FAMILY WITH

CHRONIC ILLNESS
By :
Lecturer team Of Family Nursing
THEORETICAL PERSPECTIVES
TO UNDERSTANDING
CHRONIC ILLNESS
Chronic health (or care) model


Family management style framework



Family health model



Family assessment


Family coping


Caregiver concerns


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 Chronic health (or care) model

The model focuses on care system deficiencies that include

things such as :
⬩Rushed practitioners not following established practice
guidelines.
⬩Lack of care coordination.
⬩Lack of active follow – up to ensure the best outcomes.
⬩Patients inadequately trained to manage their illnesses.

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Family management style framework

Concepts and themes of family management style framework :

CONCEPTS
Definition of the situation
Management behaviors
Perceived consequences
THEMES
Child identity
ILLness view
Management mindset
Parental mutuality
Parenting philosophy
Management approach
Family focus
Future expectation

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Family health model

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 Family assessment
Assessment using the family health model :
Categories to assess Specific areas within each category

Contextual  Developmental stage

 Family traits
 Availability of health insurance
 Access to care
 Demographics (age, education, sex, employment)
 Social support
 Culture and ethnicity
 Political, historical, and environtmental factors

Functional  Stressor
 Coping skills
 Family roles
 Member responsibilities
 Communication patterns

Structural  ILLness characteristics

 Family organization or chaos
 Routines established
 Ability and willingness to alter routines
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 Family coping
⬩ Those living with a chronic illness are challenged in life as
they are conflicted by stress, anxiety, and anger from the
trials of daily tasks that others without such illnesses rarely
consider.
⬩ Family members are fatigued by the volume of help
offered, the emotional strain that accompanies the daily
hassles and the relationship strain of constantly giving to
another.
⬩ Management of these conditions involves the enlistment of
a network of family, friends, health care professionals and
services.

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 Caregiver concerns
⬩ Implementing services that support caregivers is
important for the continuance of informal caregiver and
is an important investment in the nations’s health.
⬩ Families have varied responses to living with cronic
illness and multiple factors can influence their actions.
⬩ Marital quality can be a source of stress or support with
potential for physical and a psychosocial impact on the
well and the ill partner.

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HELPFUL SUPPORT FOR FAMILIES WITH A CRONICALLY MEMBER

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“THANK YOU FOR YOUR ATTENTION’

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