Pictorial Genogram of Tina Jones Health History

This week you focused your learning on specific module objectives which are associated with a higher level course objective. Thus, your teaching tip will come from materials and resources found in your learning from the following concepts:

Advanced Health Assessment Fundamentals
Approaching the Clinical Encounter
The Complete Health History
Health History Genetics and Genomics
Beginning the Physical Exam
Documentation

Cultural Humility and Healthcare Disparities
What is the focus for this week’s Learn, Do, Teach assignment?
The Complete Health History
Health History Genetics and Genomics
Instructions for this week’s Learn, Do, Teach Presentation and Discussion
There will be ONE TEACHING TIP TASK with two parts to this week’s LDT assignment:

Part 1: Submission of a genogram pictorial
The purpose of a genogram is to develop a pictorial diagram to focus on family history. The genogram will focus on hereditary patterns and issues including substance abuse, mental illness, and physical violence, as well as many physical illnesses. A genogram tracks the history of current mental or medical proclivities through a families bloodline.
Part 2: Discussion with peers in the weekly TLC discussion forum
Step-by-Step Instructions
Part 1: Creating your genogram pictorial!
Be sure you have reviewed the following article below (in this week’s readings) on genetics in nursing:
Montgomery et al. (2017). Genetics in the clinical setting: What nurses need to know to provide the best patient care. American Nurse Today, 12(10), 10-16Links to an external site.
Review Tina Jones family history from your health history assignment. You will need to use 3 generations of Tina Jones family history to represent in your genogram pictorial. This will give you a clear idea of the information needed to complete your diagram.
When developing your genogram pictorial diagram, use standard genogram symbols to represent family members and relationships, both normal and dysfunctional. The symbols and lines act as a visual indicator of the information you gathered in your interviews and family relationships. To develop your genogram, you can draw the standard genogram symbols by hand or by using the “draw” or “shapes” options in a word processing or other program. If you draw a “picture” of your genogram by hand you will have to submit a photo of your genogram with your assignment and you will need to ensure it is clearly visible in color and writing.
Look for patterns. Once you’ve made the genogram, look carefully to see what genetic and familial patterns can be identified. There may be hereditary patterns or particular health tendencies that are very noticeable when grouped together in this way. Here is some help with symbols. You may create your own color and symbols for other elements of your genogram but a symbol key is required for all symbols, even the universal ones.

Males are indicated by a square. When indicating a marriage, position the male symbol to the left.
Women are indicated by a circle. When indicating a marriage, position the female symbol to the right.
A single horizontal line indicates marriage and two slanted lines indicates separation.
An “X” through the square or circle typically indicates death (just be sure all other information is still legible if using an “X.”)
The oldest child is always below and to the left of his/her family, whereas the youngest should be below and to the right.
Other genogram pictorial requirements:
Complete genetic history of immediate family members for three generations.
Identify maternal and paternal bloodlines
Identify ancestry of maternal and paternal lines, identifying grandparents
Identify parents and parent’s siblings
Identify client and client’s siblings
For each living family member, note age and health status including presence of disease(s) or chronic conditions(s)
For each deceased family member, note age at death, cause of death, and all diseases and chronic conditions while living.
Use symbols included in the Genogram Key and add other symbols as needed- A Key is REQUIRED
It may be difficult to elicit parent siblings information from Tina Jones in Shadow Health. If this occurs in your interview, simply put the information you DO know- e.g. if all you know is that Tina’s mother has a male brother then you can document a square in the place of a sibling.

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