Family affairs

7 important questions on Family affairs

Name 5 factors that influence the nature and severity of problems experiences by family members of pt.

1. Type and severity of brain damage

2. Pt. symptoms

3. Premorbid cohesiveness

4. Family attitudes about illness and responsibility

5. Financial and social support


"Families of pt. often experience emotional abandonment and caretaker feel often worn out". Why is this?

1. Pt. cannot provide emotional support

2. Others who could give comfort no longer come around

"Patient behaviours likely to create family problems". Name 5 these behaviors

1. Impaired social perception and social awareness (egocentricity, no appreciation, inappropriate behavior, isolation)

2. Impaired control (impulsivity, restlessness and agitation, impatience)

3. Dependency (Emotional, physical, resulting from cognitive deficits)    

4. Inability to learn from experience (inappropriate behavior)

5. Anxiety, depression and paranoia
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Name 4 characteristics of problems experienced by the pt. parents

1. Responsibility for the care and well-being of the child will end only with death

2. Frequently marital conflicts result as parents disagree over who is to care the child and how

3. Fathers might feel neglected by the exhausted mothers who usually cope with the child

4. Not unusual for marriages to dissolve within a couple of years following onset of significant brain impairment in a child

Name 3 characteristics of problems experienced by the pt. minor child or sibling

1. Being ashamed to bring friends home

2. Being unable to participate in activities requiring a parent because the parent is occupied with the patient’s care
 
3. Absence of good times the family had previously enjoyed (e.g. holidays abroad)

Name 4 problems the pt. partner or spouse may experience in taking care of pt.

1. Spouses lose their chief companion and source of emotional support and affection at the very time that he or she is most needed

2. Make it difficult to consider divorce although the patients’ psychological impairments might preclude the establishment of anything like a normal marital relationship

3. Spouses usually become not only caretaker but also target of patients’ anger, fears, and frustrations

4. Depression in spouses is very common

Name 3 different treatment approaches for the pt. caregivers

1. Education

2. Counseling

3. Emotional support

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