Family Genogram

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The objective of doing the genogram is to get to know the patient by gaining understanding of his/her family background. Assessing the family using systemic approach enables health care providers to learn about the ways in which family members interact, what are the family expectations and norms, how effective is the members communication, who makes decisions and how the family deals with life time stressors (Hockenberry & Wilson, 2007). This paper outlines the assessment and analysis of the three generation of Wits’ and Smiths’ families, its relationship, health pattern, habits, tradition and structure. It also provides a nursing teaching plan. The interview was conduced with Alina Wit, a second generation mother of three. Wits and Smiths families are of Polish descent. Alina, her husband and kids moved to New York six years ago, exactly in March of 2002. All of their extended family lives in Poland in a small city of Zamosc. Both of Alina’s and Lucian’s parents are dead. In spite of the fact that they no longer live in their homeland, their extended family is a big part of Wit’s life. They keep contact with their siblings either through telephone or letters. Whenever there is any problem either with the health of any of the family member or with the kids, they always try to resolve it together as a family. No one is left alone with their troubles. Reviewing the genogram, there can be noticed many pattern in Wits’ and Smiths’ families. One theme that repeats in both sides of the families is heart attack being a common cause of the death; Stanislawa and Czeslaw had died from it. Also, in the first two generations there is a pattern of cancer. Jozef and Adam died of lung cancer. Alina’s father had a colon cancer and she has a breast cancer. Another genetic component that affects only men in Lucian’s side is male pattern boldness. From the interview it came out that all of the Wits’ males developed hair loss in their twenties’ except of Poll. Wits are traditional nuclear family. They household consists of Alina and her husband Lucian, two sons Luck and Poll and daughter Jane. Both Alina and Lucian are the main providers for the family.

Both of them have full time jobs. Alina is a home attendant. As well as she is doing most of the house works, like cooking, cleaning, shopping and coordinating the finances. She is also the head of the family. She is the one that makes the decisions and rule as well as it is her that children would come to for the advice, support and encouragement. As to the father, he provides most of the financial support. However, he is working long hours, an average of 60 hours. His long absences from home cause a lot of tension in the family, because the extra household duties have to be picked up by other family member. Beside that, he is scarifying the time he would spend with his family. Also, he is very isolated form his kids. Whenever he is at home, he really talks to them or shows interest in their life. The same goes with the children; they prefer having conversation with their mother than asking their father for anything. Wit’s have three kids. Luck is the oldest, he is 26 years old. He is a college graduate and currently works full time as a system administrator. He is the first one of three generations of this family to finish college. Luck is not too much involved in the family life and he doesn’t help a lot at home. He either works or is out with his friends. Jane and Poll are 24 years old and are twins. Both of them are full time college students. They do not work, because their parents want them first to get the education. It is also accepted in their culture that parents are the one that should support their children. Twins are the favorite ones of their mother. They always help her out with the house work or shopping. They spend with her most of their free time. Even though Wit’s live on a foreign land, their culture and Polish heritage is still an important portion of their life....
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