Family Medicine (Concepts& Principles)

Objectives To know the history of family medicineTo know the history of family medicine To know the definitions family medicine/ physician.To know the definitions family medicine/ physician. To know the principles of family medicine. To know the principles of family medicine. To know the different characteristics of family physician.To know the different characteristics of family physician. To the functions and structures of familyTo the functions and structures of family

What Is Family Medicine? According to AAFP(USA)According to AAFP(USA) It is a medical speciality which provides:It is a medical speciality which provides: *Continuing.*Continuing. *Comprehensive. health care for individuals and family.*Comprehensive. health care for individuals and family. It integrates biological & behavioural sciences in clinical daily practice.It integrates biological & behavioural sciences in clinical daily practice. It includes (all ages, both sexes, all organs,all systems and all diseases.It includes (all ages, both sexes, all organs,all systems and all diseases.

What are the principles of FM? Continuity of care.Continuity of care. Comprehensive care.Comprehensive care. Coordinated care.Coordinated care. Community & family based care.Community & family based care. Central Patient doctor relationship.Central Patient doctor relationship. Evidence based health care.Evidence based health care. Accessibility care.Accessibility care.

Consents of Family Practice Management of acute health problems.Management of acute health problems. Management of chronic health problems.Management of chronic health problems. Provision of health promotion services.Provision of health promotion services. Provision of emergency services.Provision of emergency services.

Contents of family practice(cont) Provision counselling services.Provision counselling services. Provision home care services.Provision home care services. Provision high quality health services.Provision high quality health services. Provision of preventive care services(1,2,3).Provision of preventive care services(1,2,3). Provision of terminal and palliative careProvision of terminal and palliative care

Where to practice FM? OPD/Clinics.OPD/Clinics. PHCC.PHCC. Family Practice Centres.Family Practice Centres. Hospitals.Hospitals.

Characteristics of Super FP Competency in (Dx,Rx )of common health problems.Competency in (Dx,Rx )of common health problems. Improving quality of care.Improving quality of care. Rationalized utilization of health facilities.Rationalized utilization of health facilities.

Characteristics of Super FP Motivation of community to practice healthyMotivation of community to practice healthy behaviours. behaviours. Identify the needs of community.Identify the needs of community. Working within health team as member and leaderWorking within health team as member and leader

Characteristics of Super FP Ability to communicate efficiently.Ability to communicate efficiently. Ability to carry out studies and research.Ability to carry out studies and research. Ability to plan and implement action plan.Ability to plan and implement action plan.

Characteristics of Super FP Ability to educate and train his/her colleagues.Ability to educate and train his/her colleagues. Ability to refer patients when it is needed. Ability to refer patients when it is needed. Ability to activate community participation.Ability to activate community participation. Ability to coordinate with other sectors.Ability to coordinate with other sectors. Ability to update himself regularlyAbility to update himself regularly

How does FP differ from other doctor? The first contact and gate of health care system.The first contact and gate of health care system. Provide continuity of care.Provide continuity of care. Provides comprehensive care.Provides comprehensive care.

How does FP differ from other doctor? Use holistic approach.Use holistic approach. Shared care.Shared care. Patient centred approachPatient centred approach

How does FP differ from other doctor? Care for all.( ages. problems, organs, sexes, races). (wide spectrum)Care for all.( ages. problems, organs, sexes, races). (wide spectrum) Care at all time.Care at all time. Care at any place.Care at any place. Proper utilization of services.Proper utilization of services.

How does FP differ from other doctor? Early diagnosis & management( screening).Early diagnosis & management( screening). Deals with uncertainty.Deals with uncertainty. Live among his/her clients.Live among his/her clients. Clinical exam is targetedClinical exam is targeted

Family ( functions & structures) Family is defined as the structural & functional unit of the community.Family is defined as the structural & functional unit of the community. Two related persons live together for> 6 months.Two related persons live together for> 6 months. Nuclear family= parents +- children.Nuclear family= parents +- children. Extended family= couples + parents + children.Extended family= couples + parents + children.

Characteristics of family Living in the same house.Living in the same house. Share values &norms.Share values &norms. Share similar social activities.Share similar social activities. Having similar schooling.Having similar schooling. Have similar experience of success and failureHave similar experience of success and failure

Functions of family Care (support). (emotional, psycho, social)Care (support). (emotional, psycho, social) Affection. (love, warmth)Affection. (love, warmth) Providing status. (education, economic)Providing status. (education, economic) Reproduction.Reproduction. Socialization.( communication, talking,values)Socialization.( communication, talking,values)

Family in Family Practice Family is the unit of health care in FP.Family is the unit of health care in FP. Family could be source of health.Family could be source of health. Family could be the source of illnesses.Family could be the source of illnesses.

Family in family practice Family has important role in prevention and promotion of health in the community.Family has important role in prevention and promotion of health in the community. Family has important role during illness.Family has important role during illness. Family could be a source of stress.Family could be a source of stress. Family could be good source of stress managementFamily could be good source of stress management

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