Community orientation – Social problems

1. Community orientation – Social problems

2. Social problems – background One of the main problems High percentage of patients in our practice with these problems Difficult to manage Insufficient support services other medical Consequences on: individual, family and community health status

3. Social problems – timetable Learners – GP trainees Time period – 3 days course

4. Social problems – objectives At the of this module the trainee will be able to • Define “social problem” • Recognize the community social problems what are the problems? • Measure the major problems how serious are they? • Be aware of the consequences on health why is it important? • Know his role on SP management

5. Family violence – Role-Play Scenario Female abused by her husband Participants Actor or another person Trainee Observers (trainer, other trainees..) Material Vignette Video camera

6. Family violence – Role-Play Patient Role You are a 45 years old housewife woman, married 15 years ago Two children Your husband is 48 years old, lorry driver, alcoholic Every week, when he arrives home, he is very drunk and beats you and hurts your feelings swearing and cursing He makes you feel useless, under valuated, incompetent, unattractive, not desired Physical appearance Sun glasses, bruises covered with make-up, hands trembling, one word, short hardly audible answers Looks ashamed

7. Family violence – Role-Play Physical appearance Sun glasses, bruises covered with make-up, hands trembling, one word, short hardly audible answers Looks ashamed Open problems Headache, insomnia Wants a sleeping pill

8. Role-Play assessment • Criteria for assessment • Failing grade: the trainee fails to recognize family violence and gives medication • Passing grade: the trainee recognizes the signs • Distinction: the trainee assesses patient safety, refers patient to shelter, raises issue of reporting to police and interviews in a non judgemental manner