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FAMILY WELLNESS

PROGRAM
Janelcris G. Enriquez

OBJECTIVES:
TO DISCUSS WELLNESS RECOMMENDATIONS FOR THE
WHOLE FAMILY

A. IMMUNIZATION
B. EXERCISE
C. SCREENING TESTS
D. NUTRITION

INTRODUCTION

Promotion of optimum family health


and quality care
Promoting and maintaining health
already qualify as an important
investment as it is directed to a very
important resource in development

WELLNESS
CONCERNS:

-RISK
-DEGREE OF PREVENTION
-HEALTH BEHAVIOUR
depends on:

BIOLOGICAL
PSYCHOLOGICAL
CULTURAL
SOCIAL CONDITION

NATURALHISTORYOFDISEASE
COMPLETE
RECOVERY

COMPLETE
EQUILIBRIUM
PHASE

CHRONICITY
SEQUELE
DEATH
CLINICAL HORIZON
OF DISEASE

WELLNESS

DISEASE

PRIMARY

SECONDARY

TERTIARY

PRINCIPLES
Family is seen as a system

I.

The illness impacts the family, the family


also impacts the illness
Role reorganization

II. Therapeutic triad


- the health care provider should
realize that the transaction is not just
between the doctor and the patient

LEVELS OF PREVENTION
PRIMARY

HEALTH
PROMOTION AND
MAINTENANCE

SPECIFIC
PROTECTION

WELLNESS

AREAS OF FAMILY
PARTICIPATION IN PREVENTION

PRIMARY PREVENTION
Occurrence of any clinical manifestations

of disease is prevented through health


promotion and specific diseases prevention
Lifestyle
Health maintenance
Family life education

AREAS OF FAMILY
PARTICIPATION IN PREVENTION

SECONDARY PREVENTION
Implies early intervention to detect and

treat asymptomatic disease. It is the family


who decides where, when, and to whom to
bring a sick member
Shared responsibility between a doctor and
his patients and their families
Encourage sick members to consult
Compliance monitoring

VACINES FOR CHILDREN


BCG
DPT/DT
OPV/IPV
HEPATITIS A & B
MEASLES/MMR
HiB(6-23 MONTHS)
VARICELLA
PNEUMOCOCCAL
OPTIONAL: INFLUENZA, TYPHOID FEVER

FAMILY WELLNESS PLAN:


CARING FOR ALL MEMBERS

CHILD 0-12 yrs


visual acuity at 3-4 yo, done every 3 yrs up to age

9
Audiometric 3-4yo, once at gradeschool
Teach breast exam at age 9yo
Anually intestinal parasites
Annual for GUT d/o
PPD/direct BCG annually
Periodic PE: dental, bathing, nails, lice, handwash
Health behavior: accident exposure
Immunization

NEWBORN SCREENING
PHENYLKETONURIA
CONGENITAL HYPOTHYROIDISM
GALACTOSEMIA
SICKLE CELL DISEASE
HOMOCYSTINURIA
TYROSINEMIA
CONGENITAL ADRENAL HYPERPLASIA

DEVELOPMENTAL MONITORING
Physical: growth chart and nutrition and

motor development
Mental learning disabilities, language
Social: listo, mahiyain, emotional, moral
devt
Medication: vit.supplement, meals,
ailments, allergies
Ill health: consultation, family participation
in health care
Health education: personal hygiene,
sanitation, junk foods, accident, sexual
devt

ADOLESCENT 13-21yo

BP: annual starting 13yo


Hearing: once at highschool
Breast exam: self breast exam starting at 12yo
Fecalysis: annual
Urinalysis: annual
PTB: PPD/direct BCG annually up to age 16, CXR
annually from age 16
PE: annual
Hygiene assessment: dental, bathing, nails, lice,
handwash
Health risk behavior: smoking, addiction, alcohol, sex
life, accident, nutrition, diet
Immunization:DT

VACCINES FOR ADOLESCENTS


Td (0,1,6 then every
yr for 10yrs)
MMR (4wks interval,
2 doses)
Hepaitis A & B (2
doses,
B6mosInfluenza
interval
Pneumococcal
A- 4wks interval)
Meningcoccal
Varicella (2 doses) HPV (0,1,6)

ADOLESCENT 13-21yo

DEVELOPMENTAL MONITORING
PHYSICAL: growth chart, nutrition, sexual devt
MENTAL: school teaching
SOCIAL: peer pressure, sibling rivalry, parental

relationship, lover and courtship, emotional and


mental devt
MEDICATION: OTC for common ailments, drug
allergies
ILL HEALTH: consultation, family participation in
health care, education management including ff.up &
referral
HEALTH EDUCATION: personal hygiene, sanitation
issues, junk food, accident prevention, sexual issus,
health risks

Adult 22-60yo

BP: annual
Chole: annual from age 40
Visual acuity: annual & eye pressure screen
for cataract at 50 onwards
Hearing: depend on work exposure
Breast exam: self breast a& MD exam
regularly after 35yo
ANNUAL: papsmear after age 40, DRE after
age 45, FOBT after age 50, FA, UA, CXR, PE,
Hygiene: dental, bathing, nails, handwash,
family planning up to 45yo for female and
up to 60 for male

Health behavior: smoking, alcohol, sex


life, caffeine, occupational hazard,
accident
Immunization: DT

DEVELOPMENT MONITORING
PHYSICAL: weight (obesity) pre menopausal

counseling
MENTAL: prime MD
SOCIAL: marital relationship, family
relationship
MEDICATION: OTC for common ailments,
hormonal replacement therapy for female
ILL HEALTH: consultation, family participation
in health care, education management
including follow up and referral

HEALT EDUCATION: personal hygiene,


sanitation issue, junk food, accident
exposure, sexual issues, health risks, fathers
class on health risks, mothers class/family
career for health. Family health advocate,
parents class and child rearing and family
relationship sanitation and ecology. Preparing
for retirement

VACCINES FOR THE ELDERLY

PNEUMOCCOCAL
INFLUENZA
TETANUS

ELDERLY >61yrs

BP annual
Chole: annual
Visual acuity: annual
Hearing: audiometric every year
Breast exam annual
Papsmear and pelvic annual
Rectal annual
FOBT annual
FA annual
UA annual
PTB CXR annual

ELDERLY >61yrs

Periodic PE: annual


Hygiene: continue
Health behavior: smoking, alcohol,
caffeine, accident exposure
Immunization: dt

ELDERLY >61yrs

DEVELOPMENTAL MONITORING
Wt obesity
Mental
SOCIAL: marital relationship, family
relationship
MEDICATION: OTC for common ailment,
polypharmacy
ILL HEALTH: consultation, family
participation in health care

HEALTH EDUCATION: proper use of


medication, marital relationship, family
relationship, retirement, overcoming
loneliness, life enrichment, diet,
physical fitness, accident prevention

FOOD PYRAMIDS FOR THE 70'S


Fats, oil &
sweets
Milk, yogurt &
cheese grp. 3
servings

Meat, poultry, fish,


dry beans, egg,
nut.
2
servings
grp.
Fruit group 3
servings

Veg. Grp 2-3


servings

Bread, fortified
cereal, pasta,
rice 6 servings

QUALITY HEALTH CARE


1. Compassion care
2. Respect for usefulness and value of individual.
3. Intelligent management with attention to ethical
decision making
4. Bolstering family & home
5. Integrator of the Biopsychosocial model.

THANK YOU!!!!!!!!!