Discussion: Family Genogram Project

Discussion: Family Genogram Project

Discussion: Family Genogram Project

Discussion: Family Genogram Project.

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Genopro genogram software

Part I (GenoPro Genogram Software)

A genogram (pronounced: jen-uh-gram) is “a pictorial representation of family relationships across several generations. It is a convenient organizing device to help you identify family patterns or develop hypotheses about family functioning” (GenoPro.com). The genogram resembles a family tree; however, it includes additional relationships among individuals. This instrument facilitates the practitioner and his client’s identification an understanding of patterns in family history. The genogram also does a better job than a pedigree chart in mapping out relationships and traits.

Family members—including

Even though there are a plethora of books and websites on the subject of genograms, it is worth noting that Monica McGoldrick and Randy Gerson are responsible for its initial development and popularity in clinical settings. The structure of a genogram is by and large determined by the imagination and creativity of its author.

Some of the most common features on a genogram are information related to the number of families, children in a given family, and the birth order of the family members—including the number of births and deaths.

Index Person: In constructing the genogram, identify yourself as the “index person” and complete the genogram on your family.

Focus: The focus of this genogram will be on family strengths and resilience, family patterns, rules or ways of being, and the overall health of the family. Of course, you should also address any issues and concerns that may be discovered; however, do not make the genogram problem-focused, even though this is typically how it is used in counseling.

Construction: You will submit your genogram through the assignment manager via GenoPro, found by clicking the “assignments” button. This submission will come in as a GenoPro document. You will also need to attach your narrative on an MS Word document. Make sure to include the following items:

· Two preceding generations—that is, the genogram must include the index person, his/her parents, and his/her grandparents (three generations, in all). It would also be imperative that, in the event of the index person being involved in a marital or significant relationship, mention must be made of the significant other involved, including their immediate family such as their parents, siblings, and children.

In the case where the index person is either a parent or a grand-parent, his/her children must be included in the genogram.

· Use the symbols as illustrated within the GenoPro software to indicate the nature of many of the relationships among family members. Be sure to indicate yourself as the index person by drawing a double circle or double square around yourself. Do not forget to include the current date on your genogram.

“normal” line provided

· Use the relationship lines to indicate significant relationships within the family system. Do not use the “normal” line provided by GenoPro. This only crowds the graphic and makes it difficult to read.

· Include a legend at the bottom right corner of the genogram document. The legend must only include items represented on the genogram.

· In order to make it easy to understand, ensure that there are notes on the genogram graphic regarding people, family events, etc., in their appropriate places (for example, on the side of a relevant person or generation). Even though this is not required for the successful completion of the assignment, it may be helpful to interview other family members about important areas of their family history. It would also be a good idea to include labels (a word or two will do) about each family member’s strengths—especially those that are either known by the index person or have a relevant connection to them.

· GenoPro gives you the freedom you need to manipulate your genogram to allow enhanced viewing on a computer system. You can shorten or lengthen lines, move entire family units around to maximize space, and more. Your objective is to work with the graph to create a genogram that is easy to view and can be understood at a glance.

Family life cycle

Analysis: Once you have completed your genogram, you will need to interpret your family map. Analyze the genogram and who you are in the context of the family based on race/ethnicity, culture, class, gender, spiritual tradition, family life cycle, etc.

Part II (Microsoft Word document)

Written Narrative: After analyzing your genogram graphic following the guidelines above, state your interpretation of yourself in clear terms. Do this by writing a paper that describes the contributions that religion, gender, race, culture, etc., and your own unique family history have made to your personal identity. Do not forget to demonstrate your understanding of key concepts learned in this course. Apart from the quality of your written work, you will also be graded on your ability to widely, deeply, and accurately analyze and utilize theoretical concepts in describing your family’s interactional process.

Rest assured that this paper will be kept confidential. Be reminded that you are solely responsible for any information you choose to disclose in this project. Also note that you are under no obligation to reveal any information that you choose not to reveal.

