Session 6: Consolidating Treatment Gains and Looking Ahead/Relapse Prevention

2016 ◽  
pp. 49-54
Author(s):  
Tara S. Peris ◽  
John Piacentini
Keyword(s):  
Family Therapy ◽  
Relapse Prevention ◽  
Family Members ◽  
Short Course ◽  
Processing Treatment ◽  
Treatment Gains ◽  
Exposure Tasks ◽  
At Home

This chapter focuses on a review of the skills learned during treatment, with an emphasis on how they have been applied successfully to address challenges at home. It guides the therapist in processing treatment gains and highlighting changes that all family members have made. It outlines additional in-session skills practice, including exposure tasks, praise, and self-soothing exercises. It emphasizes that total mastery of these skills following a short course of family therapy is not expected. Rather, the goal is to keep practicing and refining these skills at home. It concludes with psychoeducation about relapse prevention as well as an opportunity to process family feelings about termination.

scholarly journals Nursing consultation practice for psychosocial problems on heart failure patiens in hospital-based outpatient clinic

2021 ◽  
Vol 10 (Supplement_1) ◽  
Author(s):  
ERWIN Erwin ◽  
ELLY Nurachmah ◽  
TUTI Herawati
Keyword(s):  
Heart Failure ◽  
Support System ◽  
Family Environment ◽  
Outpatient Clinic ◽  
Social Problems ◽  
Family Members ◽  
Psychosocial Problems ◽  
The Family ◽  
Hospital Outpatients ◽  
At Home

Abstract Funding Acknowledgements Type of funding sources: None. Background The client"s condition for heart failure requires environmental support to be able to be confident and able to carry out activities according to the directions given while the patient is undergoing treatment in the hospital, but sometimes in the client"s time period at home there will be situations where patients may experience complaints or changes in conditions that can affect his cardiovascular status. Purpose this study is conducted to identify psychological and social problems and needs of heart failure clients with a qualitative approach of observation, invite individuals or families to participate, motivate individuals to develop the potential to maintain optimal health. In addition, this study was conducted to assess the need and effectiveness of the practice of consulting for heart failure nursing in hospital outpatients Method qualitative observation approach in nursing consulting practice using steps of the nursing process consisting of an assessment of physical, psychological and social conditions and client needs, formulating problems, making plans and taking care of actions in accordance with the problems that exist by nurses in the outpatient clinic at home sick. Results Clients who came to the outpatient clinic had various  psychological and social problems. From the observations and interviews it was found that psychological and social problems were the most common causes. Psychosocial problems arise due to the client himself, life companion (husband or wife) and family members who live together. So that the family system to support clients with heart failure is not awakened. Health education and promotion to clients, life companions, and family members of heart failure clients who live at home are needed when the client controls health to maintain the client"s health support system while at home. All clients and families in this study stated that the practice of nursing consultations in hospital outpatients is very helpful for clients and families to improve the situation they face. Conclusion the practice of nursing consultations can identify the problems and needs of clients and families. Strengthening the client support system for heart failure at home is needed so that psychological and social problems can be reduced when the client is in the family environment. Nursing consultation practices at outpatient hospitals are needed to help motivate clients and families in maintaining and increasing care and support for clients who suffer from heart failure while at home. Psychosocial problems The client felt anxious, lack of attention, complained sleeping difficulty, often forgot taking medicine, and forgot managing fluid intakeThe client,while at home, was fastidious and wanted to many, was difficult to be told or managed, was always suspicious with their spouse"s activity easily got angry or temperamental, the client"s child felt annoyed because the client acted annoying, the client"s spouse felt annoyed because the client was impatient and temperamentalPsychological, and social problems in heart failure patients

Overcoming Experiences of Family Members Caring for Elderly Patients with Dementia at Home

2013 ◽  
Vol 43 (3) ◽  
pp. 389 ◽  
Author(s):  
Mi Ra Sung ◽  
Myungsun Yi ◽  
Dong Young Lee ◽  
Hye Young Jang
Keyword(s):  
Elderly Patients ◽  
Family Members ◽  
At Home

scholarly journals Considering Family Therapy Process and Relevant Theories

2017 ◽  
Vol 9 (1) ◽  
pp. 182
Author(s):  
Hamid Aran
Keyword(s):  
Family Therapy ◽  
Social System ◽  
Family Members ◽  
Power Structure ◽  
Problem Solution ◽  
Therapy Process ◽  
Family Function ◽  
Psychological Space ◽  
Living Together ◽  
Effective Performance

Family is more than a group of individuals living together in certain physical and psychological space. In other words, family is a natural and social system with specific features. It is a system postulating certain principles, roles, power structure, socializing relationships and communications, talking methods, and problem solution for effective performance of diverse duties.Most difficulties in life are traceable best way within family. Families are powerful forces in their entirety effective on members’ health or compatibility, whether in their advantage or disadvantage. Consequently, family therapy is interference concentrated on dealings among family members that attempts to enhance family function as a unit made of individual members of family.

