Po1141 And If We Heard The Caregiver. . . ?

Eduarda Rocha1, Andrea Rodrigues2 e Sofia Oliveira1
1USF Egas Moniz; 2USF Egas Moniz - ACES Entre o Douro e Vouga I
Background: The approach to the patient based on the biopsychosocial context features the Family Medicine. It is the relationship that is established between doctor/ patient/ caregiver that contributes to the identification and diagnosis of potentially threatening conditions. The Primary Health Care have a prominent position, allowing the practice of a global medicine, targeted to the individual, family and community. The aim of this case report is to alert health professionals to the importance of "listening" as a basis for decision making.
Case description: 77 year old man, incorporates an extended family, middle class Graffar. Personal history of type 2 diabetes, hypertension and chronic alcohol abuse. He went to Emergency Room led by his daughter, because she noticed progressive changes in his behaviour. The participation in consultation by the daughter was refused, despite her insistence. The patient only reported knee pain. He did an Xray that was normal and he was discharged. The next day, before the unexpected death of his wife, the patient revealed an alienated and indifferent attitude. He was then brought to his family doctor, who got a thorough medical history from the caregiver and immediately referenced to the Secondary Health Care. In the hospital, the patient was admitted with the diagnosis of subdural haematoma.
Conclusion: This case emphasizes the importance of an extensive medical history, as well as the importance that acquires the family and, in particular, the caregiver in the patient’s approach and orientation: more than listen, we need to know who to listen to, recognizing holistic modelling as a fundamental pillar of Family Medicine.
Family Medicine; Caregiver; Holistic Modelling.