Current apa format

The following outline must be used for your paper, using current APA format:

I. Briefly introduce your family. Discuss the sociopolitical, cultural, economic, spiritual, etc. issues in your family. Do not spend a lot of time describing demographic details that can be observed on the genogram.

· You can use first person in this narrative.

· You will not need an abstract; however, you will need a cover page. A reference page must be provided if you use citations.

Data gathered

II. Using the data gathered and the analyses you have made based upon your genogram and other resources, address the following questions:

A. What do you understand about yourself within the context of this multigenerational family?

B. How do the cultural, historical, and personal characteristic aspects of the information impact your understanding of the self?

C. If at all, what are the family lifecycle-related issues in the past or present that have influenced your family and/or interface with question D?

Intergenerational dynamics

D. What intergenerational dynamics, patterns and/or themes that you have identified influence you (or others) in your current family? Jump to the last section of the present document, “Interpreting Genograms” and then draw a conclusion about your analysis.

E. What areas do you need to work on in order to become a better spouse, parent, counselor, and godly person?

Conclude this part of the assignment with personal reflections on the development of this project. Were there any issues that came to light? What did you learn?

This assignment is due by 11:59 p.m. (ET) on Sunday of Module/Week 6.

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Ileocecal Valve Assignment

Ileocecal Valve Assignment

Ileocecal Valve Assignment

Ileocecal Valve Assignment

ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT;Ileocecal Valve Assignment

Week 8 quiz (35 questions) A 6-month-old male infant is brought to the ER after the sudden development of abdominal pain, irritability, and vomiting followed by passing of “currant jelly” stool. Ultrasound reveals intestinal obstruction in which the ileum collapsed through the ileocecal valve and invaginated into the large intestine. This type of obstruction is referred to as: Cholecystitis is inflammation of the gallbladder wall usually caused by: Outbreaks of hepatitis _____ often occur in young children attending day care centers and can be attributed to poor hand washing. A 3-month-old female presents with intention tremors, dystonia, greenish-yellow rings in the cornea, and hepatomegaly. Tests reveal a defect on chromosome 13. Which of the following is the most likely diagnosis? A 55-year-old female has general symptoms of gallstones but is also jaundiced. IV cholangiography would most likely reveal that the gallstones are obstructing the: A 60-year-old male is diagnosed with cancer of the esophagus. Which of the following factors most likely contributed to his disease? A 3-month-old female develops colicky pain, abdominal distention, and diarrhea after drinking cow’s milk. The best explanation for her symptoms is: The cardinal signs of small bowel obstruction are: A 50-year-old male is experiencing reflux of chyme from the stomach. He is diagnosed with gastroesophageal reflux. This condition is caused by: An 8-week-old female is diagnosed with a congenital heart disease and Down syndrome. Her parents report that she has difficulty defecating. X-ray reveals anorectal malformation that causes complete obstruction often referred to as: Prolonged diarrhea is more serious in children than adults because: Kwashiorkor is a severe dietary deficiency of: The cardinal sign of pyloric stenosis caused by ulceration or tumors is: A 20-year-old male was recently diagnosed with lactose intolerance. He eats an ice cream cone and develops diarrhea. His diarrhea can be classified as _____ diarrhea. An 8-week-old male was recently diagnosed with cystic fibrosis. Which of the following digestive alterations would be expected? The exocrine portion of the pancreas contains: Which of the following characteristics is associated with an acute occlusion of mesenteric blood flow to the small intestine? A 60-year-old male presents with GI bleeding and abdominal pain. He reports that he takes NSAIDs daily to prevent heart attack. Tests reveal that he has a peptic ulcer. The most likely cause of this disease is: Where does the nurse expect the obstruction to be in a patient with extrahepatic portal hypertension? Marasmus is most common in children of which age group?