Family Therapy in Cases of Interminable Grief for the Loss of a Child

1989 ◽  
Vol 19 (3) ◽  
pp. 187-202 ◽  
Author(s):  
Elliott J. Rosen
Keyword(s):  
Family Therapy ◽  
Family History ◽  
Clinical Assessment ◽  
Family Members ◽  
Treatment Method ◽  
Grief Work ◽  
Death Of A Child ◽  
Loss Of A Child ◽  
The Individual

This paper presents a treatment method in cases where grieving for the death of a child extends beyond normal parameters. The symptoms of interminable grief are likely to continue unless there is direct, and often dramatic intervention. Guidelines for clinical assessment are presented, with particular emphasis upon the investigation of family history in which an early, unresolved death may have occurred. This approach integrates grief work with the individual into a family therapy framework and reflects the notion that grieving, even if identified in one person, is a family affair. Criteria for the inclusion of family members in treatment are considered, the stresses upon the therapist are addressed, a course of treatment is outlined, and two representative cases are presented.

Group and Family Therapy Abnormalities in Siblings of Schizophrenic Children

1967 ◽  
Vol 12 (4) ◽  
pp. 363-369 ◽  
Author(s):  
Milada Havelkova
Keyword(s):  
Family Therapy ◽  
Family Members ◽  
Marital Discord ◽  
Speech Delay ◽  
Childhood Schizophrenia ◽  
Normal Intelligence ◽  
Intellectual Function ◽  
High Incidence ◽  
Borderline Intelligence ◽  
Mental Defect

In 209 families with schizophrenic children, 18 families with more than one abnormal child were found. Among the parents of this group there was a high incidence of marital discord, schizoid personalities and different forms of schizophrenia. Among the siblings mental defect, speech delay, and schizophrenia were found. Because of the high incidence of the children in this group functioning on a mentally defective level, special attention was paid to the problem of the intellectual function of all family members. Twenty-four (40%) of the 60 children in these 18 families studied presented a picture of intellectual defects along with schizophrenic process. In three (5%) mental defect was found without typical symptoms of childhood schizophrenia. None of the parents were found to be mentally defective and only one was found to be of borderline intelligence. Twenty (55%) parents were of normal intelligence and 15 (42%) were bright normal to superior, while the corresponding figures for the children were 22 (36.6%) and six (10%). There were only four children whose intellectual function improved while there were 16 who deteriorated considerably. There was an unexplained finding of an unusually high number of twins among the 18 families. We found five pairs of twins. Two pairs were monozygotic, concordant for schizophrenia. Two pairs were dizygotic, discordant for schizophrenia. One of the fifth pair died early; the second was mentally defective.

scholarly journals Hubungan Kebiasaan Merokok di dalam Rumah dengan Kejadian Pneumonia pada Anak Usia 1-4 Tahun

2020 ◽  
Vol 7 (2) ◽  
pp. 108
Author(s):  
Nuniek Tri Wahyuni ◽  
Heni Fa'riatul Aeni ◽  
Muhammad Azizudin
Keyword(s):  
Statistical Tests ◽  
Smoking Habit ◽  
Family Members ◽  
Severe Pneumonia ◽  
Smoking Habits ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Presence Of People ◽  
At Home

