Professional Documents
Culture Documents
Lerma Taylan
Disease VS Illness
DISEASE ILLNESS
- Primary biologic, - Includes sufferer's
psychophysiologic experience of the disease
disorder - deeply imbedded in the
- Examining clinical social, cultural and family
and laboratory context of the person who is
evidences of biologic ill
& psychophysiologic - Meaning of Illness to the
dysfunction patient and his family
Effects of Illness
1. PHYSICAL IMPACT
Increase utilization of medical services among family members
2. SOCIAL IMPACT
Need to care for the family member
Reorganization of task
social isolation
3. FINANCIAL IMPACT
Greatly felt among families with low socio-economic bracket
Emotional trauma
Social Dislocation
Economic catastrophe
4. PSYCHOEMOTIONAL IMPACT
Depression
Anxiety
Sleep problems
MAI 1 of 7
Family Medicine - Impact of Illness in the Family Dr. Lerma Taylan
Family Life Cycle Stages where family members are Stages that are suppose to launch
concentrated within the family members outside of the system
Typology of Illness Acute and self limiting Acute and life threatening disease
Non-fatal disease with no incapacitation Chronic and debilitating
Rapid progressive
Terminal illness
Stigma associated Diseases that do not carry social stigma Highly communicable disease that
with the disease carry stigma isolating patients and
family
Acute/ Rapid illness/ Rapid, clear onset Provide little time for physical Caught up in suddenness
accident and psychological adjustment Deal with immediate decision
Short period between onset, Often with little support from
diagnosis and management within and outside the family
thereby leaving little time to unit
remain in state of uncertainty If less threatening, may be
MAI 2 of 7
Family Medicine - Impact of Illness in the Family Dr. Lerma Taylan
Chronic especially Gradual onset Suffer from state of uncertainty Vague apprehension and
debilitating over meaning and symptom anxiety
Fearful fantasies over denial
of seriousness of symptoms
and possible implication
MAI 3 of 7
Family Medicine - Impact of Illness in the Family Dr. Lerma Taylan
Physicians Responsibility
Anticipate problems and help families to cope and adapt
Know that the feeling of guilt is a natural response to stress of grief and loss
Help the family to assess the likely effects of illness in the family
Offer alternative interpretation to proposed therapeutic- bolsters family's denial and inability to accept reality
Physician's Responsibility
Pphysicians should offer the family options that are effective at a cost they can afford and are acceptable to the
patient and familys belief system
Physicians should explore the familys reaction to therapy and how it is proceeding
Remain Open to the family, indicate that they will not be abandoned
Deal with variables
Work in harmony with patient and family
Coordinate all aspect of therapy
Physician's Responsibility
Deal with immediate effect of trauma
Alleviate anxiety and assure adequate rest
Psychological support
Explore level of understanding of patient and family
MAI 4 of 7
Family Medicine - Impact of Illness in the Family Dr. Lerma Taylan
Acute Illness:
potential for crisis specially when family routine is suspended
Emotions are High
Family may find it difficult to face the stress
Physicians can facilitate healthy response or acceptance of diagnosis and recognize danger signals such
as delayed or prolong reaction
Chronic Illness
Prolonged fear and anxiety
Higher incidence of illness in other members of the family
Can be seen as additional burden
Feeling of guilt
Physicians can encourage ventilation of feelings, give reassurance and reinforcement for care
Terminal Illness
Highly emotional
Potentially devastating
Single most difficult time of the entire illness experience
Patient and family anticipate grief reaction
if functional: drawn closer together to provide support
if dysfunctional: seed for future family discord and breakdown
Physician's Responsibility
Aid the patient and the family in efficient and functional readjustments
Provide quality care
Family In Crisis:
when the family moves in a state of disequilibrium in response to any situation or event that can not be resolve by any
problem-solving skills, behavior or resource
MAI 5 of 7
FAMILY IN
EQUILIBRIUM
A S
D
A
T
P E
T S
A S
KFAMILY IN
T O
DISEQUILIBRIUM
I
O
R
N S
CRISISINTHE
FAMILY
Family Medicine - Impact of Illness in the Family Dr. Lerma Taylan
MAI 6 of 7
Exploringboth the Understandingthe FindingCommon
Disease & Illness Whole Person Ground
Experience
History, Physical
PROBLEMS
Exam, Lab
DISEASE
Person Mutual
Patient
Presents GOALS Decisions
Cues
DiseaseIllness
ILLNESS
ROLES
Ideas, Expectations
Feelings,
Effect on Functions
MAI 7 of 7