Penerapan Komunikasi Terapeutik terhadap Pelaksanaan Family Psychoeducation pada Extended Familydengan Hipertensi: Laporan Kasus

2019 ◽  
Vol 12 (2) ◽  
Author(s):  
Siti Hajar Salawali ◽  
Herni Susanti
Keyword(s):  
Case Report ◽  
Extended Family ◽  
Case Reports ◽  
Family Members ◽  
Active Listening ◽  
Family Psychoeducation ◽  
Therapeutic Communication ◽  
Extended Families ◽  
Communication Techniques ◽  
The Family

Abstrak Pelaksanaan terapi family psychoeducation pada extended familydengan hipertensitidak dapat dipandang sebelah mata. Keluarga yang merawat anggota keluarga dengan hipertensi memiliki resiko mengalami beban dan seluruh beban yang dirasakan oleh keluarga merupakan stresor yang harus dihadapioleh seluruh anggota keluarga bersama-sama. Perawat yang terlibat dalam upaya perawatan kepada klien juga harus memperhatikan masalah yang dihadapi oleh keluarga. Salah satu upaya yang dapat dilakukan untuk mengatasi beban dengan pemberian terapi family psychoeducation.Metode yang digunakan adalah laporan kasus. Laporan kasus ini menjadi yang pertama kalinya bagaimana penerapan komunikasi terapeutik terhadap family psychoeducation pada extended family dengan hipertensi dilakukan serta disajikan dalam bentuk laporan kasus. Penulis melakukan terapi sebanyak 6 sesi dengan menggabungkan menggunakan tekhnik komunikasi terapeutik. Hasil studi ini didapatkan bahwa terapifamily psychoeducation dan penggunaan komunikasi terapeutik dapat digunakan sebagai cara untuk menyelesaiakan masalah dalam keluarga yang merawat anggota keluarga dengan penyakit fisik (seperti hipertensi) pada kondisi dengan extended family, dimana dalam melaksanaan family psychoeducation, perawat lebih menggunakan tekhnik komunikasi terapeutik terutama pada sesi 3 yaitu manajemen stres dan sesi 4 yaitu manajemen beban keluarga. Tekhnik komunikasi terapeutik yang lebih sering digunakan penulis dalam pemberian family psychoeducation pada keluarga dengan kondisi extended familyyaitu mendengarkan aktif dan mengulang, klarifikasi dan fokus, refleksi dengan menunjukkan rasa empati dan rasa hormat, menggunakan humor, dan diam serta sesekali memberikan sentuhan yang terapeutik.Kata Kunci: Komunikasi Terapeutik, Psikoedukasi Keluarga, Keluarga Besar, Hipertensi Application of Therapeutic Communication to the Implementation of Family Psychoeducation at Extended Family with Hypertension: Case Report AbstractThe implementation of family psychoeducation therapy in extended families with hypertension cannot be underestimated. Families who care for family members with hypertension have a risk of experiencing the burden and all the burden felt by the family is a stressor that must be faced by all family members together. Nurses who are involved in care efforts to clients must also pay attention to problems faced by the family. One of the efforts that can be done to overcome the burden of therapy is family psychoeducation. The method used is a case report. This case report is the first time how the application of therapeutic communication to family psychoeducation in the extended family with hypertension is carried out and presented in the form of case reports. The author did therapy for 6 sessions by combining using therapeutic communication techniques. The results of this study found that family psychoeducation therapy and the use of therapeutic communication can be used as a way to solve family problems that treat family members with physical illness (such as hypertension) in conditions with extended families, where in implementing family psychoeducation, nurses use therapeutic communication techniques. especially in session 3, stress management and session 4, namely family burden management. Therapeutic communication techniques that are more often used by writers in giving family psychoeducation to families with extended family conditions, namely active listening and repetition, clarification and focus, reflection by showing empathy and respect, using humor, and being quiet and occasionally giving a therapeutic touch.Keywords: Comunication Therapeutic, Family Psychoeducation, Extended Family, Hipertention

This Seed Will Bear No Fruit

2019 ◽  
pp. 262-283
Author(s):  
Friday A. Eboiyehi
Keyword(s):  
Older People ◽  
Family System ◽  
Extended Family ◽  
Family Members ◽  
Developed Countries ◽  
Western World ◽  
Continuous Increase ◽  
The Family ◽  
The Developed Countries ◽  
Old People's Homes

The continuous increase in the number of older people and the gradual erosion of the extended family system which used to cater to them are alarming. While older people in much of the developed countries have embraced old people's homes as an alternative, the same cannot be said of older people in Nigeria who still believed that it is the duty of the family to accommodate them. The chapter examined the perception of older people about living in old people's home in some selected local government areas in Osun State, Nigeria. The study showed that their perception about living in old people's home was poor as many of them still held on to the belief that it was the responsibility of their family members to house them as it was done in the olden days. Although a few of the interviewees (particularly those who are exposed to what is obtained in the Western world and those with some level of education) had accepted the idea, many preferred to live with their family rather than being dumped in “an isolated environment,” where they would not have access to their family members. Pragmatic policy options aimed at addressing this emerging social problem were highlighted.

