Understanding the family dynamics in the process health - disease and intervention for family health team: a case study

Abstract

This is a case study of a family whose leader was overburdened as the family carer and a
worsening of depression of another member, leading to a disorder of the family dynamics. The
aim of this study was to understand relevant aspects of the family in the health-disease process,
through the use of family approach tools, and suggesting solutions for the family leading them to
the redefinition of their dynamics, aiming in promoting dialogue and the care organization through
Family Conference. The access to family was carried out by applying the approach tools: interview,
genogram, ecomap, FIRO (Fundamental Interpersonal Relations Orientation) and PRACTICE
(Problem, Roles, Affect, Communication, Time, Illness, Coping, Ecology). After the diagnosis, the
Family Conference was conducted. It was concluded that the use of the approach tools was
essential to better understand the changes and family dynamics, and the Conference was proved
to be an effective way of intervention, being able to solve the demands of family, leading it back it
to the organization of the care.