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Unformatted text preview: The genogram, a means of enriching the interview: creation (Part II) By Margot Phaneuf, RN, Ph.D. The drawing up of a genogram must respect certain rules with regards to the preparatory interview and even more specifically, the use of the various icons and symbols which make it up and are used in its interpretation . , their reactions and comments. Its creation is carried out with the collaboration of at least one member of the family who often needs the help of others to complete the information required. It is in fact very frequent that the interested party does not have all the information necessary. Besides, the presence of several persons, enhances its objectivity and reliability. Let us recall however that the objective is not to do the perfect genogram but rather to gather the essential information for the comprehension of the situation in which the people under our care find themselves and to observe, during the course of the writing The important elements to consider in the creation of a genogram are: the interview, the nurses abilities in carrying it out and organizing its content, the order of the collection of the data and the nature of the information, the criteria used in drafting the genogram and the disposit i on of the generally accepted icons and symbols. The interview preparatory to the creation of a genogram The interview should take place in a relaxed and pleasant atmo s phere imbued with empathy, a non-judgmental attitude and positive consideration. The nurse must first explain what the genogram is, its purpose and use, and how one goes about creating it and what its advantages are. The questioning used to gather the information should be done delicately without haste. According to the objectives and the type of problems one wants to reveal, the information may vary. It is not superfluous to reassure the person that the information collected will remain confidential. Since the scope is large, the creation of a genogram requires time and effort. It is thus necessary to ensure that there is sufficient time. It is often more practical to do the genogram in stages over more than one session. 1 Precautions If the person is weak, suffering, or under strong medication, the interview must take into account their limits. The interview may include the revelation of difficult events such as the suicide of one of the members of the family or their marginality or the life habits of certain of its members that the family would prefer not to have revealed such as alcoholism, incest or imprisonment. It is thus recommended that the questions go from the more ordinary to the more delicate in such a way that the person gets used to it. (Monica Mcgoldrick and Randy Gerson, 1985, p. 49)....
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- Spring '11