Family: Health and illness. Repetition in families I
Code
11111
Academic unit
NOVA Medical School|Faculdade de Ciências Médicas
Department
SP
Credits
3
Teacher in charge
Profª Doutora Maria Isabel Santos
Teaching language
Portuguese
Objectives
Each individual is the product of the interaction between his genotype and social context. Health behaviors are intergerationally transmitted. As Bowen (80) said, families repeat themselves through their (alimentary) eating habits and behaviors and in the way they look for care or use health care services.
LEARNING OBJECTIVES
a) To describe the family history and the narrative of a family´s experiences with health and illness;
b) To create a family genogram identifying hereditary diseases and those with familial incidence;
c) To give an example of how a previous experience of illness in a family influences the process of adapting to a new situation of illness;
d) To identify beliefs about illness and family myths which can influence (have an effect on health and the management of health problems;
e) To give an example of the family´s influence on eating (lifestyle) habits;
f) To conduct a diary food questionnaire of the family members and identify possible imbalances;
g) To give examples of situations that cause emotional hunger which lead to overfeeding;
h) To identify preventive measures in order to minimize genetic and environmental risk factors;
i) To describe the principles that should underline health educational activities, mainly nutrition education;
j) To describe the family social support network;
k) To describe the patterns of health service use by the members of a family, taking into account the family health and disease concepts and personal and institutional restrictions.
Prerequisites
Subject matter
- Build up a medical narrative report
- Build up a family genogram
- Recognize family genetic risks
- Transmission of multigenerational family behaviors
- The relationship between psychological, social and somatic factors
- Factors that influence the use of health care services
- Doctor´s role in health care promotion
Bibliography
Teaching method
Learning process occurs within different scenarios consultations, home visits, in primary health care settings, visits to NGOs and in the classroom.
Students should develop a report centered on learning objectives previously defined. The learning cycle will be: theoretical learning through different perspectives and disciplines in classroom, experiential learning interviewing families and visiting health institutions in primary care, evaluation seminars.
1st - Learning objectives will be discussed with students. Afterwards students will elaborate a conceptual map with teachers help and identify the available resources to achieve the targets.
2nd - Tutored self-learning. During this phase students create themes in consultation with the tutor and study a family based on predefined objectives.
3rd - Evaluation meetings will be scheduled to assess targets that were achieved. For that purpose the work carried out will be discussed and learning difficulties will be identified in order to overcome them at a later stage.
The targets for each phase will be presented in a document posted on the website of the Departamento de Medicina Geral e Familiar.
Seminars will be planned during the UC in collaboration with the teachers of the mandatory disciplines in order to consolidate and integrate theoretical knowledge. This optional will run, during a semester, one day a week, in the afternoon or morning periods.
There will be periods of compulsory presence and optional periods where students can choose their time table (schedule) which will depend on the task that was assigned and the availability of the family or of the institution to accept them.
Evaluation method
Oral test focused on analysis and discussion of the portfolio created by the students during the learning process.