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Liberty Challenged in Nineteenth Century America

America became a free independent nation. With the signing of the Treaty of Paris in 1783, the former mother country, England, recognized that its children, the colonies, were now on their own. A constitutional republic was birthed, and thus the challenges began. Slavery, the Peculiar Institution, was a monumental issue facing the country. Would it die or would it survive and possibly take a nation divided with it? This sectionalism followed Americans up into the Civil War. Dissect this crisis by addressing parts I and II below.

For the next part of this assignment you will create an outline of the main points you want to address in this paper. This will serve as the basis for your Assignment 2.2 Final Draft. (Note: Please use the Purdue Owl website to assist you with this assignment; this website can be accessed at: https://owl.english.purdue.edu/engagement/2/2/55/.)

Part 1:

    Write a thesis statement that is one to two (1-2) sentences long in which you:
        State your thesis on the significance of this slavery issue, as exemplified in your research. Justify your response.

For the first part of this assignment you will create a thesis statement. A thesis statement is usually a single sentence somewhere in your first paragraph that presents your main idea to the reader. The body of the essay organizes the material you gather and present in support of your main idea. Keep in mind that a thesis is an interpretation of a question or subject, not the subject itself. (Note: Please consult the Purdue OWL website with tips on how to construct a proper thesis; the website can be found at: https://owl.english.purdue.edu/owl/resource/545/01/.)

Part 2:
For the next part of this assignment you will create an outline of the main points you want to address in this paper. This will serve as the basis for your Assignment 2.2 Final Draft. (Note: Please use the Purdue Owl website to assist you with this assignment; this website can be accessed at: https://owl.english.purdue.edu/engagement/2/2/55/.)

2. Write a one to two (1-2) page outline in which you:

    Describe two (2) outcomes of the 3/5ths Compromise, Missouri Compromise of 1820, Compromise of 1850, Kansas-Nebraska Act, and the Dred Scott Decision. Note: Be sure to provide two (2) outcomes for each legislation.
    Suggest three (3) reasons why slavery was and is incompatible with our political and economic system.
    List three to five (3-5) driving forces that led to the Civil War.
    Use at least three (3) academic references besides or in addition to the textbook. Note: Wikipedia and other similar websites do not qualify as academic resources.

Your assignment must follow these formatting requirements:

    This course requires use of Strayer Writing Standards (SWS). The format is different than other Strayer University courses. Please take a moment to review the SWS documentation for details.

The specific course learning outcomes associated with this assignment are:

    Recognize the main factors that led to Americas early development.
    Identify and discuss the different ways that the heritages of slavery, the Civil War, and Reconstruction have shaped Americas history.
    Summarize and discuss the ways that formal policies of government have influenced the direction of historical and social development in the United States.
    Examine how changes in social and economic conditions and technology can cause corresponding changes in the attitudes of the people and policies of the government.
    Specify ways that women and minorities have responded to challenges and made contributions to American culture.
    Use technology and information resources to research issues in American History to 1865.
    Write clearly and concisely about American History to 1865 using proper writing mechanics.

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co-administration of azithromycin and ivermectin mass drug administration (MDA)

