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    Keterlibatan Keluarga Dalam Penatalaksanaan Pasien

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    Sutan Malik Ibrahim
    This document discusses the importance of involving family in patient management and care. It defines what constitutes a family and outlines several basic family system approaches. These include viewing the individual patient as part of their family system and recognizing the therapeutic relationship between family members and physicians. The document also reviews research on the impact of family dynamics and relationships on health as well as tools for assessing families. It argues that physicians should understand and involve family members to different degrees based on each patient's needs.

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    Keterlibatan Keluarga Dalam Penatalaksanaan Pasien

    Uploaded by

    Sutan Malik Ibrahim
    87 views34 pages
    This document discusses the importance of involving family in patient management and care. It defines what constitutes a family and outlines several basic family system approaches. These include viewing the individual patient as part of their family system and recognizing the therapeutic relationship between family members and physicians. The document also reviews research on the impact of family dynamics and relationships on health as well as tools for assessing families. It argues that physicians should understand and involve family members to different degrees based on each patient's needs.

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    7. Keterlibatan Keluarga Dalam Penatalaksanaan Pasien

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    This document discusses the importance of involving family in patient management and care. It defines what constitutes a family and outlines several basic family system approaches. These include viewing the individual patient as part of their family system and recognizing the therapeutic relationship between family members and physicians. The document also reviews research on the impact of family dynamics and relationships on health as well as tools for assessing families. It argues that physicians should understand and involve family members to different degrees based on each patient's needs.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    87 views34 pages

    Keterlibatan Keluarga Dalam Penatalaksanaan Pasien

    Uploaded by

    Sutan Malik Ibrahim
    This document discusses the importance of involving family in patient management and care. It defines what constitutes a family and outlines several basic family system approaches. These include viewing the individual patient as part of their family system and recognizing the therapeutic relationship between family members and physicians. The document also reviews research on the impact of family dynamics and relationships on health as well as tools for assessing families. It argues that physicians should understand and involve family members to different degrees based on each patient's needs.

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    You are on page 1of 34

    FAMILY INVOLTMENT IN THE MANAGEMENT OF

    PATIENT

    dr. Yudhi Wibowo, MPH


    Department of Public Health & Community Medicine,
    Faculty Medicine, Jenderal Soedirman University
    dryudhiwibowo@gmail.com
    BACKGROUND
    OUTLINE
    WHO FORMS A FAMILY?
    BASIC PREMISES OF A FAMILY SYSTEM APPROACH
    FAMILY-ORIENTED APPROACH WITH AN
    INDIVIDUAL PATIENT
    THE THERAPEUTIC TRIANGLE IN MEDICINE
    RESEARCHES ON FAMILIES AND HEALTH
    FAMILY DYNAMICS & FAMILY ASSESSMENT
    TOOLS
    LEVEL OF PHYSICIAN INVOLTMENT IN THE
    FAMILY
    CONCLUSION
    PRINSIP FAMILY MEDICINE
    Prinsip-prinsip kedokteran keluarga (pendekatan
    kedokteran keluarga) : memberikan/mewujudkan :
    Pelayanan komprehensif (paripurna) dgn pendekatan
    holistik (menyeluruh)
    Pelayanan kontinu
    Mengutamakan pencegahan
    Koordinatif & kolaboratif
    Penanganan personal pasien sbg bagian integral
    keluarganya
    Pelayanan yg mempertimbangkan keluarga, lingk kerja,
    tempat tinggalnya.
    Pelayanan yg menjunjung tinggi etika&hukum
    Sadar biaya
    Pelayanan yg dapat diaudit & ACCOUNTABILITY
    WHO FORMS A FAMILY
    The family is a small social system made up of
    individuals related to one another, biologically or by
    reason of strong affections and loyalty, that comprises
    a permanent household (or cluster of households) and
    persists over decades.
    Members enter through birth, adoption, or marriage
    and leave by death; therefore, the roles of members
    change over time and through the history of the
    groups (Goh et all., 2004).
    keluarga adalah unit terkecil dalam masyarakat yang
    terdiri dari suami isteri, atau suami, isteri dan
    anaknya, atau ayah dan anaknya atau ibu dan anaknya
    (UU No. 10 tahun 1992 ).
    BENTUK KELUARGA (GOLDENBERG 1980)
    Keluarga inti (nuclear family)
    Keluarga besar (extended family)
    Kel inti + sanak saudara lain (vertikal/horisontal)
    Keluarga campuran (blended family)
    Td suami, istri, anak kandung & anak tiri
    Keluarga orang tua tunggal (single parent family)
    Keluarga hidup bersama (commune family)
    Keluarga serial (serial family)
    Keluarga gabungan (composite family)
    Kel poligami atau poliandri
    Hidup dan tinggal bersama (cohabitation family)
    FAMILY LIFE CYCLE
    APGAR family
    Adaptasi/Adaptation: tkt kepuasan anggota keluarga dalam
    menerima bantuan dari ang lain
    Kemitraan/Partnership: tkt kepuasan ang kel thd komunikasi,
    urun rembuk dlm mengambil keputusan & menyelesaikan
    masalah
    Pertumbuhan/Growth: tkt kepuasan ang kel thd kebebasan utk
    mematangkan pertumbuhan & kedewasaan
    Kasih sayang/Affection: tkt kepuasan thd kasih sayang serta
    interaksi emosional
    Kebersamaan/Resolve: tkt kepuasan thd kebersamaan dlm
    membagi waktu, kekayaan & ruang
    Lihat halaman 32 (pengantar pelayanan dokter
    keluarga)
    7-10: healthy family
    4-6: kurang sehat
    0-3 : tidak sehat
    PRACTICAL TIPS
    1. Apa yang saya ketahui tentang asal-usul keluarga ini?
    2. Apa yang saya ketahui tentang keluarga dimana pasien ini tinggal?
    Komposisi/struktur, komplit/inkomplit
    Dalam fase apa keluarga ini? (ingatFamily Crisis)
    Bagaimana hubungan dan komunikasi internal dan eksternal dalam keluarga ini (ikatan
    emosional, interaksi antara anggota dan komunitas sekitar, family rules? Internal climate?)
    3. Apa yang saya ketahui tentang medical and social history dalam
    keluarga ini?
    penyakit/problem di masa lalu
    illness behaviour and coping abilities

    4. Apa makna kondisi yang ada saat ini di keluarga ini?


    menunjukkan causa tertentu?
    konsekuensinya terhadap keluarga?
    apa yang mereka pikirkan dan lakukan dlm hal ini?
    mampukah mereka menghadapinya?

    5. Apa akibat tindakan saya sebagai dokter dalam hal ini terhadap
    keluarga ini?
    Daftar Pustaka
    Azwar.A. pengantar Ilmu Kedokteran keluarga.UI
    Rakel.Textbook of Family Practice 6th
    ed.Pennsylvania.2001.
    Goh, Azwar, Sugito.A Primer on Family
    Practice.Singapore.2004.
    Kelalih.Diagnostik Holistik.UI.2008

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