Family Case Study Learning Outcomes
1. Structure and Function of the family and how it has responded to change
Family Tree?
Family
Offspring, Grandchildren?
Do they live nearby?
How often do they visit?
Who lives with them?
Spouse? Widow? Widower? Single? Divorced?
Disability?
Cared for or Carer?
Walking aids?
Wheelchair bound?
Life Changes
Health problems?
New child?
Deaths?
Brief, generalized life story
Where they grew up, locally?, abroad?
Major life events
age?
Health
Main health problems?
Family history of certain disease?
Health of newborn child?
How do these affect daily life?
2. Describe the cultural and social environment of the family and how this affects their health and contact with the health service
Employment
Volunteer work?
Current job status?, Unemployed?, How long for?, Why? Through choice?, Housewife?, Redundancy?, Employed?, What kind of work?, manual labour?, Retired?, why? and how long for?, ill health?, reached retirement age?, could afford to?, Volunteer?, New node
Schooling
university?
primary &/or secondary, grammar?, state?, private
apprenticeships?
Social
pub-goer?, How many units a week?, smoker?
social clubs?, volunteering?, what kind?
exercise?, sports, gym, running/walking?, Would they consider themselves & their family physically 'fit and healthy' or not?
church?, attend regularly?, participate in weekly activities?
circle of friends?
leisure, holidays?, New node
Socio-economic status
Mostly observed/interpreted?, AMC: I think this is an important point. We're not trying to make associations between income or social class and health hebaviours in the FCS, but to understand how the family understand their own health (outcomes, decisions and behaviours) are related to their circumstances.
health
Where is there GPs?
Where is local pharmacy?
transport
Do they own a car?
bus? bus passes for OAPs
bicycle
other?
How do these factors affect their health or vice versa?
3. Describe the health behaviours of the family and how the family makes decisions about health
Smoker?
yes, how many a day?, why?, how long for?, trying to quit?
no, thoughts on smoking?
Smoked previously, why did they give up?, pregnancy?, ill health?, how did they give up?, how long did they smoke for and at what age?
Alcohol
yes, why?, how often?, how much?, alcoholism?
sometimes, why?, how often?, how much?
teetotal, why?, how long for?
Exercise
Do they exercise?, Yes, how often?, What kind?, gym?, sports club?, sports team?, Where?, No, Why not?, Personal opinions?, Is it that it's physically impossible?
Diet
type, vegetarian?, vegan?, other form?
dieting?
Dietary insufficiencies?
dietary supplements?
balanced diet? or poor diet?
Diabetic?
Eating disorders?
4. Describe the family’s opinions of support available from the health service including members of the primary health care team and how the family uses these services.
What Transport is available?
How far is your nearest GP surgery/pharmacy etc.?
Do you drive/use bus/taxi? If you had a car would you go more often or if it was closer?
What time do they have to get there?
Does time affect their decision to go to the GP?
have you vere put off visiting the gp because of it being an inconvenience?
What is the availability of the health services like?
Do they or have they had home visits? Would they use home visits?
How often do they use health care?
How well do you know your GP?
Do they know where their primary health care services are, how to contact them and that they have a choice of practice?
Knowledge of Catchment areas
What might be a typical incidence that would make them visit their GP?
Do the men or the women tend to visit more often?
What is the ease of access like? Is there parking and is it free and nearby?
What do you do for the Pharmacy? Do you use the pharmacy often for non-prescription medications? Do you ask the Pharmacist for health care advice?
Do you know what primary care is and who is part of your primary health care team?
How do you make an appointment? Phone (opening hours convenient?) Email, online or do you go in to book? Would being able to book more easily affect how often you went? Would you prefer a first come first served syste,?
What do you think about the distribution of health care resources (if they live rurally the resources are scarcer and the need is often greater)?
Hospital
Which hospital?, Heath?, Llandough, Llantrissant
Why?, In patient, Out patient, clinic, A&E
Come into contact with Medical Students?
Opinion of time in hospital?
Gps
Where?
How well do you know them?
How long have you been at current GP?
How do you get there?
What other services do they provide?, e.g. Flu jab
Nursing Home
Pharmacy
NHS
opinion of the NHS
Best and worst experiences?
Other support Services
Private healthcare?
Health insurance?
5. Describe the other sources of support and information on health matters that the family have available.
When you were last unwell who did you first contact?
NHS Direct, What was this like?, Did you have to wait long?
Pharmacist
Leaflets?
Pharmacy?
GPs?
Books?
Word of Mouth?
Internet?
Search engine?
reputable site?
Gp
Personal experience?
Are they a healthcare worker themselves?
