Self Directed Learning Package - University of Queensland

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70 • The Palliative Approach ToolkitGenogram symbols: Family relationshipsIn a genogram, a male is represented by a square and afemale by a circle. A cross over the shape indicates anindividual is deceased.Know the resident’s family and social networkOften at times of crisis and especially at the end oflife, family members may visit that you have not metbefore.MaleFemaleDeceasedMaleA marital relationship is represented by:DeceasedFemaleOne method of clarifying a resident’s social network iswith a genogram.The genogram usually displays three generationsand covers the basic family structure. It mayalso include information on individual familymembers (e.g. significant dates or ages) and familyrelationships.The married couple has divorced:The married couple has separated:One of the spouses died while married (widowed):A sibling relationship is represented by:List children in birth order beginning with the oldest:BiologicalchildAdoptedchildFraternaltwinsIdenticaltwinsStillbirth Miscarriage Abortion Pregnancy
71 • Self Directed Learning Package - Advanced Registered & Enrolled NurseInterpretation of Alfred’s genogram:Alfred was married to Alice who died during theirmarriage leaving Alfred a widower. The genogramindicates that Alice passed away in 2006. Alfred andAlice had two children: Andrew and Sarah. AndrewGenogram: Alfred CooperErnest,died 1942Ivy,died 1987is married to Julie and has one son, Matthew. Sarahis married to John and has two sons, Cameron andAndrew. Cameron is married to Sandra. Alfred hadtwo older sisters – Jennifer who died in childhood andMoya who is still living. The genogram also tells us theAlfred lost his father at an early age. Note that an efforthas been made to add in dates significant to Alfred(birthdays, wedding anniversary and dates people died).Jennifer,died aged 10 yearsMoya,aged 85Alfred, aged 82 yearsResidentDOB: 24/3/1927Anniversary: 7/8/1949Alice,died 13/6/2006DOB: 20/12/1928Andrew,aged 58 yearsJulie,aged 58 yearsJohn,aged 56 yearsSarah,aged 54 yearsDOB: 5/9/1955Matthew,aged 24 yearsCameron,aged 26 yearsSandra,aged 26 yearsAndrew,aged 20 years
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Self Directed Learning Package - University of Queensland

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