Intergenerational Association of Alexithymic Characteristics for College Students and Their Mothers

2001 ◽  
Vol 89 (1) ◽  
pp. 77-84 ◽  
Author(s):  
Isao Fukunishi ◽  
Wayne Paris
Keyword(s):  
College Students ◽  
Intergenerational Transmission ◽  
Nuclear Family ◽  
Extended Family ◽  
Parental Bonding ◽  
Related Factors ◽  
Toronto Alexithymia Scale ◽  
Extended Families ◽  
The Family ◽  
Family Types

The intergenerational association of alexithymic characteristics of mothers and their children were examined in a sample of 232 pairs of college students and their mothers. Scores on the Toronto Alexithymia Scale, Parental Bonding Inventory, and the Family Environmental Scale of college students were significantly correlated with their mothers' memories of when they were also 20 years old. College students' scores were significantly correlated with their mothers' scores on each questionnaire. The student-mother pairs were further divided into two family types, nuclear and extended families. Correlations were higher for scores of the nuclear family than for those of the extended family. Such results suggest there may be intergenerational transmission of alexithymia and related factors from mothers to children.

scholarly journals MELAS: A Multigenerational Impact of the MTTL1 A3243G MELAS Mutation

2014 ◽  
Vol 41 (2) ◽  
pp. 210-219 ◽  
Author(s):  
M. Prasad ◽  
B. Narayan ◽  
A.N. Prasad ◽  
C.A. Rupar ◽  
S. Levin ◽  
...  
Keyword(s):  
Maternal Inheritance ◽  
Extended Family ◽  
Family Members ◽  
Strong Support ◽  
Radiological Findings ◽  
Laboratory Findings ◽  
Clinical Presentations ◽  
The Family ◽  
Generation Family ◽  
Pathological Material

Background:the maternally inherited MTTL1 A3243G mutation in the mitochondrial genome causes MelaS (Mitochondrial encephalopathy lactic acidosis with Stroke-like episodes), a condition that is multisystemic but affects primarily the nervous system. Significant intra-familial variation in phenotype and severity of disease is well recognized.Methods:retrospective and ongoing study of an extended family carrying the MTTL1 A3243G mutation with multiple symptomatic individuals. tissue heteroplasmy is reviewed based on the clinical presentations, imaging studies, laboratory findings in affected individuals and pathological material obtained at autopsy in two of the family members.Results:there were seven affected individuals out of thirteen members in this three generation family who each carried the MTTL1 A3243G mutation. the clinical presentations were varied with symptoms ranging from hearing loss, migraines, dementia, seizures, diabetes, visual manifestations, and stroke like episodes. three of the family members are deceased from MelaS or to complications related to MelaS.Conclusions:the results of the clinical, pathological and radiological findings in this family provide strong support to the current concepts of maternal inheritance, tissue heteroplasmy and molecular pathogenesis in MelaS. neurologists (both adult and paediatric) are the most likely to encounter patients with MelaS in their practice. genetic counselling is complex in view of maternal inheritance and heteroplasmy. newer therapeutic options such as arginine are being used for acute and preventative management of stroke like episodes.

scholarly journals The Effects of Family Psychoeducation Courses on Depression, Anxiety and Family Functioning in the Caregivers of Schizophrenic Patients

Health Scope ◽  
2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Zahra Hashemi ◽  
Seyed Alireza Haj Seyed Javadi ◽  
Seyed Mohsen Zamir
Keyword(s):  
Family Functioning ◽  
Behavioral Control ◽  
Family Members ◽  
Training Session ◽  
P Value ◽  
Depression And Anxiety ◽  
Short Term ◽  
Family Psychoeducation ◽  
Family Assessment Device ◽  
The Family

