The patient has a family! Individualised care from a systemic perspective
Authors:
D. Skorunka
Authors‘ workplace:
Lékařská fakulta Univerzity Karlovy v Hradci Králové, Ústav sociálního lékařství, Přednosta: doc. MUDr. Svatopluk Býma, CSc.
Published in:
Prakt. Lék. 2018; 98(1): 18-25
Category:
Of different specialties
Overview
The article describes a concept of individualised care from systemic perspective. Systemic perspective is one of important theoretical resources for application of bio-psycho-social model in medicine. It widens the physicians’ lens and brings in the patient’s family, which can be either a source of support for the ill member or a source of additional distress. The family may significantly affect the patient’s health and illness behaviour, his/her attitude towards treatment and collaboration with physicians and other health care professionals. On the other hand, any disease in general, chronic and/or serious one in particular, affects family relationships and family functioning. In the article, we focus on basic assumptions and principles of systemic perspective regarding individualised care. Connections among family processes, health and illness including some research evidence are mentioned. The importance of the patient’s family engagement in the treatment is emphasized. Various aspects and forms of interdisciplinary collaboration based on systemic perspective are described.
Keywords:
individualised care – systemic perspective – patient – family – medical family therapy – interdisciplinary collaboration
Sources
1. Asen E, Tomson D, Young V, Tomson P. Ten minutes for the family; systemic interventions in primary care. London: Routledge 2004.
2. Brämberg EB, Dahlborg-Lyckhage E, Määttä S. Lack of individualized perspective: a qualitative tudy of diabetes care for immigrants in Sweden. Nurs Health Sci 2012; 14(2): 244–249.
3. Býma S, Seifert B, Král N. Výzkum názorů a postojů občanů České republiky k všeobecným praktickým lékařům. Prakt. Lék. 2017; 97(5): 217–222.
4. Crittenden P, Dallos R. All in the family: integrating attachment and family systems theory. Clin Child Psychol Psychiatry 2009; 14(3): 389–409.
5. Dube SR, Felitti VJ, Dong M, et al. The impact of adverse childhood experiences on health problems: evidence from four birth cohorts dating back to 1900. Prev Med 2003; 37(3): 268–277.
6. Engel G. The need for a new medical model: a challenge for biomedicine. Science 1977; 196(4286): 129–136.
7. Fagundes CHP, Bennet JM, Derry HM, Kiecolt-Glaser JK. Relationships and inflammation across the life span; social developmental pathways to disease. Soc Personal Psychol Compass 2011; 5(11): 891–903.
8. Felitti V. Adverse childhood experiences and adult health. Acad Pediatr 2009; 9(3): 131–132.
9. Chvála V, Trapková L, Skorunka D. Social uterus; a developmental concept in family therapy for psychosomatic problems. Contemp Fam Ther 2012; 34: 293–312.
10. Chvála V, Honzák R, Masner O, a kol. Psychosomatické poruchy a lékařsky nevysvětlené příznaky. Psychosom 2015; 8(4): 240–269.
11. Jambunathan J, Chappy S, Siebers JJ, Deda A. Patient-centred care for chronic pain in the emergency department; a qualitative study. Int Emerg Nurs 2016; 24: 22–27.
12. Kiecolt-Glaser JK, Loving TJ, Stowell JR, et al. Hostile marital interactions, proinflammatory cytokine production, and wound healing. Arch Gen Psychiatry 2005; 62(12): 1377–1384.
13. Karr-Morse R, Wiley MS. Scared sick. The role of childhood trauma in adult disease. New York: Basic Books 2012.
14. Keating MA, McDermott AM, Montgomery K. Patient-centred health care; achieving coordination, communication, and innovation. London: Palgrave Macmillan 2014.
15. Langmeier J, Balcar K, Špitz J. Dětská psychoterapie. Praha: Portál 2000.
16. Launer J, Lindsey C. Training for systemic general practice: a new approach from the Tavistock Clinic. Br J Gen Pract 1997; 47(420): 543–456.
