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Creating A Genogram

Creating A Genogram. Lab Activity. General learning objective Upon completing this session, the student should be able to create a genogram of patient and family Specific learning objective Explain the function of genogram Describe the steps in creating a genogram

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Creating A Genogram

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  1. Creating A Genogram Lab Activity

  2. General learning objective Upon completing this session, the student should be able to create a genogram of patient and family • Specific learning objective • Explain the function of genogram • Describe the steps in creating a genogram • Interpret a given genogram • Given a case, create a genogram objective

  3. Task: Please interpret this genogram! Gogon’s Family As of November 1, 2011 D= 2000 Jenny 65 Jecko 72 Memet 65 xxx Gogon, 43 1995 Seni, 45 Nunik, 40 Pre Test Yuni, 10 Raffi, 13

  4. Red line: living together on week days Green line: living together on weekends Use of genogram in clinical practice

  5. Genogram The genogram is a biopsychosocial family tree. It records the family in its life cycle, family illnesses and relationships. Definition

  6. Function of genogram The uses of genogram are threefold: • as a quick overview of the interrelationships between family members • as a way of looking at the family medical and psychosocial problems • as a tool for understanding the multigenerational family systems function

  7. date of divorce d male D Date of death female abortion or miscarriage Sex not specified Induced abortion Deceased/death Pregnancy-child in utero A Adopted female Dizygotic twins Standardized Symbols used in Family Genograms b date of birth Monozygotic Twins m date of marriage

  8. 1989 1989 1992 1992 Close relationship married and year 1989 Family living together Separation and year 1990 Divorce and year Standardized Symbols used in Family Genograms Unmarried relationship Conflictual relationship Distance relationship

  9. Symbols of diseases or situation Obesity ♥ ♥ Heart disease Allergy Stroke Alcoholism xxx xxx   Depression Asthma Standardized Symbols used in Family Genograms War Casualty Hypertension

  10. Commonly used Abbreviations

  11. Symbols • Three or more generations • The name of family • A listing of the first born of each family to the left, with siblings listed sequentially to the right • The names of all family member • Age or year of birth of all family members • Any deaths, incl. age of death and cause • Dates of marriages and divorces Bakri, as of 8 April 2010 1969 Ardi,68 I Nia,64 1970 II GENOGRAM COMPONENTS III

  12. 9. Significant diseases or problems of family members 10. Indication of members living together in the same household 11. A key depicting all symbols used 12. Symbols selected for simplicity and maximum visibility Bakri, as of 8 April 2010 1969 Ardi,68 I Nia,64 1970 II GENOGRAM COMPONENTS III

  13. Interpretation: From the life cycle perspective…. From type of family… From the psychodynamic…. The risk factors…….. Interpretation

  14. TaskDivide class into 8 groups

  15. Bobby’s Family As of October 9, 2011  D= 2004, Female cancer Ani, 54 M= 1972 Susilo , 67 xxx Task 1: (group of 5 students)Interpret a given genogram! Andre, 35 Lusi, 33, Fibroadenoma mammae Ratna, 36 Bobby, 37 Widodo, 25 Ina, 12 Ima, 5

  16. Case 3.1 • Alice is a 36-year-old single woman was diagnosed with eczema. Her brother, 25 years old had asthma. She has one big brother and 2 youngest sisters. No other family members have had asthma. Her father died at age 61 years old and her mother is post acute myocardial infarction patient. In a maternal aunt, breast cancer developed. Task 3: (group of 5-8 students)Create a genogram from a given case!

  17. Case 3.2 • Mrs. Marni, is a 34-year-old woman was diagnosed with headache and injury in her shoulder. Her husband and 3 children (boy (12), and twin girls (5)) also are seen at the clinic. Two of children (boy and one of the twin) have been diagnosed as attention-deficit/ hyperactivity disorder (ADHD). Her husband has been treated for depression and high blood pressure. Further questioning • Her father had hypertension and her mother had migraine. Both are still alive. • She lives with her husband and her children. She has conflict with her husband and experienced domestic violence. • She is worry about her son because he is always rebelling to his father and influencing her sisters to do so.

  18. Case 3.3 Jojon is a 44-year-old man was diagnosed with chronic obstructive lung disease. His parents are living and both have type 2 diabetes. He has two siblings, both older brothers. One of his brothers died because of traffic accident. His wife died because of alcohol intoxication. He had overt close relationship with his wife. They have no children. He is living alone in his house.

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