects of therapy.
65
Return from the hospital or major therapy initiates a period
of gradual movement from the role of being sick to some form
of recovery or adaptation, with corresponding adjustments of
relation within the family
STAGE IV – RECOVERY PHASE- EARLY ADJUSTMENT
TO OUTCOMES
66
Partial recovery followed by a period of waiting to learn if
disease will return or fear of death, because of long period of
waiting. They maintain constant sense of vulnerability
STAGE IV – RECOVERY PHASE- EARLY ADJUSTMENT
TO OUTCOMES
67
RESPONSIBILITIES OF THE PHYSICIAN: STAGE IV – RECOVERY PHASE- EARLY ADJUSTMENT
TO OUTCOMES
* Deal with immediate effects of trauma.
* Alleviate anxiety & assure adequate rest.
* Psychological support can be given through understanding
and repeated reassurance.
* Explore level of understanding of patient & family
68
This points to the family's adjustment to crisis.
* The second crisis occurs as family realizes that they must
accept & adjust to a permanent disability.
STAGE V. ADJUSTMENT TO THE PERMANENCY OF THE
OUTCOME
69
RESPONSIBILITIES OF THE PHYSICIAN:: STAGE V. ADJUSTMENT TO THE PERMANENCY OF THE
OUTCOME
What the physician can do is to encourage ventilation of
feelings, give reassurance and reinforcement for care
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