{"id":30068,"date":"2021-06-28T10:19:56","date_gmt":"2021-06-28T10:19:56","guid":{"rendered":"http:\/\/onlineclassesguru.com\/?p=30068"},"modified":"2021-06-28T10:19:56","modified_gmt":"2021-06-28T10:19:56","slug":"amily-genogram-prepare-a-genogram-for-the-client-you-selected-the-genogram-should-extend-back-by-at-least-three-generations-great-grandparents-grandparents-and-parents","status":"publish","type":"post","link":"https:\/\/onlineclassesguru.com\/index.php\/2021\/06\/28\/amily-genogram-prepare-a-genogram-for-the-client-you-selected-the-genogram-should-extend-back-by-at-least-three-generations-great-grandparents-grandparents-and-parents\/","title":{"rendered":"amily Genogram Prepare a genogram for the client you selected. The genogram should extend back by at least three generations (great grandparents, grandparents, and parents)."},"content":{"rendered":"<style type=\"text\/css\"><\/style><p>Learning Objectives Students will: \u2022Assess clients presenting for psychotherapy \u2022 Develop genograms for clients presenting for psychotherapy<\/p>\n<pre class=\"wp-block-code\"><code>To prepare: \u2022 Select a client whom you have observed or counseled at your practicum site. \u2022 Review pages 137\u2013142 of the Wheeler text and the Hernandez Family Genogram video in this week\u2019s Learning Resources. Reflect on elements of writing a Comprehensive Client Assessment and creating a genogram for the client you selected.<\/code><\/pre>\n<p>The Assignment<\/p>\n<p>Part 1: Comprehensive Client Family Assessment With this client in mind, address the following in a Comprehensive Client Assessment (without violating HIPAA regulations): \u2022Demographic information \u2022Presenting problem \u2022History or present illness \u2022Past psychiatric history \u2022Medical history \u2022 Substance use history \u2022Developmental history \u2022Family psychiatric history \u2022Psychosocial history \u2022History of abuse\/trauma \u2022Review of systems \u2022Physical assessment \u2022Mental status exam \u2022Differential diagnosis \u2022Case formulation \u2022Treatment plan<\/p>\n<p>Part 2: Family Genogram Prepare a genogram for the client you selected. The genogram should extend back by at least three generations (great grandparents, grandparents, and parents).<\/p>\n<p>Required Readings:<\/p>\n<p>(1) Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.<\/p>\n<p>Name<\/p>\n<p>Academic Institution<\/p>\n<p>Author Note<\/p>\n<p>Class<\/p>\n<p>Professor<\/p>\n<p>September 22, 2017<\/p>\n<p>The Hernandez Case Study<\/p>\n<p>Part 1: Comprehensive Client Family Assessment<\/p>\n<p>Demographic information<\/p>\n<p>Juan Hernandez Junior is an 8-year-old, Latino, male.<\/p>\n<p>Presenting problem<\/p>\n<p>Juan Hernandez Junior described a punishment at school that led to them calling the ACS. The school social worker was told of how the Hernandez parents made him kneel on his knees for hours while holding two heavy encyclopedias in each hand as a form of punishment. He reiterated that this punishment had been used on them on several occasions and this led to the ACS sending a worker to their home. The ACS worker thought that the concern was credible since this form of punishment was abusive and suggested that they start attending family sessions and visit the local community mental agency to complete a parenting group.<\/p>\n<p>History or present illness<\/p>\n<p>Past psychiatric history<\/p>\n<p>Parents report that Juan Jr. has been of sound psychiatric health.<\/p>\n<p>Medical history<\/p>\n<p>Parents report that Juan Jr has been healthy. However, his mother has been diagnosed with diabetes recently.<\/p>\n<p>Substance use history<\/p>\n<p>Both parents have no history of substance abuse nor does Juan Jr.<\/p>\n<p>Developmental history<\/p>\n<p>Parents reports no delays.<\/p>\n<p>Family psychiatric history<\/p>\n<p>Parents report no psychiatric problems in their family history.<\/p>\n<p>Psychosocial history<\/p>\n<p>Juan Jr is quite sociable. He and his parents go to the beach and the park near their home on weekends to socialize and play.<\/p>\n<p>History of abuse\/trauma<\/p>\n<p>Prior to the current problem that involves the form of punishment that the Hernandez are using on their children, there are no other abuse incidents that Juan Jr. has experienced.<\/p>\n<p>Review of systems<\/p>\n<p>Gen: Has no fever, night sweats, heat intolerance, weakness or fatigue.<\/p>\n<p>Head: No migraine headaches reported.<\/p>\n<p>ENT: No visual changes, eye pain, hearing loss, tinnitus, vertigo, ear pain, ear discharge, epistaxis, nasal discharge, sinusitis, teeth problems, abnormal taste, sore throat, or speech difficulty<\/p>\n<p>Neck: Denies neck swelling, pain, stiff neck, goiter, or masses, nodes.<\/p>\n<p>Cardiopulmonary: Patient indicates they have not witnessed any instances of cough, dyspnea, wheezing, hemoptysis, chest pain, palpitations, orthopnea, murmurs, edema, claudication, syncope, hypertension.<\/p>\n<p>GI: There have been no changes to the patients eating habits. He has tested negative for n\/v, hematemesis, melena, dysphagia, heartburn, flatulence, abdominal pain, jaundice, change in bowel habits, diarrhea, constipation, hematochezia, or rectal pain.<\/p>\n<p>GU: He also has been cleared of dysuria, frequency, nocturia, hematuria, urgency incontinence or polyuria.<\/p>\n<p>MS: On the other hand, he has reported no backache, joint pain, stiffness. Gait is normal and steady.