FAMILY WELLNESS

PROGRAM
Janelcris G. Enriquez
•TO DISCUSS WELLNESS RECOMMENDATIONS FOR THE
WHOLE FAMILY
 INTRODUCTION
 Promotion of optimum family health
and quality care
 Promoting and maintaining health
already qualify as an important
investment as it is directed to a very
important resource in development
•CONCERNS:

•BIOLOGICAL
•PSYCHOLOGICAL
•CULTURAL
•SOCIAL CONDITION
 COMPLETE
COMPLETE RECOVERY
EQUILIBRIUM
PHASE CHRONICITY

SEQUELE

DEATH
CLINICAL HORIZON
OF DISEASE

WELLNESS DISEASE

PRIMARY SECONDARY TERTIARY

 PRINCIPLES
patien
I. t system
Family is seen as a
› The illness impacts the family, the family
also impacts the illness
› Role reorganization
II. Therapeutic triad
- the health care provider should
doctor
realize family
that the transaction is not just
between the doctor and the patient
 PRIMARY

HEALTH SPECIFIC
PROMOTION AND
MAINTENANCE PROTECTION

WELLNESS
 AREAS OF FAMILY
PARTICIPATION IN PREVENTION
 PRIMARY PREVENTION
› Occurrence of any clinical manifestations
of disease is prevented through health
promotion and specific diseases prevention
 Lifestyle
 Health maintenance
 Family life education
 AREAS OF FAMILY
PARTICIPATION IN PREVENTION
 SECONDARY PREVENTION
› Implies early intervention to detect and
treat asymptomatic disease. It is the family
who decides where, when, and to whom to
bring a sick member
 Shared responsibility between a doctor and
his patients and their families
 Encourage sick members to consult
 Compliance monitoring
•BCG
•DPT/DT
•OPV/IPV
•HEPATITIS A & B
•MEASLES/MMR
•HiB(6-23 MONTHS)
•VARICELLA
•PNEUMOCOCCAL
OPTIONAL: INFLUENZA, TYPHOID FEVER
 FAMILY WELLNESS PLAN:
CARING FOR ALL MEMBERS
 CHILD 0-12 yrs
› visual acuity at 3-4 yo, done every 3 yrs up to
age 9
› Audiometric 3-4yo, once at gradeschool
› Teach breast exam at age 9yo
› Anually intestinal parasites
› Annual for GUT d/o
› PPD/direct BCG annually
› Periodic PE: dental, bathing, nails, lice, handwash
› Health behavior: accident exposure
› Immunization
 DEVELOPMENTAL MONITORING
› Physical: growth chart and nutrition and
motor development
› Mental learning disabilities, language
› Social: listo, mahiyain, emotional, moral
dev’t
› Medication: vit.supplement, meals,
ailments, allergies
› Ill health: consultation, family participation
in health care
› Health education: personal hygiene,
sanitation, junk foods, accident, sexual
dev’t
 ADOLESCENT 13-21yo
 BP: annual starting 13yo
 Hearing: once at highschool
 Breast exam: self breast exam starting at 12yo
 Fecalysis: annual
 Urinalysis: annual
 PTB: PPD/direct BCG annually up to age 16, CXR
annually from age 16
 PE: annual
 Hygiene assessment: dental, bathing, nails, lice,
handwash
 Health risk behavior: smoking, addiction, alcohol,
sex life, accident, nutrition, diet
 Immunization:DT
•Td (0,1,6 then every
yr for 10yrs)
•MMR (4wks interval,
2 doses)
•Hepaitis A & B (2
doses, B- 6mos•Influenza
interval •Pneumococcal
A- 4wks interval) • Meningcoccal
•Varicella (2 doses) •
HPV (0,1,6)
 ADOLESCENT 13-21yo
 DEVELOPMENTAL MONITORING
› PHYSICAL: growth chart, nutrition, sexual dev’t
› MENTAL: school teaching
› SOCIAL: peer pressure, sibling rivalry, parental
relationship, lover and courtship, emotional and
mental dev’t
› MEDICATION: OTC for common ailments, drug
allergies
› ILL HEALTH: consultation, family participation in
health care, education management including
ff.up & referral
› HEALTH EDUCATION: personal hygiene, sanitation
issues, junk food, accident prevention, sexual
issus, health risks
 Adult 22-60yo
 BP: annual
 Chole: annual from age 40
 Visual acuity: annual & eye pressure
screen for cataract at 50 onwards
 Hearing: depend on work exposure
 Breast exam: self breast a& MD exam
regularly after 35yo
 ANNUAL: papsmear after age 40, DRE
after age 45, FOBT after age 50, FA, UA,
CXR, PE, Hygiene: dental, bathing, nails,
handwash, family planning up to 45yo for
 Health behavior: smoking, alcohol, sex
life, caffeine, occupational hazard,
accident
 Immunization: DT
 DEVELOPMENT MONITORING
› PHYSICAL: weight (obesity) pre menopausal
counseling
› MENTAL: prime MD
› SOCIAL: marital relationship, family
relationship
› MEDICATION: OTC for common ailments,
hormonal replacement therapy for female
› ILL HEALTH: consultation, family participation
in health care, education management
including follow up and referral
 HEALT EDUCATION: personal hygiene,
sanitation issue, junk food, accident
exposure, sexual issues, health risks, fathers
class on health risks, mothers class/family
career for health. Family health advocate,
parents class and child rearing and family
relationship sanitation and ecology. Preparing
for retirement
 ELDERLY >61yrs
 BP annual
 Chole: annual
 Visual acuity: annual
 Hearing: audiometric every year
 Breast exam annual
 Papsmear and pelvic annual
 Rectal annual
 FOBT annual
 FA annual
 UA annual
 PTB CXR annual
 ELDERLY >61yrs
 Periodic PE: annual
 Hygiene: continue
 Health behavior: smoking, alcohol,
caffeine, accident exposure
 Immunization: dt
 ELDERLY >61yrs
 DEVELOPMENTAL MONITORING
 Wt obesity
 Mental
 SOCIAL: marital relationship, family
relationship
 MEDICATION: OTC for common ailment,
polypharmacy
 ILL HEALTH: consultation, family
participation in health care
 HEALTH EDUCATION: proper use of
medication, marital relationship, family
relationship, retirement, overcoming
loneliness, life enrichment, diet,
physical fitness, accident prevention
 Fats, oil &
sweets
Meat, poultry, fish,
Milk, yogurt & dry beans, egg,
cheese grp. 3 2 servings
nut. grp.
servings
Fruit group 3
servings
Bread, fortified
Veg. Grp 2-3 cereal, pasta,
servings rice 6 servings
1. Compassion care
2. Respect for usefulness and value of individual.
3. Intelligent management with attention to ethical
decision making
4. Bolstering family & home
5. Integrator of the Biopsychosocial model.
THANK YOU!!!!!!!!!