Current Trends in Family Practice

8/12/2019 Current Trends in Family Practice

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Current Trends in Family

Practice in Sri Lanka

Dr. K. Arulanandem

Lecturer

Dept. of Primary Health Care


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What is Family Practice

Professional discipline with appreciation ofunique relationship

Patient centered, evidence based, familyfocused and problem oriented

Significant unit of care with Professionalconfidentiality and responsibility

Scope is dynamic, expanding


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Cont

Clinical picture is not just a

photograph of a man in bed but

Family practice as an essential link in

the Health Care System

Care of the patient is completely

personal but


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Cont

Meeting rapid technological advances

for changing patterns of illnesses

Accepting the changes in concepts in

health care systems, globalization and

urbanization


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Cont.

Focusing - key issues

Negotiating plans

Helping solve problems by sharing

responsibilities

Mutual respect is a key principle


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What do Patients expect?

Welcome mutual recognition and trust

Attend with ideas and concerns about

illnesses

Prefer comprehensive, continuous and

compassionate care

Expect attentive concern and love


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Common Problems in Family

practiceNewborn to very old patients

Pre marital and behavioral issues

Antenatal and post natal problems

Patients with open and hidden agendas

Acute, chronic infectious diseases andnon communicable diseases /Chronic

Injuries and emergencies


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Cont

Child and elder abuse cases

Drug and sex abuse problems

Personal and family conflicts

Caring and caregivers problems

Financial strains and health assistance

Referrals of clients and coordination


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Exploring .

Individuals feelings

Familys strengths and weaknesses

Communitys structure and culture

Disease distribution and ice berg

phenomenon

Home remedies and health seeking

behaviors of patients

Dietary habits and nutrition


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Challenges in family practice

Making clear clinical decisions

Filtering beliefs ,values and norms

Understanding backgrounds and bonds

Patients agenda and Doctors agenda

Implementing preventive strategies

Breaking bad newsPreventing Doctor shopping


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Advantages of Family Practice

Single personal Physician ensuresmost logical and economicalmanagement of a problem

Special responsibility for the health ofthe community

Unique consultation process/ effectivecommunication


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Roles of family practitioner

Trusted care provider

Health manager

Effective communicator

Family and community leader

Family friend and counselor


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Family- Based Medical Counseling-

BATHE technique Background situation Patients Affect

Most Troubling for the patient

Manner of Handling

Empathy


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Summary

Patient as a whole person

Family is a living unit and basicsocial group of society

Concept of primary care in the

context of patient in community

Mutual recognition and trust areessential

Current trends in the complexworld of health care in this newcentury need to be understood


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Family Medicine.(Family Practice)(Physical, Psychological, Social,Individual, Family, Community)

ClinicalMedicine

(Curative).

CommunityMedicine.

(Preventive)


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Before ending

Successis never final

Failureis never fatal

Courageis what counts

Sir Winston Churchill


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The Future depends on

what we do in thePresent

Mahatma Gandhi


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Thank you!07.01.2012

Documents

Current Trends in Family Practice