FAMILY APGAR PART I

Criteria Questions Elias’ Response

Almost Some Hardly ever
always of the (0)
(2) time
(1)
ADAPTATION 1. When something is troubling
me, I am satisfied that I can turn to
my family for help by means of
money, advice/moral support, and
spiritual guidance.
PARTNERSHIP 2. I am satisfied with the way my
family talks on things with me.
3. I am satisfied with the way my
family talks to me about problems
and their possible solutions.
GROWTH 4. I am satisfied that my family
accepts my wishes to take on new
activities or directions.
5. I am satisfied that my family
supports my wishes to take on new
activities or directions.
AFFECTION 6. I am satisfied with the way my
family accepts and values to my
emotions such as love, joy, anger,
sorrow, others.
7. I am satisfied with the way my
family expresses love and
affection for each other.
RESOLVE 8. I am satisfied with my
relationship with my spouse and
children.
Total 10
Average Highly Functional

APGAR Score:

8.10 Highly functional

4.7 Moderately dysfunctional
0-3 Severely dysfunctional
 FAMILY APGAR PART I
Criteria Questions Ronald’s Response
Almost Some Hardly ever
always of the (0)
(2) time
(1)
ADAPTATION 1. When something is troubling
me, I am satisfied that I can turn to
my family for help by means of
money, advice/moral support, and
spiritual guidance.
PARTNERSHIP 2. I am satisfied with the way my
family talks on things with me.
3. I am satisfied with the way my
family talks to me about problems
and their possible solutions.
GROWTH 4. I am satisfied that my family
accepts my wishes to take on new
activities or directions.
5. I am satisfied that my family
supports my wishes to take on new
activities or directions.
AFFECTION 6. I am satisfied with the way my
family accepts and values to my
emotions such as love, joy, anger,
sorrow, others.
7. I am satisfied with the way my
family expresses love and
affection for each other.
RESOLVE 8. I am satisfied with my
relationship with my spouse and
children.
Total 9
Average Highly Functional

APGAR Score:

8.11 Highly functional

4.8 Moderately dysfunctional
0-3 Severely dysfunctional
 FAMILY RESOURCES: SCREEM

SCREEM is a tool which may be used to assess the resources that are available to
the family.
RESOURCES PATHOLOGY
SOCIAL A good social interaction and communication exist None
within the household. The family interacts socially identified
with relatives, friends, and co-workers. The family
belongs to Born-Again denomination, which is an
additional source of support and social relations. The
family verbalizes needs and problems with each other.

CULTURAL Both the families of Elias and Magdalena hail from None
Tarlac, and do not suffer from ethnic or cultural identified
inferiority.
RELIGION Although the couple were raised as Catholics and the None
children were brought up as such, the family found identified
renewed faith as Born-Again Christians since 1986.
As much as possible, they try to attend Bible studies
and prayer meetings as religiously as they can. Their
church pastor would often visit them. At present, they
are hanging on to their strong faith. They firmly
believe that it is during times of adversities when God
showers most of his love and blessings. For them,
their faith offers a satisfying spiritual sanctuary.
ECONOMICS Main income comes from the store own by the family. None
Additional expenses come from the children who are identified
financially successful in their jobs. The family
identifies no problems in meeting the medical
demands of the patient and their household expenses.
EDUCATION The family is well-educated and is equipped to handle None
AL life with the ability to solve and comprehend most of identified
the problems that arise within the lifestyle that they
chose. Their education are adequate to understand
Arnel’s present condition.
MEDICAL Although most illnesses (as long as the family None
considers them to be minor) are dealt with at home, identified
without any help from medical personnel, the family
does not hesitate to seek help for medical problems
that they feel they cannot handle by consulting local
doctors or nearby hospitals. For Arnel, adequate
medical support is given, with regular visits from his
physician and care by a private nurse and physical
therapist.
Score keluarga

A = Adaptation (Adaptasi)
P = Partnership (Kemitraan)
G = Growth (Pertumbuhan)
A = Affection (Kasih saying)
R = Resolve (Kebersamaan)

Adaptasi
Tingkat kepuasan anggota keluarga dalam menerima
bantuan yang diperlukannya dari anggota keluarga lainnya

Kemitraan
Tingkat kepuasan anggota keluarga terhadap
berkomunikasi, urun rembug dalam mengambil suatu
keputusan dan atau menyelesaikan suatu masalah

Pertumbuhan
Tingkat kepuasan anggota keluarga terhadap kebebasan
yang diberikan dalam mematangkan pertumbuhan dan atau
kedewasaan

Kasih Sayang
Tingkat kepuasan anggota keluarga terhadap kasih
sayang serta interaksi emosional

Kebersamaan
Tingkat kepuasan anggota keluarga terhadap
kebersamaan dalam membagi waktu, kekayaan dan ruang
antar anggota keluarga
 FAMILY LIFE CYCLE
(Carter & Mc Goldrick, 1980)

NO STAGE TASK HEALTH

IMPLICATIONS
1. Leaving home  Establishing personal  Episodic medical problems
independence
 Beginning emotional  STDs
separation from parents
 Unwanted pregnancy

2. Newly married  Establishing intimate  Early pregnancy

couple relationship with spouse
 Developing further the  STDs
emotional separation from
parents
 Infertility
 Gynaecologic
problems

3. Family with  Opening the family to include a  Accidents

young children new member
 Dividing the parenting role  Poisoning
 Metal retardation
 Behavioural
problems

4. Family with  Increasing the flexibility of the  Drug and other substance
adolescents family boundaries to allow the abuse
adolescents to move in and out
of the system (independence)
 STDs
 Gynaecologic
problems
 Skin diseases
 Menstrual problems
 Circumcision

5. Launching  Accepting multitude of exits  Pre/post menopausal

family from and entries into the family syndromes
system.
  Adjusting to the ending of  Degenerative diseases
parenting roles.
 Malignancies

6. Family in later  Adjusting to the ending of the  Degenerative diseases

life wage-earning roles
 Dealing with lessening abilities  Chronic illnesses
and greater dependence on
others
 Dealing with losses of  Malignancies
friends, family members and
eventually, each other.
 Gynaecologic/urologi
c problems