<\/p>\n<p>Heme\/Skin: Patient insists they have had no bleeding, bruising, anemia. Denies changes, pruritis, rash, or changes in hair.<\/p>\n<p>Neuro: No indication of seizures, paralysis, muscle weakness, parasthesia, sensation changes.<\/p>\n<p>Psych: Thought content: no SI\/HI or psychotic symptoms; Associations: intact; Orientation: x 3; Mood and affect: euthymic and full and appropriate.<\/p>\n<p>Physical assessment<\/p>\n<p>Vital Signs:<\/p>\n<p>47 Height: inches<\/p>\n<p>Weight: 129lbs<\/p>\n<p>Temp: 37 0C.<\/p>\n<p>RR: 16<\/p>\n<p>BP: 120\/59<\/p>\n<p>Pulse: 79 BPM<\/p>\n<p>Appearance: Slender, Latino male who appears his age and no distress observed. He is well groomed and dressed to impress.<\/p>\n<p>Mental status exam<\/p>\n<p>The whole family comes to the appointment since they have to do both family sessions and a positive parenting program for the parents. Juan Senior comes on with a lot of anger and resentment towards the counselor a she sees no point in attending the classes.<\/p>\n<p>Differential diagnosis<\/p>\n<p>The parents grew up too fast and are projecting their feelings on their children.<\/p>\n<p>Diagnosis<\/p>\n<p>Anger Management issues<\/p>\n<p>Case formulation<\/p>\n<p>The Hernandez parents, Juan Senior and Elena are brought for sessions by the ACS as a result of their son\u2019s abuse allegations. Juan Hernandez is a 27 year old Latino man who works as a casual worker at the airport with back problems due to the amount of heavy lifting he has to do on a daily basis. He has no drug abuse problem but a criminal history of juvenile petty theft that has since been expunged. Additionally, he takes approximately six to eight beers every weekend. On the other hand, Elena is a 25 year old Latino woman born in Puerto Rico but raised in New York who was recently diagnosed with diabetes. She has no drug abuse problem nor a criminal history. She drinks 1 or 2 drinks a month.<\/p>\n<p>Treatment plan<\/p>\n<p>Treatment Goals<\/p>\n<p>The weekly parenting classes and family sessions will teach the parents effective and safe discipline skills, the importance of recognizing age-appropriate behavior, managing one\u2019s frustrations, and the child development techniques that boosts child\u2019s self-esteem and their sense of confidence. It will also help the family as a whole come to terms with the situation at hand.<\/p>\n<p>Estimated Completion: 3 Months<\/p>\n<p>Objective #1<\/p>\n<p>The parents will be able to discipline their children effectively and using safe options.<\/p>\n<p>Treatment Strategy \/ Interventions: This will be done through teaching the parents the most effective and safe discipline skills they can use. These may include techniques such as setting limits like taking away their privileges and using time-out. This can only be successful if the parents fully understand the age appropriate behavior of each stage s they do not cross boundaries and punish them unnecessarily.<\/p>\n<p>Estimated Completion: 3 Months<\/p>\n<p>Objective #2<\/p>\n<p>In the end, the parents should be able to find child development techniques that will boost their children\u2019s self-esteem and ensure they have a strong sense of confidence. They should also be able to manage their frustrations as a family.<\/p>\n<p>Treatment Strategy \/ Interventions: Through role playing, both the parents and the children are able to find a way to understand the feelings of the other so they can rectify any issues they might have had. This will help ensure order at home is maintained without the need for discipline and that the parents do not put unrealistic expectations on their children.<\/p>\n<p>Estimated Completion: 3 Months<\/p>\n<p>Social Support system:<\/p>\n<p>Friends and family<\/p>\n<p>Part 2: Family Genogram<\/p>\n<p>Genogram includes Juan Hernandez Junior\u2019s family.<\/p>\n<p>References<\/p>\n<p>Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.<\/p>\n<p>Hernandez Family Genogram<\/p>\n<p>Juan Hernandez Senior (Father)<\/p>\n<p>Juan Hernandez Junior (8 years old) (Son)<\/p>\n<p>Alberto Hernandez (6 years old)(Son)<\/p>\n<p>Elena Hernandez (Mother)<\/p>\n<p><center><a href=\"http:\/\/onlineclassesguru.com\/orders\/ordernow\"><img decoding=\"async\" src=\"https:\/\/encrypted-tbn0.gstatic.com\/images?q=tbn:ANd9GcTyj99p60XCLyLk1htB7-1neRt8-2QdnenNlQ&usqp=CAU\"target=\"_http:\/\/onlineclassesguru.com\/orders\/ordernow\"\/><\/center><p>","protected":false},"excerpt":{"rendered":"<p>Learning Objectives Students will: \u2022Assess clients presenting for psychotherapy \u2022 Develop genograms for clients presenting for psychotherapy To prepare: \u2022 Select a client whom you have observed or counseled at your practicum site. \u2022 Review pages 137\u2013142 of the Wheeler text and the Hernandez Family Genogram video in this week\u2019s Learning Resources. Reflect on elements&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-30068","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v17.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>amily Genogram Prepare a genogram for the client you selected. The genogram should extend back by at least three generations (great grandparents, grandparents, and parents). - onlineclassesguru<\/title>\n<meta name=\"description\" content=\"amily Genogram Prepare a genogram for the client you selected. 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