HN144: Ecomap Template
1. Type the name of the client in the large circle.
2. Determine the systems/influence which affect the client's behavior. Replace the “Type here” areas (use all 6 textboxes) with the systems/influences.
3. Click and drag the arrows to point from the systems/influence to Sandra to indicate type (stressful or positive) and strength (weak or strong) of the relationship. If the
relationship is reciprocal use two more arrows pointing from Sandra to the systems/influence.
4. As you move the arrows around, feel free to delete the arrow key boxes and move the circles to fit your needs. If you need more circles, right click to select the object, click “Copy,”
and then paste a new one. [Note: the “Type here” textbox should copy as well, but if you need a new textbox for the object, go to the “Insert” tab and click the Textbox icon. Select
“Simple textbox.” Type the system/influence in the new textbox and move the textbox into place.]
5. If you need more arrows, simply right click to select an arrow, click “Copy,” and then paste a new one. Move the new arrow into place.
6. Delete any objects that are not going to be used.
7. Feel free to delete the instructions in this box and use the box to bullet point notes to further explain your arrows/influences and/or to offer more space for your ecomap. NOTE:
Please use “Web Layout” view to ensure proper format in MS Word.
Sandra Lombardino is 69 years old. Except for being overweight and having arthritis, she is in fairly good
health. She is personable, well-groomed, kind, and articulate. She retired two years ago from her job as
an elementary school teacher; she was well liked by students and her fellow teachers in her 33 years of
teaching. She raised four children, all of whom have started careers and families of their own.
Mrs. Lombardino would like to use her retirement years to travel and do volunteer work. She has
worked hard for many years and has looked forward to enjoying her retirement.
She is increasingly frustrated because her husband’s demands and offensive behavior are destroying her
retirement dreams. Her husband, Benedito, has a number of health-care needs. Benedito used to be a
carpenter and at one time was a good athlete. But he has been a heavy drinker for more than 40 years.
When drunk, he has been physically and verbally abusive to his wife and to his children. His children left
home to escape from him as soon as they were financially able to do so. The children love their mother
but despise their father.
In many ways, Sandra Lombardino has been a martyr. She took a marriage vow to stay married for
better or worse until death. She has fulfilled that vow, despite the urging of her friends and relatives to
seek a divorce. Several years ago, Benedito was diagnosed with cirrhosis of the liver and had to stop
working. He now receives a monthly disability check. Despite his illness, Benedito has continued to drink
heavily and has developed high blood pressure and diabetes. He is grossly overweight and is often
incontinent. The drinking and illnesses have caused brain deterioration; he now has difficulty walking,
talking, and grooming himself, and he frequently hallucinates. His behavior has resulted in a loss of
friends. Benedito has been pressured into attending a number of alcoholism treatment programs,
including Alcoholics Anonymous, but he has always returned to drinking.
Sandra Lombardino is in a quandary about what she should do. She is angry that she has to spend most
of her waking hours caring for someone who is obnoxious and verbally abusive. She resents not being
able to travel and to leave home to do volunteer work. Sometimes she wishes her husband would die so
that she could get on with her life. At other times, she feels guilty about wishing he would die. She has
contemplated getting a divorce, but such a process would mean her husband would get half of the
property that she has worked so many years to acquire. She has also considered placing Benedito in a
nursing home, but she feels an obligation to care for him herself and realizes that the expenses of a
nursing home would deplete her life savings. Mrs. Lombardino feels that the cruelest injustice would be
for her to die before her husband dies, so that she would be robbed of her chances to achieve her
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