Background: Schizophrenia is one of the most serious psychiatric diseases that affects the patient’s family members in addition to the patient himself. This disease can lead to depression and anxiety in the family members of the patient and even affect their functioning. Objectives: The present study was conducted to investigate the effect of a short-term family psychoeducation course on the depression and anxiety family functioning in caregivers Methods: In this before-after clinical trial, 163 first-degree family members of patients with schizophrenia were invited to participate in a short-term FPE course. A total of 65 of this group attended the first training session. Prior to the first session, the beck depression inventory (BDI), the beck anxiety inventory (BAI), and the family assessment device (FAD) were completed for the participants based on a family functioning model. Six months after the end of the FPE course, the 36 subjects who had completed the initial questionnaires and fully attended the sessions were invited to complete the questionnaires again. A total of 31 subjects completed the questionnaires again at this stage. The data were analyzed by SPSS-20 software using Mann–Whitney and Wilcoxon rank tests. Results: The mean age of the participants in both stages of questionnaire completion was 48.64 ± 11.85 years. Among them, 16 (51.6%) were female, and 15 (48.4%) were male. Also, six (19.4%) subjects had an education above high school, and mothers were the most frequent participating family members with a frequency of 11 (35.5%). The anxiety and depression scores of these subjects were 10.8 ± 5.14 and 6.9 ± 2.45 at baseline, respectively. These scores decreased significantly after six months to 5.03 ± 2.48 and 4.40 ± 1.9, respectively. In addition, among family functioning, Role and Behavioral control was significantly improved (P-value < 0.05). Conclusions: The results of this study showed that depression and anxiety levels decreased in the family members of the examined patients six months after an FPE course. This effect can be further investigated through studies conducted with control groups. These findings suggest that the integration and institutionalization of FPE programs in the healthcare system are essential for improving the status of patient caregivers with severe psychiatric illnesses and their families.

scholarly journals Neuropsychologist’s Experience with the DIRFloortime Concept. A Clinical Case Report

2019 ◽  
Vol 17 (2) ◽  
pp. 87-96
Author(s):  
S.A. Shishkina
Keyword(s):  
Case Report ◽  
Emotional Development ◽  
Clinical Case ◽  
Family Members ◽  
Individual Characteristics ◽  
Simple Games ◽  
Joint Work ◽  
The Family ◽  
Speech Therapist

The article analyzes the experience of the joint work of a speech therapist and a neuropsychologist using the DIRFloortime concept on a clinical case of a boy L., 3.5 years of age. The following tasks were solved during the sessions: the child’s advancement along the first stages of functional emotional development, taking into account his individual characteristics; work with the family: establishing a partnership, teaching the family members the basics of the DIRFloortime approach. As a result of the sessions, the child’s understanding of speech and implementation of instructions have significantly improved; he started using meaningful words and phrases for communication; his emotional and non-verbal repertoire expanded, the boy learned to play simple games with rules with an adult.

scholarly journals Senior Citizens and Their Roles in Family and Household

2020 ◽  
Vol 13 (2) ◽  
pp. 32
Author(s):  
S. M. Ayoob
Keyword(s):  
Living Arrangements ◽  
Extended Family ◽  
Senior Citizens ◽  
Family Members ◽  
Active Role ◽  
Social Recognition ◽  
Family Type ◽  
Role Taking ◽  
The Family ◽  
Family And Household

The family is considered as the most important and outstanding primary group in the society. The extended family type is diminishing in the modern era due to multiple and unavoidable reasons. However in some countries, people give their support to preserve extended family system at least keeping their senior citizens in the same household. Senior citizens also play active roles by supporting the family members in numerous ways. This study was conducted to identify the living arrangements, roles played by the senior citizens in family and household and the reasons behind the active role taking behavior among senior citizens. Out of 20 Divisional Secretariat Divisions in Ampara district, 08 Divisional Secretariat Divisions where Muslims predominantly live have been selected as the study area using simple random sampling method. The sample size is 392. The primary data was collected from key informant interviews, case studies and focus group discussions. The study highlighted that 95% of the senior citizens in the study area are living with their family members. Maintaining household activities, guiding the family members, providing counselling, providing security, socialization, mediating, providing monetary support and mobile role are the major roles played by senior citizens. The reasons for this active role taking behaviour are physical fitness and healthy lifestyle of senior citizens, disaster situation, economic condition, loneliness and isolation, lack of organizational structure and social recognition in study area. Beyond their old age, the contribution of senior citizens to the family is immeasurable.

scholarly journals Social workers understanding of extended families position in child welfare in Lithuania, Chile and Norway

