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Current Trends in Family
Practice in Sri Lanka
Dr. K. Arulanandem
Lecturer
Dept. of Primary Health Care
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What is Family Practice
Professional discipline with appreciation ofunique relationship
Patient centered, evidence based, familyfocused and problem oriented
Significant unit of care with Professionalconfidentiality and responsibility
Scope is dynamic, expanding
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Cont
Clinical picture is not just a
photograph of a man in bed but
Family practice as an essential link in
the Health Care System
Care of the patient is completely
personal but
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Cont
Meeting rapid technological advances
for changing patterns of illnesses
Accepting the changes in concepts in
health care systems, globalization and
urbanization
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Cont.
Focusing - key issues
Negotiating plans
Helping solve problems by sharing
responsibilities
Mutual respect is a key principle
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What do Patients expect?
Welcome mutual recognition and trust
Attend with ideas and concerns about
illnesses
Prefer comprehensive, continuous and
compassionate care
Expect attentive concern and love
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Common Problems in Family
practiceNewborn to very old patients
Pre marital and behavioral issues
Antenatal and post natal problems
Patients with open and hidden agendas
Acute, chronic infectious diseases andnon communicable diseases /Chronic
Injuries and emergencies
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Cont
Child and elder abuse cases
Drug and sex abuse problems
Personal and family conflicts
Caring and caregivers problems
Financial strains and health assistance
Referrals of clients and coordination
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Exploring .
Individuals feelings
Familys strengths and weaknesses
Communitys structure and culture
Disease distribution and ice berg
phenomenon
Home remedies and health seeking
behaviors of patients
Dietary habits and nutrition
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Challenges in family practice
Making clear clinical decisions
Filtering beliefs ,values and norms
Understanding backgrounds and bonds
Patients agenda and Doctors agenda
Implementing preventive strategies
Breaking bad newsPreventing Doctor shopping
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Advantages of Family Practice
Single personal Physician ensuresmost logical and economicalmanagement of a problem
Special responsibility for the health ofthe community
Unique consultation process/ effectivecommunication
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Roles of family practitioner
Trusted care provider
Health manager
Effective communicator
Family and community leader
Family friend and counselor
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Family- Based Medical Counseling-
BATHE technique Background situation Patients Affect
Most Troubling for the patient
Manner of Handling
Empathy
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Summary
Patient as a whole person
Family is a living unit and basicsocial group of society
Concept of primary care in the
context of patient in community
Mutual recognition and trust areessential
Current trends in the complexworld of health care in this newcentury need to be understood
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Family Medicine.(Family Practice)(Physical, Psychological, Social,Individual, Family, Community)
ClinicalMedicine
(Curative).
CommunityMedicine.
(Preventive)
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Before ending
Successis never final
Failureis never fatal
Courageis what counts
Sir Winston Churchill
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The Future depends on
what we do in thePresent
Mahatma Gandhi
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Thank you!07.01.2012