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Atatürk University Medical Faculty, Class 1, 28.09.2010
Family Tree Family Tree and Genograms and Genograms
Zekeriya Aktürk, Prof. [email protected] http://aile.atauni.edu.tr
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Objectives
• At the end of this presentation, the participants should be able to;
– Describe the genogram– List the components of a genogram– Discuss the indications for a genogram– Describe the family circle– Apply the family genogram in practice– Apply the family circle in practice
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Definition
• GENOGRAM = GENETIC MAP• Also known as family tree but has
additional features. • It visualizes hereditary patterns and
psychological factors that punctuate relationships. It can be used to identify repetitive patterns of behavior and to recognize hereditary tendencies.
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Importance
• Most important reasons for disease– Genetic factors
• Autosomal
• X dependent
• Co-dominant
• Multifactorial
– Environmental
– Nutrition
– Exercise
– Risky life styles
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http://www.genogram-analytics.com/sample-genograms/standard-symbols
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Jacqueline
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The components of a genogram
1. Should contain 3 or more generations
2. All family members
3. Birth dates or ages
4. Death dates and reasons
5. Significant diseases
6. Members sharing the same housing
7. Marriages and separations
8. All children starting first one from the left
9. Key to the symbols used
10. Ergonomic components
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Benefits
1. Allows fast evaluation of the family
2. Helps to communicate with other health professionals
3. Turns the patient into a bunch of information
4. Allows comparison of risk factors with other parameters
5. Allows early detection of high risk patients
6. Is useful in the patient education
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Family Circle
• It’s a way to see the behavioral relationships within a family from the perspective of a family member.
• The patient is asked to show family members starting from the closest one.
• All family members, friends, even pets should be shown on the circle.
• Date of the drawing should be mentioned. The family circle may be repeated after some time.
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01.11.2001
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Indications for genogram
1. Recurrent medical problems
2. Uncooperative patients
3. Somatization
4. Psychosomatic disorders (anorexia, obesity, asthma, diabetes…)
5. Family problems (separation, divorce…)
6. Substance abuse
Homework
• Prepare a genogram or family circle of your own
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