1. Tools in Family Assessment

2. Family Assessment Tools Function APGAR Family Map Lifeline SCREEM Development Family Life Cycle Anatomy Genogram

3. Genogram Inheritance patterns Family illnesses Family members Family relationships Significant dates

4. CabentogFrias Family January 21 2009 FRIAS CABENTOG Lourdes 68 Lito 65 ? ? Susan 30 Jun 45 Marites 47 Anna 49 ? Allan 50 Bong 44 Connie 42 Bel 39 Mon 47 Liza 46 2004 2004 Legend ? 5 Angelica 16 CVD HPN Hyperthyroidism Asthma

5. Family Life Cycle

6. APGAR A – adaptation Capability to utilize and share resources P – partnership Solving problems by communicating G – growth Freedom to grow and change A – affection Intimacy and emotional interaction in the family R – Resolve Commitment by other members to the family

8. APGAR Scoring: Almost always – 2 Some of the time – 1 Hardly ever – 0 Total : 8-10 – highly functional 4-7 – moderately dysfunctional 0-3 – severely dysfunctional

9. SCREEM Sources of help Barriers to patient care Relationships of health behavior, practices and utilization of health services

11. Family Map Applications of the Family Systems Concept Characteristics : members Structure: boundaries, alliances, coalition Process: enmeshment, disengagement Across time: intergenerational coalitions

12. Lifeline Family History Significant events that may have effect on a patient’s health