Professional Documents
Culture Documents
ILLNESS
ON THE FAMILY
(dampak sakit thd kelg)
Tim FOME
Fakultas Kedokteran Universitas Andalas
1/9
The good physician treats the disease; the great
physician treats the patient who has the disease
(mngobati peny><mngobati org yg sakit)
Onset of symptoms
Reaction to diagnosis
Major therapeutic efforts (upaya th/utama)
Early adjustment to outcome
(pnyesuaian awal thd sakit)
Adjustment to permanency of the
outcome (pnyesuaian thd hsil akhir)
Stage 1: Onset of symptoms
Experience prior to Lessons for MD:
contact with MD Explore explanatory
Issues on acute vs model and fear of patients
chronic onset Acknowledge and explore
possible conflict
Characteristics of Explore aspects of
experience prediagnosis phase
Impact on family
Stage 2: Impact phase, reaction to
diagnosis
Emotional Plane Cognitive plane
Onset Phase 1: Tension/
Emotional upheaval Confusion
(prgolakn emosi)
Phase 2: Increased
Accommodation
tension/ depression
(pnyesuaian)
Phase 3: Acceptance
Stage 2: Impact phase, reaction to diagnosis
Permanent
Stage 5: Adjustment to permanency of
the outcome
Second crisis
Acceptance of
outcome
For MD:
Help family cope
Economic Impact of Illness
Emotional trauma
Social dislocation
Economic catastrophe
Categorization of chronic illness
Roland
Time phases of chronic illness
Crisis phase
Chronic phase
Terminal
phase
Health seeking process
Role shift
Chrisman, modified
Caring without science is well-intentioned
kindness, but not medicine. On the other hand,
science without caring empties medicine of
healing and negates the great potential of an
ancient profession. The two complement and
are essential to the art of doctoring.