2020 ◽  
Vol 15 (1) ◽  
pp. 84-107
Author(s):  
Siv Oltedal ◽  
Ingunn Studsrød ◽  
Rasa Naujanienė ◽  
Carolina Muñoz Guzmán
Keyword(s):  
Child Welfare ◽  
Social Workers ◽  
Extended Family ◽  
Responsibility To Protect ◽  
Private Sphere ◽  
Child Welfare Services ◽  
Extended Families ◽  
State Involvement ◽  
The Family ◽  
The World

Child welfare services around the world deal with families and family complexities. The study from Chile, Lithuania and Norway explores how social workers define family and more specific the position of extended families within child welfare and thus indicate contextual differences and similarities. In the data collection, five focus groups were included: one Lithuanian (eight participants), two Chilean (with two and two participants) and two Norwegian groups (with seven and eight participants). The analysis reveals significant and thematic differences and similarities between the countries related to the fluid and varied concept of family. The results also show variations across contexts in which families that are targeted by the services, the involvement of children and nuclear and extended family members. A dilemma between children’s need to keep family bonds and the states responsibility to protect children, can be exemplified with the position of the extended family. We can identity a difference between Norway, with comprehensive state involvement that can be framed as they are dealing with a public family, and both Chile and Lithuania, which put more of an emphasis on problem-solving within families, and thus look at the family as more of a private sphere.

Family Psychoeducation Approaches for Borderline Personality Disorder

2017 ◽  
Author(s):  
Valerie Porr
Keyword(s):  
Social Support ◽  
Treatment Outcome ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Family Members ◽  
Borderline Personality ◽  
Family Psychoeducation ◽  
Improve Treatment ◽  
Improve Treatment Outcome ◽  
The Family

This chapter provides a rationale for training family members of individuals with borderline personality disorder (BPD) to help them develop into therapeutic allies and treatment adjuncts. It also describes the experiences of family members in finding help for their loved ones with BPD and the family psychoeducation programs currently available for BPD and other disorders. By default, families often are the only alternative available to handle crisis situations since some individuals with BPD refuse to participate in therapy, have dropped out of therapy, or appropriate BPD services are not available in their communities. With an understanding of BPD, social support, and appropriate training, families can potentially develop as adjuncts and that can help improve treatment outcome

Congenital cholesteatoma in siblings

2013 ◽  
Vol 127 (11) ◽  
pp. 1143-1144 ◽  
Author(s):  
L D Landegger ◽  
M S Cohen
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Family History ◽  
Physical Examination ◽  
Age At Onset ◽  
Family Members ◽  
Initial Presentation ◽  
Congenital Cholesteatoma ◽  
The Family ◽  
Hereditary Factors

AbstractIntroduction:The exact aetiology of congenital cholesteatoma, the less common form of this destructive disease, is still under debate.Case report:A two-year-old boy was referred to paediatric otolaryngology with persistent, bloody, left-sided otorrhoea refractory to oral and ototopical antibiotics. Prior to its onset at age 16 months, all ear examinations on the affected side were normal. Physical examination, imaging with computed tomography and eventual tympanomastoidectomy revealed extensive cholesteatoma. The extent of the disease, age at onset of symptoms and absence of otological disease before initial presentation suggested the diagnosis of congenital cholesteatoma. Review of the family history revealed that the patient's older brother had undergone tympanomastoidectomy for a small, well-encapsulated, mesotympanic congenital cholesteatoma at two years of age.Discussion:This case joins a single, previous report describing congenital cholesteatoma in multiple family members, suggesting that in some cases, hereditary factors may play a role in the formation of the disease.

Family, Loss, and Change

2018 ◽  
pp. 221-232
Author(s):  
Katherine R. Allen
Keyword(s):  
Nuclear Family ◽  
Extended Family ◽  
Family Members ◽  
Relationship Dissolution ◽  
Same Sex ◽  
The Family ◽  
Family Loss ◽  
Legal Marriage

Same-sex relationship dissolution has reverberations for individuals beyond the nuclear family. This chapter discusses a lesbian-parent family, consisting of two moms and two kids—when it broke up nearly two decades ago, many other family members, including the donor and his husband, were deeply affected. This chapter reflects on this experience from the author’s perspective of a family scholar and an activist for LGBTQ family rights. In the absence of legal marriage and thus legal divorce, family lives turned out in ways that even the most careful, deliberate efforts could not anticipate nor protect. The experiences described highlight many losses and regrets, despite the intentional love and concern for all of the parents, children, and extended family members involved. These reflections on this experience are intended to honor the family as it once was and the families they have become.

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