6. APGAR A – adaptation Capability to utilize and share resources P – partnership Solving problems by communicating G – growth Freedom to grow and change A – affection Intimacy and emotional interaction in the family R – Resolve Commitment by other members to the family
7.
8. APGAR Scoring: Almost always – 2 Some of the time – 1 Hardly ever – 0 Total : 8-10 – highly functional 4-7 – moderately dysfunctional 0-3 – severely dysfunctional
9. SCREEM Sources of help Barriers to patient care Relationships of health behavior, practices and utilization of health services
10.
11. Family Map Applications of the Family Systems Concept Characteristics : members Structure: boundaries, alliances, coalition Process: enmeshment, disengagement Across time: intergenerational coalitions