FAMILY CASE PRESENTATION

NAME : THIROUVENGADAM SIVAKAMY, CHETHRAN

SECTION : B

CONSULTANT ASSIGNED : DR. ARNEL SYQUIA

 DEPARTMENT OF FAMILY MEDICINE AND COMMUNITY HEALTH
SECOND YEAR 2018-19

ACTIVITY : FAMILY VISIT AND FAMILY CASE PRESENTATION

FIRST FAMILY VISIT :

1. INTRODUCTION TO THE FAMILY:

A) ESTABLISHING RAPPORT:

Good Morning, I am THIROUVENGADAM SIVAKAMY CHETHRAN, I am Persuing Medicine in OUR LADY OF FATIMA UNIVERSITY,
COLLEGE OF MEDICINE, Actually I just visited Your family to assess your Family. Family assessment consist of three Visits. This is a part of
my Family Medicine and Community Health.

B) STATING THE OBJECTIVES IN VISITING THE FAMILY:

General, Specific Objectives and Index patient in visiting the Family :

GENERAL OBJECTIVE:

To evaluate the family member who is currently enrolled in the Family Health Visit Program for continuance of care.

SPECIFIC OBJECTIVE:

a) To identify medical, psychological, social and economic problems of the index patient and the family.
b) To analyze the family dynamics using the family assessment tools.
c) To assess the stage of the family in the Illness trajectory and aid them until they reach the final stage
d) To formulate a family health care plan
e) To give recommendations as to the continuation of care under the Family Health Care Program.

INDEX PATIENT :

The Index Patient of the Family is Mother ( Ananthi )

2. UNDERSTANDING THE FAMILY

DESCRIBING THE FAMILY AS TO:

FAMILY STRUCTURE AND FUNCTION:

DESCRIPTION OF THE FAMILY:

The family members names : The Mother: Ananthi , Elder Daughter: Archana ,Younger daughter:Abinaya, and Father :
Thirumurugan . They are from Pondicherry, which is in India,a South Asian country. They follow Hinduism, They speak Tamil, The elder daughter is 13
and the Younger one is 9 years old.

The Family bond is so strong though most of the families now a days live in single family, but before it was more of larger
families living together. Husband s Family is like that, with 3 brothers, their wives and each brother has 2 children, we all lived in one big house. The
culture is so good especially when we communicate with our elders.

THREE GENERATION GENOGRAM:

IDENTIFY THE ILLNESS IN THE FAMILY ACROSS THE GENERATIONS:

The illeness in the Family across the generation is Diabetes Mellitus.

In this family tree, Ananthis grandfather, her father where Diabetic patients. Ananthi is also a Diabetic patient.

IDENTIFYING ROLE OF EACH FAMILY MEMBER:

In this family,

Ananthi( mother). : The honor and respinsibility of “ making the home “ a save heaven where members are
and sustained physically, emotionally, spritually and morally.

A vital role in developing society’s greatest masterpiece- a human being.

A wide variety OF skills and therefore the mother/homemaker is encouraged to be a life-long learner to
Develop mind and talents with a higher degree of excellence and discipline.

Thirumurugan(father). : The Nobel role of the father is to provide for, protect, and represent his FAMILY in the communities and
government.

The primary provider of the basic necessities(food, clothing and shelter) as well as educational
opportunities to Develop job skills and self-reliant character traits in children.

He Has the right and responsibility to protect the FAMILY from physical, emotional, spiritual and moral
harm.

Archana(elder daughter). : Instruct the younger daughter in the running OF the house including How puja and religious festivals are
done.Be obedient to elders and give respect to them.

Give advice and guidance to the younger about the key decisions to be made in the family.

Abinaya(younger daughter): Obey the advice given by the elder daughter.be helpful around the house, be nice to not only her family
but to others.