ABSTRAK Pneumonia merupakan penyebab dari 15% kematian pada balita. Keberadaan anggota keluarga yang merokok di dalam rumah merupakan salah satu faktor penyebab terjadinya masalah kesehatan pada sistem pernafasan khususnya Pneumonia pada anak. Tujuan penelitian ini adalah untuk mengetahui hubungan kebiasaan merokok di dalam rumah dengan kejadian Pneumonia pada anak usia 1-4 tahun. Jenis penelitian ini adalah penelitian analitik dengan pendekatan cross sectional. Populasi penelitian ini adalah anggota keluarga yang memiliki anak usia 1-4 tahun yang terkena Pneumonia sebanyak 110 dengan jumlah sampel 86 responden menggunakan accidental sampling. Pengumpulan data diperoleh dengan menggunakan kuesioner dan dianalisis secara statistik menggunakan uji Chi Square. Berdasarkan hasil uji statistik dari 86 responden yang memiliki keberadaan orang yang merokok di dalam rumah sebanyak 52 orang (60,47%) sedangkan keberadaan orang yang tidak merokok di dalam rumah sebanyak 34 (39,53%).  Responden dengan kategori mengalami Pneumonia sebanyak 75 orang (87,21%), yang mengalami Pneumonia berat sebanyak 7 orang  (8,14%) dan yang mengalami Pneumonia sangat berat sebanyak 4 orang (4,63 %) dengan  P value = 0,016 (< 0,05). Terdapat hubungan kebiasaan merokok  dengan kejadian Pneumonia pada anak usia 1-4 tahun.    Kata kunci  : kebiasaan merokok; pneumonia; anak  CORRELATION BETWEEN SMOKING HABITS AT HOME AND THE INCIDENT OF PNEUMONIA AMONG CHILDREN AGED 1-4 YEARS  ABSTRACT Pneumonia is the cause of 15% of deaths in children under five. The presence of family members who smoke in the house is one of the causal factors of health problems in the respiratory system, especially pneumonia among children. This study was aimed to determine the correlation between smoking habits at home and the incidence of pneumonia among children aged 1-4 years. This was an analytic study with cross sectional approach. The population of this study were family members who had children aged 1-4 years with pneumonia as many as 110 people. The number of samples was taken through the Slovin sample size formula totally 86 respondents and the determination of the samples used Accidental Sampling. Data were collected using a questionnaire and analyzed statistically using the Chis Square test. Based on the results of statistical tests, it was revealed that of 86 respondents, 52 people (60.47%) had the presence of people who smoked in the house while 34 (39.53%) did not have had the presence of people who smoked in the house.  75 respondents (87.21%) had pneumonia, 7 people experienced severe pneumonia (8.14%) and 4 people experienced very severe pneumonia (4.63%). Chi Square test results obtained a P value=0.016 (<0.05), which meant that there is a relationship between smoking habit at home and the incidence of pneumonia among children aged 1-4 years. Keywords: Smoking habit; pneumonia; children

scholarly journals Kegiatan Pemantauan Kasus Covid 19

2022 ◽  
Vol 1 (1) ◽  
pp. 207-213
Author(s):  
Indra Karana
Keyword(s):  
Community Service ◽  
Public Transportation ◽  
Family Members ◽  
Care Facility ◽  
Health Care Facility ◽  
Shortness Of Breath ◽  
Running Water ◽  
Novel Coronavirus ◽  
The City ◽  
At Home

