This paper explores the concept of a familial genogram and the insight a familial genogram can provide. I have utilized three published articles to help clarify what a genogram is and what it is used for, what hypothyroidism is and its genetic components, and the connection hypothyroidism has to mental health. I have attached a familial genogram that explores the prevalence of hypothyroidism in my family tree. My diagram begins with my grandparents, through my parents, aunts and uncles, down to myself, my siblings and my cousins.
Keywords: hypothyroidism, genogram
Exploring Familial Hypothyroidism Using a Genogram
A genogram is a tool that is utilized by healthcare professionals to get a visual representation of a patient’s family structure, life cycle stage, life events and family functioning, relationship patterns and triangles, and family balance and imbalance, and most importantly, pattern repetition between generations. Family genograms can also be thought of as a more in-depth family tree. Family physicians benefit from using a family genogram because they offer a unique opportunity in obtaining a patient’s
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When looking at my genogram, I see a strong genetic presence. Hypothyroidism has been diagnosed in my father, my grandmother on my mom’s side, my mother, all three of my mother’s sisters, one female cousin on my mom’s side, and me. This being said, all adult females on my mother’s side are diagnosed with hypothyroidism. Each of them were diagnosed in their adulthood, where as I was diagnosed at the age of 5. I believe that the early onset was in association with my Type 1 Diabetes. However, it seems to me that there is a clear genetic disposition running in my family. By analyzing my familial, I have concluded that the younger females in my family are also at high risk of developing hypothyroidism at some point in their
Genograms are used to graphically represent a family tree and display detailed data on relationships among the individuals included in the family tree. In essence, families are complex systems that interact with kin groups in specific ways, and a genogram helps to show a diagram of a family tree, but also maps out interactions, relationships, traits, and characteristics that may otherwise not be noticed. The purpose of a genogram is to identify and understand patterns in family history which may influence an individual’s personal behavior and traits. Family Systems Theory, presented by Dr. Murray Bowen, suggests that an individual cannot be understood in isolation from their family members. According to Dr. Bowen, the family is an emotional
Hypothyroidism, while a common disorder, is often misdiagnosed due to its ability to mimic other common health problems. A simple, yet specialized blood test, coupled with a complete medical history, will allow the experts at RCMC Medical Center to not only diagnose the problem in a timely manner, but also develop a treatment plan based on the results, and your personal lifestyle, with the end goal of returning you to the level of health and wellness you
My grandmother suffered with thyroid and use to always ask me if I had thyroids. I remember a time when she told me to get a quarter and some iodine to put on my stomach above my navel. She told me if it changed colors that I had thyroids. Also, because I felt so drained most of the time and would swell in my body often, she had me to consult with my physician about the matter. My grandmother was a very intelligent woman that was very health conscience about herself and her family.
This examination compiled the following information: Grandmother “C” has BRCA1 trait resulting in double mastectomy at age 35, prior to diagnosis Grandmother “C” only medical condition was hypertension,. Mother “M” information was obtained. Mother "M" provided the
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After assessing my nuclear and extended family using a genogram, it was apparent that a history of mental illness was a pattern within my paternal extended family. My family never went to therapy, but I truly think that it would have been beneficial throughout my childhood and teenage years. Solution-focused therapy, narrative therapy, and intergenerational therapy and three therapies that can aide families in healing processes from lack of unity, communication, and negative patterns.
That is, the nuclear family's relationship-or lack of relationship-to the extended family or the community may play a huge part in functioning. Ackerman (1958) viewed family work as a special method of treatment of emotional disorders based on dynamically oriented interviews with the whole family. This looks at the who, what, where, when, why, and how of family. The goal is to bring to the surface all the "contributors" (person or thing) of the issue and map out ways to manage it.
The National Institute of Health (2014) listed the most common form of familial hyperinsulinism to be an autosomal recessive genetic defect that is common among the Ashkenazi Jewish population. This condition affects 1 in 66 carriers who are Ashkenazi Jews since they have reported consanguineous marriages (NIH, 2014). Among Ashkenazi Jews, two single ABCC8 mutations account for 90 percent of cases of familiar hyperinsulinism (Mazor-Aronovitch, et al, 2007). The incidence of FHI in individuals of northern European descendants is approximately 1:30,000 live births. The incidence is increased in genetically isolated populations with a high prevalence of consanguinity (UpToDate.com).
A main key concept of NT is that the problem a client presents with is viewed separate from the client. The problem is not the person; it is something the person has. Therefore, the goal of NT is to change the effects resulting from the problem and not the person themselves. To do this, NT uses the technique of externalizing the problem. To externalize the problem, the problem is first given a name and then it is explored and applied to the clients believes, values, behaviors, and ideals that has formed the clients identity. The negative aspects of these areas get rewritten into the new story. The process of externalizing the problem allows the client to see their problem separate from themselves so they can better
To start my family origin paper we have to go way back to 1976 when my parents met in Alamo, North Dakota; a town of about 200 people in the northwestern part of the state. They met while going through school playing sports, mainly basketball. Both were pretty good at the sport and won some awards and had chances to play more but decided to get married and start a family instead. Both grew up around the whole farming scene. My mom actually lived on a farm growing up and also as she started her own family. My dad lived in the small town but his grandpa had a farm not far from where he grew up and also helped a lot of the local
How you ever feel that we, as sons or daughter tend to repeat our parent mistakes? I have always asked myself why and I still have not have the right answer. For example my mother grew up in a very strict environment when she was a child, with my grandmother and my great grandmother coming from a Japanese Culture; my mother grew up to be a very quiet and reserve young adult. She is really kind, strict, helpful and with a very big heart. Although we had our differences when I was growing up, we get along pretty well. One of the things that stand out from her, it is her stubborn personality. Although she is a really good listener, I always feel that it has to be her way. I believe she is more like her way or the
e. People who have had a thyroid problem before, received radiation for a thyroid problem, or had surgery on the thyroid are most likely to develop hypothyroidism.
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.
A genogram is a type of family tree, but with more detailed information. It is often used as a diagnostic and assessment tool by physicians or counselors to obtain individual and family history in order to help in the establishment of a diagnosis and treatment plan.
The family that is being observed for this assignment is headed by a married couple who has been together for a little over 40th years. Cliff Barnes a 61 year old male is married to Amy Barnes 66 years old. Their immediate household composition includes Amy Barnes’s 44 year son from a previous relationship, her 22 year old grandson and the couple’s 15 year old adopted daughter. I have included the immediate family members in the attached genogram because they play a major role in the family dynamics.