KOMUNIKASI BLOK 7

BLOK GENETIKA DAN BIOLOGI MOLEKULER

Denny Anggoro Prakoso

Family Medicine
Communication Laboratory
FAKULTAS KEDOKTERAN UMY
 Patient

Physician Family
(Doherty & Baird, 1980)
 Perangkat Penilaian Keluarga
(Family Assessment Tools)

1. GENOGRAM
2. Family APGAR
3. Family SCREEM
4. Family MAP
5. Family Lifeline
6. Family Lifecycle
 GENOGRAM
A genogram (pronounced: jen-uh-gram) is
a graphic representation of a family tree
that displays detailed data on relationships
among individuals.
 Genograms were first developed and
popularized in clinical settings by Monica
McGoldrick and Randy Gerson through
the publication of a book in 1985.
Genograms are now used by various
groups of people in a variety of fields such
as medicine, psychology, social work,
genealogy, genetic research, and
education.
 Physicians sometimes refer to a pedigree
as a GENOGRAM

PEDIGREE GENOGRAM
 A complete pedigree provides information about
the biological relationships of individuals in the
family, their medical history, the pattern of
inheritance of a genetic disorder in the family,
variable expression of the disorder, which family
members are at risk, fertility of individuals
(including pregnancies, miscarriages, and
stillbirths), and family members who are dead.
However, genograms usually contain more
social information about family relationships than
a traditional pedigree used by geneticists and
genetic counselors
 GENOGRAM CONTENT

A genogram can contain a wealth of

information on the families represented,
including :

Family Relationships
Health Condition
Emotional Relationship
Social Relationship
 PURPOSE OF THE GENOGRAM
IN MEDICINE
To evaluate individuals health risks
Can make an accurate diagnosis and
treatment of health problems
Can make an effective preventive
measures
 INDICATION FOR GENOGRAM
1. Recurrent medical problems
2. Uncooperative patients
3. Somatization
4. Psychosomatic disorders (anorexia, obesity,
asthma, etc)
5. Family problems (separation, divorce,etc)
6. Substance abuse
 USES OF GENOGRAM
1. Help the family see itself as a group of individuals who
are connected to each other in important ways..
2. Help the individual development of a sense of identity.
3. Clarify available options for change in the family.
4. Prevent the isolation of one member of the family
person "with the problem
5. Provide both simple information (dates, births,
marriages, deaths) and complex information (triangles,
power, family issues, scripts) for making decisions and
seeing what needs to be further clarified.
6. Therapists may better understand their own strengths
and weaknesses and how these may effect the alliance
they form with individual, couple or family clients.
 RULES HOW TO BUILD
GENOGRAM
Check List Genogram
Basic Symbols of Genogram
Medical Genogram Symbols
THE COMPONENTS OF GENOGRAM
1. Should contain 3 or more generations
2. All family members
3. Birth dates or ages
4. Death dates and reasons
5. Significant diseases
6. Members sharing the same housing
7. Marriages and separations
8. All children starting first one from the left
9. Key to the symbols used
10. Ergonomic components
 BENEFITS
1. Allows fast evaluation of the family
2. Helps to communicate with other health
professionals
3. Turns the patient into a bunch of information
4. Allows comparison of risk factors with other
parameters
5. Allows early detection of high risk patients
6. Useful in the patient education
 THANK YOU
LETS TRY AND PRACTICE