MEDICO – SOCIAL CASE

FORMAT OF
PRESENTATION
• What we see is an individual
• There are a host of factors which
determine the actual occurrence of any
health problem
– Exposure
– Initiation
– Perpetuation
– Termination
 The web of interaction
• Individual

• The family Workplace

• Immediately Friends
proximate Community

• Community at large
 Factors Within the Individual
• Age,gender
• Marital status
• Genetic and familial factors
• Education
• Occupation
• Protection level
• Lifestyle
• K A P regards diseases / prevention
• Attitude towards Health Care System
• Emotive state
– As regards the condition
– As regards course / management / rehab
Factors in the family / workplace

• Social Environment
• Physical environment
• Psycho – Emotive
• Workplace
Factors in the family / workplace
: SOCIAL FACTORS
• Type • KAP towards disease
• Organisation & prevention / lifestyle
Composition • Health Care services
• Religion / caste – Availability
• Education – Accessibility
• Occupation – Affordability
– Quality
• Income
– Utilisation
• SES
• Social Aberrations –
promiscuity, alcohol,
delinquemcy
Factors in the family / workplace
: PHYSICAL FACTORS

• Housing: General, area & space,

Ventilation, Overcrowding, lighting,
other comforts
• Water Sup
• Waste disposal
• Food hygiene
• Nutrition
• Vectors
Factors in the family / workplace
: PSYCHO-EMOTIVE FACTORS

• Interactions / Bondages
– Between family members
– With Index Case
– Impact of the disease on the family
• family Support System
– Understanding of the problem
– Readiness to provide “support”
• Care provider within family
Factors in the family / workplace
: WORK-PLACE FACTORS

• General description (incl School)

• Attitude AND Support (Emotional,
Physical, Financial) on part of
– Employers / Superiors
– Colleagues
– Subordinates
 Factors in the Immediate
Community
• General description • Availability of
(Income, Occup, Support Systems
Housing, Edn, – Health care
Aberrations) – School / Special
• Cohesiveness within School
– NGOs / Voluntary
• Interactions with family Bodies
members & Index Case
– Organised Public
• Gen attitude of Health
Community towards • Internal political will
disease prevn / health and external
affluence / influence
 Factors in the Community at
Large
• General Attitude
– Towards Health / Disease Prevn / Rehab
– Towards Disease in question
• Availability of treatment facilities
• Availability of Rehabilitation facilities
• Legal provisions
• Availability of VHAs / NGOs
 Summarize
• What are the “KEY ISSUES” regarding
Management & Rehabilitation
– major weaknesses to be overcome
– major strengths (analyse support systems
– Physical, Social, Vocational, Emotional,
Financial)
– Major Opportunities & Threats
 Summarize
• What is the “Social Pathology” : The
major “Weaknesses” ;
• Eg; “Alcoholism in family” with “Poor
purchasing power” with “ Adverse
attitudes towards the girl child”
 Summarize
• What is the “Social Diagnosis” : The
adverse psycho-social affects that the
major “Weaknesses” would lead to :
• Eg; “ Gross Physical handicap with
Poor Rehabilitation facilities with
Broken family and adversely
predisposed community”
 The Plan of Management &
Social therapy
• While writing the Objectives,
meticulously consider the
– SWOT
– Support systems
– Social Pathologies & Diagnosis
• Write down what all
– Should be done
– can be done (“DO-ABILITY” analysis)
 The Plan of Management &
Social therapy
• What are the “Objectives” in this case
• WHAT IS THE ACTUAL PLAN
– Medical
– Prevention of Other Diseases / Healthy life
– Disability Limitation
– Vocational rehab – job, edn
– Emotional Rehab
– Physical and financial support
– Plan of management for the family
members