1.Optimizing family psychodynamics in the exit plan for a good death.
The Filipino Family Physician 2017;55(1):45-56
As primary care physicians, we diagnose and give the
appropriate cure for every disease; but as family medicine
specialists, we are best at doing more. We treat not only the
disease but also identify the biopsychosocial needs of the
patients and their families, highlighting family functions
and psychodynamics through the course of an illness.
One of the challenging aspects is providing care
for a terminally ill elderly patient. We cannot avoid the
initial experience of equating cancer with death, evoking
anxiety and depression to the patient and the family. In
these circumstances, our specialty plays a greater role
in providing understanding, guidance and support in
the multidimensional realms of end-of-life. It is through
physical, psychosocial and spiritual preparedness that one
is able to respond and accept death as a reality.
This family case management report aims to present
the biomedical and psychosocial care to a dying patient and
her family. Specifically, it aims to: a) determine the needs
of the cancer patient using the biopsychosocial model,
b) analyze the family psychodynamics, impact of illness, and their functional adaptation to unexpected changes
using the S-T-F-R-E-D system, c) discuss the terminal phase
and quality of death of the patient using the hospice care
approach and d) define, review, and present bereavement
and bereavement care rendered to the family.
Human
;
Female
;
Aged
;
Attitude To Death
;
Death
;
Patient Care Planning
;
Family