These approaches can be practical and through which identified interventions
can be carried out. The care may be delivered in the house, private clinics, health centers, school clinics and industrial/workplace clinics.
1.) Family Health Care Program In Family Wellness, all families in the target community will be potential recipient of the benefits from the program. Presently there are definite criteria to the kind of families which can be admitted to the program. PRACTICE - Used in assessing the function of the family as a unit of care. It is based on systems approach and acts as guide and record on family interview. - Presenting problem or reason for interview - Roles and structure - Affect - Communication - Time - Illness - Coping with Stress - Ecology and culture
Specific Component of Practice - Presenting problems or reason for interview illness, hospitalization, behavioural or relationship problems. - Roles and structures hierarchical organization boundaries and individualization, cohesion and control ( from chaos to rigidity). - Affect family emotional tone (warmth, sadness, anger, humor) - Communication verbal and non-verbal - Time in the family life cycle - Illness in the family past and present. Past experience of illness, especially if serious will modify response to illness in the present. The meaning of illness, health belief system and health practices and lifestyle are also determined by the family - Coping with stress adaptability, family strengths and resources, coping in past and present. - Ecology and culture interaction of the family with the environment, social, cultural, religious , educational and medical resources
2.) Family Health Consciousness Month. - The Academy can lobby for an Executive order declaring one month of the year as Family Health Consciousness Month - During this month, all PAFP chapters, accredited programs and members will devote their time for family screening, health education and anticipatory guidance 3.) Parents Class/Responsible Parenthood Program - The family life cycle starts with the newly married couple, undergoing transition in roles, tasks and relationship through time and eventually ending with death of both spouses. - Either or both parents can undergo training to become Family Health Advocate
4.) Caring for Children Program/Child Protection Program - Since children are the hope of the motherland. It becomes necessary that their optimum health, not only physical but also emotional, social and mental and moral aspects be given priority. - It is important that the care to be given to children are coordinated by the parents, the school physician and the family doctor
5.) Adolescent Health Care Program - Adolescent Programs maybe school-based or community based for those who are out of school. - Health maintenance and health promotion activities can be hospital based and clinic based can also be done
6.) Young Adult and Middle Aged Adult Health Care Program - At this stage health risk appraisal and periodic examination can be done at the work place or with the family physician
7.) Care for the Elderly - Respect for the elders and nurturing parents in the old age are embedded in the Filipino culture. - There is now a Senior Citizen Law which provides benefits for senior citizens - Action programs on Mental Health, Optimum Quality of Life activities and Physical Fitness Program may be required. Regular Physical Examination and Social Programs can also be undertaken at the community level.
8.) Environmental Protection Program - The Academy has introduced a community based Environmental Protection Program which also involved our schools. - Home Base Program on Ecology like waste segregation and recycling.
9.) Active Living for the Chronically and Terminally ill - National Asthma Movement - Philippine Coalition Against Tuberculosis - Cancer aware as a scientific module has been introduced - Hospice Care is being conducted by the Department of Family and Community Medicine of the University of the Philippines College of Medicine.
10.) Mental Health - With all the stresses the Filipino Family is facing with the changes in family structure, the weakening of the support systems and mental health care can be a problem. Thus, early detection of and intervention on mental disorder can be important ingredients in Family Wellness.
11.) School Health Program - School-based health program will be directed not only towards students but also towards teachers and non-academic staff. It covers not only giving of first aid remedies but primary care and health curriculum for students.
Pamplona, Aldwin Ray L. Junior Intern Family Medicine and Community Health (May 2014) Family Healthcare Program