ID-5184 Wonca Abstracts supplement A-K 13-10-23 - Flipbook - Page 40
WONCA 2023 Supplement 1: WONCA 2023 abstracts (A–K)
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From silence to storm: Dealing with a Filipino family through
grief and crisis
Dr Divina Grace Ang
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Philippine General Hospital – Department of Family and Community Medicine
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Background
Type 2 diabetes is a widespread condition characterised by a long and relatively asymptomatic phase
with rapid deterioration due to end organ damage and complications. This case study presents a
Filipino family dealing with crisis due to a family member’s acute illness and rapid deterioration and
how a patient-centred, family-focused and community-oriented approach can help patients and their
family manoeuvre through the treatment of a rapidly progressing disease process.
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Method
Case study
Results
The case highlights how a moderately dysfunctional, low-income nuclear family cares for a sick
member and how adjustments in resource provision and social support help guide them through
crisis and grief in the context of the Filipino health system.
Conclusion
Family physicians must be able to provide families with knowledge about disease sequelae, facilitate
timely referrals for the complex condition and recognise the available social determinants of health to
provide guidance in resource mobilisation. Family-focused care must also be practised through the
recognition of the response of the family towards illness and offer anticipatory care to changes in the
family system and introduce psychological support for families such as crisis and grief counselling.
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