THE FAMILY AS A

UNIT OF CARE,
now more than
ever
Tim FOME
Fakultas Kedokteran Universitas Andalas

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We may become the last of the true family
doctors in the world because the family is
strong in Asia in our society, the
family of three generations flourishes with the
nuclear family which nevertheless retains close
ties with parents and grandparents .
The family in Asia transmit ethical and
cultural valuesPhilippine
; is a Constitution,
reliable source
1987
of succor
in adversity and provides loving care to their
disabled and handicapped on the tiniest of
resources.
M. K. Rajakumar, 1993
 Trigger questions
Does Indonesia For students
What are the
has a legal activities you do
framework together as a family
to maintain/ promote
concerning health?
health and family How frequent do you
visit your doctor
in its organic for health and
law- your wellness?
constitution?
ROAD MAP OF SESSION
The Family and its
function
Family as a system
Family as a unit of
health care
Classification of
families
THE FAMILY AND
ITS FUNCTION
The family
small social system
individuals related to each other
comprising a permanent household
that persist over years
Minimum basic needs to attain
decent quality life
Needs for survival
Security
Empowerment
 Functions of Family
Reproduction With other institutions
Biological Economics
maintenance Citizenship and
Socialization political behavior
Welfare and Religion
protection Education

Diminished functions in modern times :

political, religious, status placement
 Family structure
Nuclear
Extended
Single parent family
Blended
Communal/ corporate
 Issues and concerns needed
about Indonesian Families
How will you characterize the Indonesian
families?
How important are they in the lives of
individuals?
What are functions, values , aspirations of
Indonesian families?
How much importance is given to health
by Indonesian families?.
FAMILY AS A
SYSTEM
 System

an entity composed of discrete

parts which are connected in such
a way that a change in one part
results in changes in all of the
other parts. Allan Dionisio, 2013
 Family Systems Theory

Parts or CHANGE
members Circularity
a change in one
part results in Equilibrium
changes in all
parts. Homeostasis
 Structures of Family Dynamics

Rules of behavior

Boundaries subgroup

Roles played by different members

Coalition and power structures

 Implications to family physician

recognizes the pivotal role of the family

in the healing process
Power structure in health decision
making
Rules on Medical Issues
Medical Roles Hierarchy
Neutrality in the midst of coalition -
Homeostasis and equilibrium vs
compliance issues
FAMILY AS A UNIT OF
HEALTH CARE
 The family and health

Social context of illness

And recovery

Culture and Lifestyle

religion Diseases

Family Interventions
 The family in health
Primary social agent in promotion of health
and well being

Primary source of health beliefs/ related

behaviors, stress and emotional support

Family oriented approach most effective

and efficient way to prevent disease and
promote health
What does health mean to your family?
Physical

Health
&
Mental Well Being Social
and not merely the absence
of disease or infirmity
WHO Constitution
FILIPINO CONCEPT OF HEALTH
KALUSUGAN
Body

Malusog ang Mabuti and Matipuno and

kaatawan katawan katawan

Criteria used : Criteria used: All

Criteria Used : Mostly aspects: Physical,
How do Indonesian families
exclusively emotional and mental, and
physical mental emotional
view health?
Good condition Physically,
Abled Body mentally and
socially sound

KARAMDAMAN
Feelings
 Family participation in prevention
Levels of Participation of family
prevention
Primary * Common lifestyle
prevention * Health maintenance
* Family life education
Secondary * Monitoring of well-being
prevention * Encouraging consultation
* Compliance monitoring
Prevention of transmission of communicable
disease
Tertiary Chronic conditions
prevention Balanced support between compliance
monitoring & appropriate independent
activity
* Adjustment of all members to changes
* Coping with crisis created by serious illness
CLASSIFICATION OF
FAMILY
 Classification of Family
Healthy Family
Family at Risk
Family with Problem
 Characteristics of healthy
family
Open to change
High self worth
Functional defenses
Clear rules discussed
People take risk to
express feelings
Can deal with stress
Welcomes life stages
Clear hierarchy
Affect is open
 Questions to identify the family at risk
What family need to maintain or
restore its health
Presence of physical, psycho-
emotional, or socioeconomic threats
to the health of this family
What capacity does this family have to
make healthy choices?
What family need from society to
optimize its health
How to promote a balance between
the familys needs and expectations
and the constraints of the health care
Risk Factors
A risk factor increases your risk of developing a
disease or health problem
environment
behaviors and lifestyle

Genes
Risk Factors for Disease

Environment
 Risk factors : Behavior and
lifestyles

Lack of
exercise
Poor diet
Obesity
Smoking
Risk Factors for Disease
Genes
Grandmother

Mother

Child
 Family history is a risk factor for common
diseases

Population-based studies RR estimates

* CHD 2-5
* Asthma 2-4
* Colorectal cancer 2-5
* Type II diabetes 2-6
* Breast cancer 2-6

AJPM Feb 2003

Family with Problem

Economic

Psycho
Cultural Health
social

Biological
 Pantawid Pamilyang Pilipino Program (4Ps)

1. Pregnant women : pre- and post-natal care and

be attended by a trained health professional,
during childbirth ;
2. Parents Family Development Sessions (FDS);
3. 0-5 year old children regular preventive
health check-ups and vaccines;
4. 3-5 year old children attend day care or pre-
school classes at least 85% of the time.
5. 6-14 year old children enroll in elementary or
high school and must attend at least 85% of
the time; must receive deworming pills twice
year.
 Summary
We have discussed the family, its
functions
We also have discussed the family as a
system-> structure, rules, boundaries
We highlighted the family a our greatest
ally in health care, delineating its role at all
level of prevention.
Classification of families as to healthy, at
risk and with problems
Key messages
Strengthened FAMILY,
Strengthened NATION
 TUGAS
DRAFT POSTER
TEMA: PROMOSI
PERAN DOKTER KELUARGA

DRAFT POSTER DI PRINT

WARNA UKURAN KERTAS F4
37/9
DIKUMPULKAN TGL 6-10-17