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. UNDERSANDING THE FAMILY

DESCRIBE THE FAMILY AS TO :

FAMILY STRUCTURE AND FUNCTION:

DESCRIPTION OF THE FAMILY:

The family members names : The Mother: Ananthi,40 , Elder Daughter: Archana ,Younger daughter:Abinaya,
and Father : Thirumurugan 50. 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 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 and 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 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.

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 OF 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:

ALMOST SOME OF THE HEARTLY EVER

ALWAYS TIME (0)
(2) (1)

A I AM SATISFIED THAT I 
CAN TURN MY FAMILY
FOR HELP WHEN
SOMETHING IS
TROUBLING ME.

P I AM SATISFIED WITH 
THE WAY MY FAMILY
TALKS ON THINGS WIH
ME
AND SHARES PROBLEMS
WITH ME.

G I AM SATISFIED THAT 
MY
FAMILY ACCEPTS AND
SUPPORS MY WISHES TO
TAKE ON NEW
ACTIVITIES
OR DIRECTIONS

A I AM SATISFIED WITH 
MY FAMILY EXPRESSES
AFFECTION AND
RESPONDS TO
EMOTIONS
SUCH AS ANGER,
SORROW AND LOVE.

R I AM SATISFIED WITH 
THE WAY MY FAMILY
AND I SHARE TIME
TOGETHER.
B)FAMILY CIRCLE :

C) ECOMAP:

D) SCREEM:
HEALTH PROFILE OF FAMILY:
3.IDENTIFYING IF ANY OF THE FAMILY MEMBERS ARE HEALTHY, AT RISK OR WITH EXISTING PROBLEMS:

NAME OF THE AGE ILLNESS DURATION MAIN TREATMENT

FAMILY MEMBER CHARACERISTICS

ANANTHI 40 DIABETES 1 YEAR BLURRY VISION INSULIN

THIRUMURUGAN 50 NONE NIL NIL NIL
ARCHANA 13 NONE NIL NIL NIL
ABINAYA 9 NONE NIL NIL NIL

4. IMPACT OF ILLNESS IN THE FAMILY:

In this family,

Ananthi – who is suffering from Diabetes Mellitus has frequent urination, blurring of vision, extreme fatigue, numbness in hand
Metformin.

Thirumurugan, Archana, and Abinaya has no illness

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 :

NAME OF AGE , GENDER BODY CHRONIC MEDICATION RISK FACTORS LIFESTYLE IMMUNIZATION HEALTH PERIODIC
MEASUREMENTS
MEMBER , POSITION DISEASES MODIFICATIONS EDUCATION HEALTH
NEEDED ISSUES ASSESSMENT
ANANTHI 40 , F 5' 5" DIABETES METFORMIN NONE DIET AND PHYSICAL COMPLETE NONE REGULAR BP
MOTHER 56 KGS EXERCISE VACCINATION AND BLOOD
SUGAR TEST
50, M 6' 0" NONE NONE SMOKING SMOKING UNRECALLED NONE REGULAR BP
THIRUMURUGAN FATHER 67 KGS CESSATION AND VACCINATION AND BLOOD
PHYSICAL EXERCISE SUGAR TEST
ARCHANA 13, F 5’5” NONE NONE NONE NONE COMPLETE NONE EVERY TWO
ELDER 40 VACCINATION YEARS
DAUGHTER
ABINAYA 9,F 5’2” NONE NONE NONE NONE COMPLETE NONE EVERY TWO
YOUNGER 35 KGS VACCINATION YEARS
DAUGHTER
2.APPLICATION OF PREVENTIVE MEDICINE :
Generally,

In that family, ananthii is having Diabetes, others are normal

3.APPLICATION OF PRIMARY HEALTH CARE

In tha family,Diabetes can be prevented by primary health care like doing exercise, improving nutrition and drug treatment.