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Family Genogram

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Family Genogram
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



References: American Heart Association. (2008). Dietary Intake of Dairy Products, Calcium, and Vitamin D and the Risk of Hypertension in Middle-Aged and Older Women September 25, 2008, from http://www.americanheart.org/presenter.jhtml?identifier=3055292. Fung, T. T., Chiuve, S. E., McCullough, M. L., Rexrode, K. M., Logroscino, G., & Hu, F. B. (2008) Women. Archives of Internal Medicine, 168, 713-720. Retrieved September 25, 2008, from Academic Search Premier. Hockenberry, M. J., & Wilson, D. (2007). Nursing Care of Infant and Children. Missouri: Mosby Elsevier National High Blood Pressure Education Program. (2004). The forth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Pediatrics, 114 (2), 35-36. Retrieved September 25, 2008, from http://pediatrics.aappublications.org/cgi/conyent/full/11/4/2/S2/555?ijkey= HealthCare, 25 (1), 23-35. Retrieved September 25, 2008, from Academic Search premier. Uretsky, S., Messerli, F Pepine, C. J. (2007). Obesity Paradox in Patients with Hypertension and Coronary Artery Disease

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