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Lec 6 Family Health Assessment

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31/10/2023

FAMILY HEALTH
NURSING PROCESS
(Genogram & Ecomap)

Katreena Ness J. Olila, RN, LPT

FAMILY HEALTH ASSESSMENT


Genogram
• It is a tool that helps the nurse outline the
family structure.
• It is a way to diagram a family.
• May be used by the nurse during the early
family interview.
• Generally, three generations of family
members are included in a family tree, with
symbols denoting to genealogy.

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FAMILY HEALTH ASSESSMENT


Genogram

FAMILY HEALTH ASSESSMENT


Genogram
• The usefulness of the genogram is limited by
how freely the family member relates
significant information such as separations and
remarriages or family health concerns.
• Some families may be sensitive in sharing of
such information, particularly when it is shown
to recur with each generation.
• For other families, the development of the
genogram is an excellent opening to the
discussion of family history or hereditary
health problems.

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FAMILY HEALTH ASSESSMENT


Genogram
** The Genogram in NCM 63 and 63.1
should include the following:
• 3-4 Generations
• Sex and Age
• Relationships
• Conditions or Illnesses
• Cause of Death
• Basic Legends of the symbols and
lines (relationships)

FAMILY HEALTH ASSESSMENT


Family Health Tree
✓ based on the genogram that provides a mechanism of
recording the family’s medical and health history.

✓ It can be used on planning positive familial influences on


risk factors such as diet, exercise, coping with stress or
pressure.

✓ The nurse should note the following: cause of death of


family members, genetic linked diseased (cancer,
diabetes, hypertension, allergies, asthma, mental
retardation), environmental and occupational disease,
psychosocial problems (mental illness and obesity),
infectious diseases, family risk factors from health
problems, lifestyle-related risk factors

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FAMILY HEALTH ASSESSMENT


Ecomap
• The ecomap shows contacts that occur between the family
and the suprasystem.
• “Ecomap portrays an overview of the family in their
situation; it depicts the important nurturant or conflict-laden
connections between the family and the world. It
demonstrate the flow of resources, or the lacks and
deprivations. this mapping procedure highlights the nature
of the interfaces and points to conflicts to be mediated,
bridges to be built, and resources to be sought and
mobilized.” (Hartman, 1979)
• This tool helps increase the nurse’s awareness of the family
within the community and help guide the nurse and the
family in the assessment and planning phases of care.

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FAMILY HEALTH ASSESSMENT


Genogram & Ecomap
Assignment:
• Create a Genogram and Ecomap of your
own family.
• It can be drawn, digital or encoded in long
bond paper.
• Submit your output next meeting.

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