Creating a genogram
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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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Creating a genogram

Creating A Genogram

Lab Activity


Objective

  • 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


Pre test

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


Use of genogram in clinical practice

Red line: living together on week days

Green line: living together on weekends

Use of genogram in clinical practice


Definition

  • Genogram

    The genogram is a biopsychosocial family tree.

    It records the family in its life cycle, family illnesses and relationships.

Definition


Function

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


Standardized symbols used in family genograms

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


Standardized symbols used in family genograms1

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


Standardized symbols used in family genograms2

Symbols of diseases or situation

Obesity

Heart disease

Allergy

Stroke

Alcoholism

xxx

xxx

Depression

Asthma

Standardized Symbols used in Family Genograms

War Casualty

Hypertension


Commonly used abbreviations

Commonly used Abbreviations


Genogram components

  • 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


Genogram components1

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


Interpretation

Interpretation:

From the life cycle perspective….

From type of family…

From the psychodynamic….

The risk factors……..

Interpretation


Task d ivide class into 8 groups

TaskDivide class into 8 groups


Task 1 group of 5 students interpret a given genogram

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


Task 3 group of 5 8 students create a genogram from a given case

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!


Creating a genogram

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.


Creating a genogram

  • 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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