STAGES OF FAMILY LIFE CYCLE:

IDENTIFY THE FAMILY LIFE CYCLE STAGE BASED ON THE INDEX PATIENT AND DESCRIPTION AS TO ORDER CHANGES:

Based on the index patient Mother(Ananthi) the families life cycle stage belongs to ADULTHOOD. Specifically
Younger adulthood;

DESCRIPTION:

It is a Time when most of us finish School, Find a Career we enjoy and create a family OF our own,
Early adulthood is the period between adolescence and adulthood where we live in limbo.
We are not quite adults, and we haven’t levy some of our adolescents games behind!
Physically IT is a time where we are our healthiest and Will reach our peak performance.
ECONOMIC: INCOME / EXPENDITURE

BREADWINNER. : Father (Thirumurugan) is the Breadwinner

SOURCE OF INCOME. : Mother (Ananthi) & Father (Thirumurugan) are the main source of income to the family.

IF THERE IS MEDICAL EMERGENCY, WHAT ARE THE SOURCES OF FUNDS:

Basically, the Family saves 40,000 Rupees each month, it will be used in case of emergency situations.

HOW MUCH DOES A FAMILY SPEND ON MONTHLY BASIS OF FUNDS:

TOTAL MONTHLY INCOME. : 80,000 Rupees

TOTAL MONTHLY. : 40,000 Rupees

EXPENSES:

FOOD. : 10,000 Rupees

ELECTRICITY. : 5,000. Rupees
WATER. : 1,000. Rupees
MEDICINE. : 1,000. Rupees
MISCELLANEOUS : 23,000 Rupees

SAVINGS. : 40,000
 SOCIO-CULTURAL FACTORS AFFECTING HEALTH

SOCIAL HISTORY :

DESCRIPTION OF WHERE THE FAMILY CURRENTLY LIVES (ENVIRONMENT)

The House has 4 rooms, a kitchen, and a bathroom,

The kitchen, the dining room and the living room are all downstairs,

Upstairs they have two bedrooms,

Outside they have garage and the garden.

Closed drainage, Good ventilation.

LIVING AND DINING AREA:

THE HOUSE:
SOURCE OF WATER, ELECTRICITY, BASIC COMMODITIES:

SOURCE OF WATER. : Mostly, Tank supply in Pondicherry,

The water supply system begins at the city water main.
The supply pipe enters the house, water treatment devices are installed in these, building main
branches after treatment into the cold and hot water mains.

ELECTRICITY. : Through Pondicherry Government.

COMMODITIES. : Basic commodities like : Health, Travel, Eating, Sleep, lodging, appearance, childcare, miscellaneous
and leisure. Mostly provided by the Pondicherry Government.

FAMILY PSYCHODYNAMICS:

IDENTIFICATION OF DYAD OR TRIAD IN THE FAMILY :

Its a DYAD , here father (Thirumurugan) and mother (Ananthi) belongs to two-membered group

IS IT A COALITION OR ALLIANCE:

Its always ALLIANCE, in this type OF family, mother (Ananthi) seeks comfort form elder daughter (Archana) about something
father(Thirumurugan) is doing.

IDENTIFICATION AOF ANY OTHERWISE FAMILY PSYCHODYNAMICS:

SUBLIMATION is expressed By elder daughter (Archana)

i.e., She expresses by unleshing pent-up aggression by playing football

SECOND FAMILY VISIT:

1. TOOLS OF FAMILY ASSESSMENT:

A) APGAR:

B)FAMILY CIRCLE :
ECOMAP:

SCREEM:
2.HEALTH PROFILE OF FAMILY:
3.IDENTIFYING IF ANY OF THE FAMILY MEMBERS ARE HEALTHY, AT RISK OR WITH EXISTING PROBLEMS
ARE THERE HEALTH HAZARD AROUND THE PLACE THAT THEY LIVE:

Yes, there is health hazard around the place they live, like as follows,
 THIRD FAMILY VISIT :

1. GIVING OF TOKEN TO THE FAMILY AS APPRECIATION:

The Family was given a Fruit basket, As a Token of Appreciation,

2. FAMILY WELLNESS AND HEALTH MAINTENANCE ACCORDING TO FAMILY LIFE CYCLE STAGE :