17. Launer J. Narratives in primary care. In: Vetere A, Dowling E. (eds.). Narrative approaches to therapy with children and families. London: Brunner Routledge 2005.
18. Loew TH. Psychosomatika je vynikající pole pro výzkum. Psychosom 2015; 8(3): 204–212.
19. Luxford K, Gelb Safran D, Del Banco T. Promoting patient centered care: a qualitative study of facilitators and barriers in healthcare organizations with a reputation for improving patient experience. Int J Qual Health Care 2011; 23(5): 510–515.
20. Mareš J. Péče zaměřená na pacienta: obecné aspekty a terminologické problémy. Prakt. Lék. 2017; 97(3): 99–108.
21. Mareš J. Cesta k individualizované péči. In: Mareš J, a kol. Péče zaměřená na zvláštnosti pacienta. Brno: MSD 2016; 15–22.
22. Marlowe D, Hodgson J, Lamson A, et al. Medical family therapy in a primary care setting: a framework for integration. Contemp Fam Ther 2012; 34: 244–258.
23. McDaniel S, Doherty W, Hepworth J. Medical family therapy and integrated care. 2nd Ed. Washington: APA 2014.
24. Miles A, Loughlin M. Models in the balance: evidence-based medicine versus evidence-informed individualized care. J Eval Clin Pract 2011; 17(4): 531–536.
25. Netík V, Skorunka D. Psychologické aspekty maligních vasovagálních synkop. Prakt. Lék. 2015; 95(6): 272–275.
26. Peppercorn JM, Smith TJ, Helft PR, et al. American Society of Clinical Oncology Statement: toward individualized care for patients with advanced cancer. J Clin Oncol 2011; 29(6): 755–760.
27. Ptáček R, Bartůněk P, a kol. Etika a komunikace v medicíně. Praha: Grada Publishing 2011.
28. Rodriuez-Martin B, Martínez-Andrés M, Cervera-Monteagudo B, et al. Perception of quality of care among residents of public nursing homes in Spain: a grounded theory study. BMC Geriatr 2013; 13(65): 1471–2318.
29. Roland J. Families, illness, and disability. An integrative treatment model. New York: Basic Books 1994.
30. Seifert B. Význam doporučeného postupu Psychosomatické poruchy a lékařsky nevysvětlitelné příznaky pro všeobecné praktické lékaře a jejich pacienty. 16. konference psychosomatické medicíny. Liberec 9–11. 6. 2016.
31. Seikkula J, Arnkill TE. Dialogical meetings in social networks. London: Karnac 2006.
32. Schweitzer J, von Schlippe A. Systemická terapie a poradenství. Brno: Cesta 2001.
33. Siegel D. The developing mind. New York: Guilford 2012.
34. Skorunka D. Narativní perspektiva v medicíně. Prakt. Lék. 2012; 92(7): 383–389.
35. Skorunka D. Kdy(ž) se dialog nedaří. Psychoterapie 2013; 7(3–4): 172–186.
36. Skorunka D. Porucha nebo něco jiného? Psychosomatický přístup v ambulantní psychiatrické praxi. Psychiatr. praxi 2015; 16(3): 96–100.
37. Trapková L, Chvála V. Rodinná terapie psychosomatických poruch. Praha: Portál 2004.
38. Von Schlippe A. Talking about asthma: the semantic environments of physical disease. Fam Sys Health 2001; 19(3): 251–262.
39. Vymětal J. Lékařská psychologie. Praha: Portál 2000.
Labels
General practitioner for children and adolescents General practitioner for adultsArticle was published in
General Practitioner
2018 Issue 1
Most read in this issue
- Acute renal failure and acute kidney injury
- Violence and aggression to professionals in healthcare facilities
- The current view of carbon monoxide poisoning in the Czech Republic
- The patient has a family! Individualised care from a systemic perspective