Order Description
Research paper for medical peer review journal. The paper is half written but need to be completed and be coherent. It will go to top journal in the field so experience writer only.
Protocol Version 1
A field trial of co-administration of azithromycin and ivermectin mass drug administration (MDA)
VERSION 01 June 2nd 2015
CONFIDENTIAL
This document is confidential and the property of Murdoch Childrens Research Institute. No part of it may be transmitted reproduced published or used without prior written authorization from
the institution.
STATEMENT OF COMPLIANCE
This document is a protocol for a clinical research study. The study will be conducted in compliance with all stipulations of this protocol the conditions of ethics committee approval the NHMRC
National Statement on Ethical Conduct in Human Research (2007) and the Note for Guidance on Good Clinical Practice (CPMP/ICH-135/95
PROTOCOL SYNOPSIS
Title A field trial of co-administration of azithromycin and ivermectin mass drug administration (MDA)
Objectives Primary Aims:
To assess the feasibility of conducting a joint MDA for trachoma and scabies control in a large population.
Secondary Aims:
1. To assess the safety of co-administration of azithromycin and ivermectin MDA for trachoma and scabies control.
2. To assess the efficacy of MDA for scabies and impetigo control in large island population
Design A prospective community intervention trial to assess the feasibility safety and efficacy of MDA for trachoma and scabies control in Choiseul province of the Solomon Islands.
Outcomes The primary outcome is the coverage of the MDA in the study population separate for trachoma and scabies MDA.
The secondary outcomes are: 1) the incidence of serious illness and deaths occurring in the study population in the 3 month period after MDA compared to the 3 months prior; 2) the proportion of
people self-reporting adverse events following receipt of the MDA drugs compared to previously reported rates for the agents; 3) the prevalence of scabies and impetigo at 12 months after MDA in 10
randomly selected villages compared to the prevalence at baseline (day 1) in 10 independent randomly selected villages; 4) the incidence of patients attending health clinics in Choiseul province
for skin disease related consultations.
Study Duration 1 year
Interventions Participants will be invited to take part in a joint MDA program for trachoma and scabies with the first trachoma MDA dose at the same time as the first of two scabies MDA doses.
Trachoma MDA: Participants will be offered 1 dose of azithromycin (directly observed) at 20 mg/kg up to a maximum of 1 gm. Pregnant women will be offered a choice of azithromycin or topical
tetracycline. Individuals aged less than 6 months will be offered topical tetracycline.
Scabies MDA: Participants will be offered 2 doses of oral ivermectin (directly observed) at 200 g/kg 7 days apart. Participants for whom ivermectin is contra-indicated will be offered 2 doses of
topical permethrin cream 7 days apart.
Number of subjects Approximately 26000 people
Population All individuals living in Choiseul province who agree to participate.
GLOSSARY OF ABBREVIATIONS
ABBREVIATION TERM
AE Adverse Events
NCCDC National Centre for Communicable Disease Control
MCRI Murdoch Childrens Research Institute
LSHTM London School of Hygiene & Tropical Medicine
MDA Mass Drug Administration
MHMS Ministry of Health and Medical Services
NHMRC National Health and Medical Research Council
NTD Neglected Tropical Diseases
SAE Serious Adverse Events
SOP Standard Operating Procedures
SSTI Skin and Soft Tissue Infections
UNSW University of New South Wales
WHO World Health Organization
1. INVESTIGATORS AND FACILITIES
1.1 Study Locations
Choiseul Province is one of ten provinces of the Solomon Islands and has a total population of approximately 26000 people. The province consists of 14 wards. Health care is provided by 17 nurse
aid posts 10 rural health clinics 1 area health centre and 2 hospitals. In 2014 the Solomon Islands government began implementing MDA for trachoma in 9 out of its ten provinces as part of the WHO
SAFE strategy.1 Following a recent regional trachoma meeting the government recently decided to complete the national coverage by adding the province of Choiseul.
Figure 1. Communities chosen for the study
1.2 Study Management
The trial will be coordinated by a research team led by the principal investigator a study doctor and a study coordinator. Informed consent discussions and clinical assessments will be conducted
by trained nursing study staff the study doctor and the study coordinator. The study coordinator will be delegated responsibility for subjects follow-up visits data collection and maintenance of
study documentation. Handling of investigational products will be the responsibility of the study coordinator under supervision from the Principal investigator.
1.2.1 Principal Investigator
Associate Professor Andrew Steer MBBS PhD
