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.

Get on the Balcony and see the bigger picture.

END