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    Assignment 3


    Paper Details





    The health history is a very important part of a health care puzzle. Understanding the family history provides information about diseases that are familial. As you know, genograms are important in determining how diseases affect families, and are pictorial representations of family relationships and medical histories. As mentioned earlier, they are often used to depict common diseases within a family. A genogram allows the user to visualize hereditary patterns and can be useful in identifying repetitive patterns of behavior and to recognize hereditary tendencies.

    For this assignment, select a patient from your clinical experience whom you are completing a subjective, objective, assessment, and plan (SOAP) note on and complete a genogram based on his or her family history.Select a non-family member and complete a family history on him or her to complete a genogram. Write up the family history and create and save a family genogram in the same document.

    Assignment 2 Grading Criteria

    Maximum Points

    Response is posted by Saturday, September 9, 2017.


    Provided a thorough family history of a patient assessed in the practicum experience.


    Developed a genogram that reflects the detail of the family history.


    Responded to two classmates with relevant and substantive input concerning their family history and genogram.


    Used correct spelling, grammar, and professional vocabulary. Cited all sources using the correct APA style.





Subject Nursing Pages 5 Style APA


Genogram for the Patient’s Diabetes Inheritance

This paper focuses on the explanation of the patient’s family history of diabetes by presenting a genogram for the patient’s diabetes inheritance. According to Tucker et al., (2016), genograms refer to pictorial depiction of family associations and medical histories, and are significant in the determination of how illnesses affect families. As such, genograms are employed in depicting common illnesses within a family. Tucker et al., (2016) add that a genogram enables the user to envisage hereditary patterns are essential for identifying repetitive behavioral patterns and recognizing hereditary tendencies. Figure I and Figure II below show the patient’s family genogram depicting his diabetes inheritance and genogram for non-family members respectively.


Figure I: The Patient’s Family Genogram depicting Diabetese Inheritance.

The first process involved in the establishment of the above genogram was the selection of the patient from my clinical experience with who I am completing a subjective, objective, assessment, and plan (SOAP) note on. This stage was then followed by the completion of a genogram by focusing on the patient’s family history (see figure I above for the patient’s family genogram). The next step involved the establishment of the genogram for the non-family member (see figure II below).

Figure II: Genogram for the non-family member

Family studies have established that first-degree relations of a person with type II diabetes are approximately 3 fold more likely to have the illness relative to people whose families lack a history of this illness (Van-Otterdijk et al., 2017). Reisberg et al., (2017) support this finding by arguing that the risk of individual developing diabetes is impacted by whether his or her siblings or parents have the disease. Considering the findings of the two genograms above, it can be noted that the patient’s type II diabetes is associated to his family having a history of type II diabetes. Reisberg et al., (2017) argue that when only the mother has diabetes, the risk of a person having the disease is noted to be 2%, whereas the risk of developing the illness is 8% when only the father has the disease (Van-Otterdijk et al., 2017). However, when both parents possess the disease, the risk of contracting the illness is approximately 30% (Van-Otterdijk et al., 2017). In relation to this, the patient’s grandmother had a history of diabetes illness, and passed this disease to his father. As a result, the patient managed to inherit the illness from his father. It can also be noted that the patient’s sister do not demonstrate the symptoms of the illness even though one of his sisters do seems to be a carrier of the illness. In addition, the findings of the genogram justify the argument that first degree relations have a higher likelihood of inhering type II diabetes. For instance, one of the patient’s female relatives is associated with the illness. On the other hand, the findings of the genogram for the non-family member indicates that the person’s family history is not associated with any case of type II diabetes. As such, this person does not have disease, and the same situation applies to her other relatives. In conclusion, the patient’s type II diabetes can be attributed to his grandmother, who had the illness and passed it to his father, who passed it to the patient. Thus, the genogram has effectively presented the patient’s medical history in relation to type II diabetes. 


Reisberg, S., Iljasenko, T., Läll, K., Fischer, K., & Vilo, J. (2017). Comparing distributions of polygenic risk scores of type 2 diabetes and coronary heart disease within different populations. Plos ONE, 12(7), 1-9. doi:10.1371/journal.pone.0179238 

Tucker, A., Widmer, M., Faddis, T., Randolph, B., & Gass, M. (2016). Family Therapy in Outdoor Behavioral Healthcare: Current Practices and Future Possibilities. Contemporary Family Therapy: An International Journal, 38(1), 32-42. doi:10.1007/s10591-015-9370-6

Van Otterdijk, S. D., Binder, A. M., Szarc vel Szic, K., Schwald, J., & Michels, K. B. (2017). DNA methylation of candidate genes in peripheral blood from patients with type 2 diabetes or the metabolic syndrome. Plos ONE, 12(7), 1-13. doi:10.1371/journal.pone.0180955




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