Murdoch Childrens Research Institute
Phone: +613 9345 4638
Fax: +613 9345 6667
Email: andrew.steer@rch.org.au
1.2.2 Statistician and other investigators
Statistician:
Associate Professor Handan Wand
Kirby Institute University of New South Wales
Sydney Australia
Phone: +61 2 9385 0861
Email: hwand@kirby.unsw.edu.au
Other investigators and members of the Research Team
Mr Oliver Sokana
NTD Officer
Solomon Islands Ministry of Health
Dr Titus Nasi
Paediatrician
Solomon Islands Ministry of Health
Professor John Kaldor
Epidemiologist
Kirby Institute University of New South Wales
Dr Michael Marks
Clinical Research Fellow
London School of Hygiene and Tropical Medicine
Ms Lucia Romani
Study Coordinator
Kirby Institute University of New South Wales
Dr Daniel Engelman
Paediatrician
Murdoch Childrens Research Institute
Dr Margot Whitfeld
Dermatologist
University of New South Wales
1.2.3 Internal Trial Committees
A trial steering committee will be established to provide general oversight of the trial including decisions on protocol development and protocol deviations response to issues arising throughout
trial and interpretation of findings.
1.2.4 Independent Safety and Data Monitoring Committee
An independent data and safety monitoring committee will be established to oversee the safety and progress of the trial.
1.3 Sponsor
Murdoch Childrens Research Institute
1.4 Funding and resources
Funding for the study is from Murdoch Childrens Research Institute University of New South Wales and the London School of Hygiene and Tropical Medicine.
2. INTRODUCTION AND BACKGROUND
2.1 Background Information
Mass Drug Administration
MDA for neglected tropical diseases has made a major contribution to public health across the world. Over the past two decades the MDA strategy has been adopted to treat whole populations that are
infected or at risk of infection without requiring individual diagnosis. The biological basis of MDA varies across pathogens but generally rests on the premise that the chain of transmission can
only be broken by targeting people regardless of symptoms or other evidence of the presence of infection. MDA has been highly effective in the control of several major neglected tropical diseases
and is supported by WHO and multiple partners through large regional and global programmes such as the Global Elimination of Trachoma (GET 2020) the Global Lymphatic Filariasis Elimination
Programme the Onchocerciasis Elimination Programme in the Americas and the African Programme for Onchocerciasis Control. The five pharmaceutical agents that have been particularly prominent in MDA
are ivermectin azithromycin albendazole diethylcarbamzine and praziquantel. Over 700 million people receive these essential medicines annually with ivermectin by the far the most frequently
delivered drug.
MDA in the Solomon Islands for trachoma
Trachoma is the most common infectious cause of blindness globally. It is caused by ocular infection with Chlamydia trachomatis. Transmission is favoured in poor communities where crowding is
common and access to water and sanitation inadequate. Repeated reinfection over many years causes scarring of the upper eyelid. The resultant inversion of the lashes abrades the eyeball and the
abrasion leads to corneal opacification and visual impairment. The SAFE strategy is used for the control of trachoma: surgery for inturned lashes antibiotics for active disease facial
cleanliness and environmental improvement.2
The World Health Organization (WHO) recommends that a country conduct mass drug administration with azithromycin in areas where the prevalence of trachomatous follicular inflammation (TF) is above
10% in children aged 1-9 years old. Provincial trachoma assessments were completed by the Solomon Islands Ministry of Health and Medical Services (MHMS) between 2011-13. Nine out of ten provinces
met the WHO criteria for conducting mass drug administration and this was undertaken in 2014. Choiseul was the only province in which MDA was not initially conducted.
A regional trachoma meeting was held in Suva Fiji in March 2014 attended by the WHO Fred Hollows Foundation and MHMS. Due to the small population size of several provinces in the Solomon Islands
it was agreed to form three larger evaluation units for trachoma control activities. Choiseul province was therefore included in an evaluation unit with Western province. The prevalence of TF in
this new evaluation unit was above 10% and it was therefore recommended that MHMS conduct MDA in Choiseul province.
The problem of scabies
Scabies is a skin disease caused by a tiny mite (Sarcoptes scabiei) that burrows under the skin and is transmitted through close personal contact.3 Scabies and its complications particularly affect
young children especially in topical developing countries.3 The direct effect of scabies is debilitating itching leading to scratching which is in turn followed by complications due to bacterial
infection of the skin ranging from impetigo abscesses and…