ABSTRAKCOVID-19 adalah penyakit yang disebabkan Novel Coronavirus 2019. Gejalanya bergejala mirip dengan flu biasa, namun COVID-19 sampai saat ini memiliki fatalitas lebih tinggi dan virus ini juga menyebar dengan sangat cepat karena bisa pindah dari orang ke orang bahkan sebelum orang tersebut menunjukkan gejala. Cara isolasi mandiri dirumah yaitu selalu memakai masker dan membuang masker bekas ditempat yang ditentukan,  jika sakit (ada gejala demam, flu dan batuk) maka tetap di rumah. Jangan pergi bekerja, sekolah, ke pasar atau ke ruang publik untuk mencegah penularan masyarakat, manfaatkan fasilitas telemedicine atau sosial media kesehatan dan hindari transportasi publik. Beritahu dokter dan perawat tentang keluhan dan gejala, serta riwayat bekerja ke daerah terjangkit atau kontak dengan pasien COVID-19, selama dirumah, bisa bekerja di rumah. Gunakan kamar terpisah dari anggota keluarga lainya, dan jaga jarak 1 meter dari anggota keluarga, tentukan pengecekan suhu harian, amati batuk dan sesak nafas. Hindari pemakaian bersama peralatan makan dan mandi dan tempat tidur, terapkan perilaku hidup sehat dan bersih, serta konsumsi makanan bergizi, mencuci tangan dengan sabun dan air mengalir dan lakukan etika batuk dan bersin, jaga kebersihan dan kesehatan rumah dengan cairan desinfektan. Selalu berada di ruang terbuka dan berjemur di bawah sinar matahari setiap pagi (±15-30 menit), Hubungi segera fasilitas pelayanan kesehatan jika sakit berlanjut seperti sesak nafas dan demam tinggi, untuk mendapatkan perawatan lebih lanjut. Tujuan pengabdian masyarakat ini adalah untuk melakukan pemantauan kasus covid 19 di Kota Bandung. Kegiatan pengabdian masyarakat ini memberikan pelayanan dengan melakukan pemantauan agar mengetahui keadaan, kondisi dan perkembangan yang dialami oleh warga yang terpapar covid 19 di Kota Bandung. Hasil pengabdian masyarakat diperoleh seluruh warga yang terpapar covid 19 sudah dalam keadaan sehat dan pulih seperti sedia kala. Kata Kunci: Pemantauan kasus covid 19. ABSTRACT COVID-19 is a disease caused by the 2019 Novel Coronavirus. The symptoms are similar to the common cold, but COVID-19 has so far had a higher fatality and this virus also spreads very quickly because it can move from person to person even before the person shows symptoms. . The way to self-isolate at home is to always wear a mask and throw away used masks in the designated place, if you are sick (symptoms of fever, flu and cough) then stay at home. Do not go to work, school, to the market or to public spaces to prevent community transmission, take advantage of telemedicine facilities or health social media and avoid public transportation. Tell doctors and nurses about complaints and symptoms, as well as a history of working in infected areas or in contact with COVID-19 patients, while at home, you can work at home. Use a separate room from other family members, and keep a distance of 1 meter from family members, determine daily temperature checks, observe coughs and shortness of breath. Avoid sharing eating and bathing utensils and bedding, apply healthy and clean living habits, and consume nutritious food, wash hands with soap and running water and practice coughing and sneezing etiquette, keep your home clean and healthy with disinfectant liquid. Always be in an open space and bask in the sun every morning (±15-30 minutes), Contact the health care facility immediately if the illness persists such as shortness of breath and high fever, to get further treatment. The purpose of this community service is to monitor COVID-19 cases in the city of Bandung. This community service activity provides services by monitoring to find out the conditions, conditions, and developments experienced by residents exposed to COVID-19 in the city of Bandung. The results of community service were obtained that all residents who were exposed to COVID-19 were in good health and recovered as usual. Keywords: Monitoring cases of covid 19.

When family members tell on each other: Dilemmas and solutions in adolescent-family therapy

1999 ◽  
Vol 4 (2) ◽  
pp. 52-57
Author(s):  
Mark Dadds ◽  
Leanne Geppert ◽  
Emma Kefer ◽  
Kristina Vaka
Keyword(s):  
Family Therapy ◽  
Family Members

A STUDY OF THE NEED FOR ALTERNATIVE TYPES OF HEALTH CARE FOR CHILDREN IN HOSPITAL

PEDIATRICS ◽  
1969 ◽  
Vol 44 (3) ◽  
pp. 338-347
Author(s):  
Chandrakant P. Shah ◽  
Demetrios Papageorgis ◽  
Geoffrey C. Robinson ◽  
Claire Kinnis ◽  
Sydney Israels
Keyword(s):  
Health Care ◽  
Day Care ◽  
Family Income ◽  
Family Members ◽  
Parental Choice ◽  
Hospitalized Children ◽  
Occupational Class ◽  
Choice Of Care ◽  
Parents Education ◽  
At Home

In a population of hospitalized children, 45% of the 611 parents whose children qualified for day care stated they would have preferred day care if such an alternative had been available at the time and if the choice of type of care had been left to them. Factors which seemed related to the parents' choice of care were the child's age, the distance from home to hospital, the parents' education, the parents' perception of the degree of safety afforded by hospitalization, and the ability to make the necessary arrangements to care for the child at home following day care. No relationship was found between parental choice of care and such variables as type of day care recommended (medical or surgical), sex of child, number of employed family members, occupational class, and family income.

Discharge Requests

2019 ◽  
pp. 120-129
Author(s):  
James G. Mendez
Keyword(s):  
Black Men ◽  
Financial Support ◽  
Family Members ◽  
Black Soldiers ◽  
Military Life ◽  
Large Numbers ◽  
Return Home ◽  
At Home

Northern black soldiers and their families continued to support the Union effort. In spite of pay issues, discrimination and racism by northerners and southerners, the general hardships of military life, and the potential hardships for their families, black men continued to enlist in large numbers. Yet, for some families, conditions at home had become too hopeless. They had moved beyond the unequal pay issue as well as the army’s inability to pay their soldiers monthly. They had gone on as long as they could without the financial support of their men and had reached the point where they simply wanted their soldiers home. These family members asked Union officials for their soldiers to be discharged because the family’s situation was so desperate the only resolution was for the soldiers to return home. Often the requests were for discharges of underage sons, who continued to enlist through deceitfulness about their age.

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