GENOGRAM
Genogram Family History Assignment
A genogram is a useful chart for depicting family relations and their intricacies with symbols and notations. It provides a clear picture to the professionals for determining issues and the prospect of genetic illnesses being carried forward to the index person. This paper aims at exploring my own familys multigenerational, multicultural, socio-political, and health status context. Our family lives in the US, and marriages have taken place within the same cultures.
The symbolic denotation of the genogram has been presented below for a clear understanding of the three generations.
Image 1: Genogram of a US Family
Image is taken from Edraw Max (n.a.)
Considering that the index person is to be seen in a primary care visit, the influences of his relationships, health history, lifestyle, culture, and environmental factors would be examined. The focused family genogram interview and the following information are gathered for a detailed explanation of each individuals age, family relations, and health status.
There are a father and mother in the immediate family, but the mother was deceased at 35 as she had a mental illness, like severe depression. Mother and father were separated, in fact, but not legally separated since they lived in separate cities.
Father has a health problem since he has asthma and had been a smoker for many years. Mother had a psychological illness, depression.
Among siblings, the index person, which is me, has one brother and two sisters.
On the fathers side, they were three brothers and two sisters. One of the brothers was deceased at the age of 53. Another brother and a sister are smokers.
On the mothers side, there were two brothers and three sisters. One of the sisters, my mother, was deceased at 35, mainly due to depression. She was on medications since her separation and could not give proper attention to her kids. She had mood swings from being a loving mother to being a strict caregiver. One of her brothers is also a smoker.
Paternal grandparents are both deceased. Grandfather was deceased at the age of 70, and grandmother was deceased at the age of 65. Both neither drank nor smoke and were healthy individuals. Their death was due to their age factor.
Maternal grandparents are also no more. Grandfather was deceased at the age of 75, and grandmother at the age of 69. Both neither drank nor smoke and were healthy individuals. Their death was due to their age factor.
Fathers siblings and mothers siblings are not directly related to each other except that they were related to the marriage between father and mother. When the marriage partially broke due to separation, the uncles and aunts met in gathering to discuss the future ties of this social relation. However, matters did not resolve as expected, and the result was separation, after which the mother experienced depression and had mood swings. She was constantly on medications and was mostly sleeping as the pills had the purpose of calming her down.
Gathering information about each family member revealed that:
On the paternal side: One brother is deceased at the age of 53. Another brother is a smoker, age: 51. The third brother is my father suffering from asthma, age: 49. One sister is married, age 46. Another sister who is married to is of the age of 40. All of the siblings are married separately and have their own distinct families. No inter-family marriage is observed.
On the maternal side: One brother, age 59, is a smoker. Another brother is of age 50 but does not smoke. The third sibling was my mother, who is now deceased...
Implications for Nurse Practitioner in Primary Care
In primary care, the nurse practitioners have to obtain health history for uncovering family patterns of illness. The generational family member exploration in the form of a genogram would be a valuable help for the nurse practitioner so that an acute care plan could be formulated. The nurse practitioner could interview, obtain a deeper understanding of the family stressors and how the other members helped cope with mental or physical disease. Family relations and overcoming the illness are highly interrelated since with family support, it would be easier to recover.
After a careful review of the focused family genogram, the nurse practitioner can conclude that the paternal and maternal side families were supportive of their siblings. The ongoing health record would imply that they do not have any serious illness or do not engage in risky health habits such as drug or alcohol abuse. Smoking is persistent in both families and might have certain effects on both sides; however, they are not highly visible at the moment. Also, they are separately married, and the marriages are arranged, no likelihood of mentally disabled children is seen. No inter-cultural marriages lead to the absence of permeation of any possible cultural or geographically distinctive infectious dieases.
Conclusion
A genogram is a helpful way to scrutinize family relations, multigenerational, multicultural, socio-political, and health status context. The focused family genogram provided an interpretation of the family strengths, stressors, and intricacies. It would help the nurse practitioners in primary care to discover patterns of…
References
Edraw Max. (n.a.). Wonder Share Edraw Max: Unnamed file. Retrieved from https://www.edrawmax.com/online/app.html?y0/KUjV2KS82NrE0NjIxtzCJzzPLD/NSNXILSC0qzs9LzAEyQ/PyEnNTU1SNDNwyc1L1UlNSKgA=#
Glatt, A. (2018). A death in the family: The differential impacts of losing a loved one. Canadian Journal of Family and Youth, 10(1), 99-118.
Saad, H.A., Elbedour, S., Hallaq, E., Merrick, J. & Tenenbaum, A. (2014). Consanguineous marriage and intellectual and developmental disabilities among Arab Bedouins children of the Negev region in Southern Israel: A pilot study. Frontiers in Public Health, 2, 3. https://doi.org/10.3389/fpubh.2014.00003
Schaller, M. & Murray, D.R. (2008). Pathogens, personality, and culture: Disease prevalence predicts worldwide variability in sociosexuality, extraversion, and openness to experience. Journal of Personality and Social Psychology, 95(1), 212-221.
Sobieraj, M., Williams, J., Marley, J. & Ryan, P. (1998). The impact of depression on the physical health of family members. British Journal of General Practice, 48(435), 1653-1655.
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