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Family
Genetic History
Guidelines
and Grading Rubric
Purpose
This assignment is to help you gain insight
regarding the influence of genetics on an individual’s health and risk for
disease. You are to obtain a family genetic history on a willing, nonrelated,
adult participant.NOTE: failing to complete this assignment using an adult participant other than
yourself will result in a 20% penalty deduction being applied.
Course Outcomes
This assignment enables the student to meet
the following Course Outcomes.
CO #3: Utilize
effective communication when performing a health assessment. (PO #3)
CO #5: Explore
the professional responsibilities involved in conducting a comprehensive health
assessment and providing appropriate documentation. (PO #6)
Points
This assignment is worth a total of 150
points.
Due Date
TheFamily Genetic History Assignmentis to
be submitted at the end of Week 2.There is a MS Word document form in Course
Resources that you need to download, fill in, and submit to the Family Genetic
History Dropbox by Sunday, 11:59 p.m. MT at the end of Week 2. Post questions
to the weekly Q&A Forum. Contact your instructor if you need additional
assistance. See the Course Policies regarding late assignments. Failure to
submit your paper to the Dropbox on time may result in a deduction of points.
Disclaimer
When taking a family genetic history on an
actual client, it is essential that the information is accurate. Please inform
the person you are interviewing that they do not need to disclose information
that they wish to keep confidential. If the adult participant decides not to
share information, please write, “Does not want to disclose.”If the client
fails to disclose answers to several items, you will need to find another
client who is willing to share.
Directions
1. Refer to the
examples in Chapter 4 of your textbook that discuss development of a genogram.
2. Download the
NR305_Family_Genetic_History_Form from Course Resources. You will document the
adult participant’s family genetic history using this MS Word document.
3. Complete the family
genetic history using the information that the adult participant is willing to
share with you. The focus of this course is on the normal healthy individual so
your paper does not need to contain much medical/nursing detail. Refer to your
textbook or the Internet to learn what impact the family’s health history may
have on the adult participant’s personal state of wellness both now and in the
future.
This paper does
not require APA formatting, but you are expected to write clearly and use
proper grammar and spelling.
Developing a pictorial
genogram using symbols to identify certain relationships(e.g., divorced,
sibling, deceased, etc.), may provide more insight, however, drawing may be
difficult to accomplish withMS Word, therefore you are not expected to use
symbols, lines, or other drawing elements. Instead, describe the relationships
among the various people in theadult participant’s family’s genetic history.
Remember, the goal is not to learn how to draw with Word, but to gather
information about the family and recognize its significance to the adult
participant and that person’s health.
4. Save the completed
form by clicking on Save as and add your last name to the file name, for
example, NR305_Family_Genetic_History_Form_Smith.
5.
Submit the completed form to the Family Genetic Historybasket in the Dropbox
by Sunday, 11:59 p.m. MT at the end of Week 2. Please post questions about this
assignment to the weekly Q&A Forums so the entire class may view the
answers.Family Genetic History FormNOTE: Please do NOT remove any of the text on this form. Fill
it in and submit in its entirety to aid in its grading.Failing to complete this
assignment using an adult participant other than yourself will result in a 20%
penalty deduction being applied.Thank you.Your Name: Date:Your Instructor’s Name: Purpose: This assignment is
to help you gain insight regarding the influence of genetics on an individual’s
health and risk for disease. You are to obtain a family genetic history on a
willing, nonrelated, adult participant.Disclaimer:When
taking a family genetic history on an actual client, it is essential that the information
is accurate. Please inform the person you are interviewing that they do NOT
need to disclose information that they wish to keep confidential. If the adult
participant decides not to share information, please write, “Does not want to
disclose.” If you find that the client is unwilling to answer several questions,
you will need to find another client who can provide more information.Directions: Refer to the Family Genetic History guidelines and grading rubric
found in Course Resources to complete the information below. This assignment is
worth 150 points.Type your answers
on this form. Click Save as and save the file with the assignment name and your
last name, e.g., “NR305_Family_Genetic_History_Form_Smith”.When you are
finished, submit theform to theFamily Genetic History Dropbox by the deadline
indicated in your guidelines. Post questions in the Q&A Forum or contact
your instructor if you have questions about this assignment.1: Family Genetic History (60 points):Develop a family genetic history that
includes,at a minimum, three generations of your chosen adult’s family,
including grandparents, parents, and the adult’s generation. If the adult has
any children, include them as the fourth generation. **PLEASE NOTE: This assignment
is to reveal the potential impact of the family’s health on the adult
participant. You do not need to identify anyone who is not biologically related
to the adult except for a spouse or significant other.You do not need to use symbols, but instead
write brief descriptions for each person. Each description should include the
following information: first name, birthdate, death date, occupation,
education, primary language, and a health summary, including any medical
diagnoses. An example is below.

Family
Member

Description

Paternal
grandfather
First and last initials:

RL

Birthdate:

1921

Death date:

1981

Occupation:

Retired as a coal miner

Education:

6th grade

Primary language:

English

Health summary:

He was diagnosed with chronic lung disease,
diabetes, and hypertension. He died from a heart attack.

Paternal
grandmother
First and last initials:

ML

Birthdate:

1932

Death date:

1998

Occupation:

House wife

Education:

Does not
want to disclose

Primary language:

English

Health summary:

Diagnosed with chronic lung disease from
smoking cigarettes. Died from heart failure.

This example points to common problems among
this generation on both sides of the family. Consider the implications this
would have for the adult participant’shealth if these were that person’s family
members.Complete the family genetic history form below.
Indicate if any information is N/A (not applicable) or unknown. Indicate any
information the person did not want to disclose by noting “Does not want to
disclose.”*Please
note any areas left blank will be considered missing information and will
result in loss of points*

Family Member

Description

Paternal grandfather
First and
last initials:

Birthdate:

Death
date:

Occupation:

Education:

Primary
language:

Health
summary:

Paternal grandmother
First and
last initials:

Birthdate:

Death
date:

Occupation:

Education:

Primary
language:

Health
summary:

Father
First and
last initials:

Birthdate:

Death
date:

Occupation:

Education:

Primary
language:

Health
summary:

Father’s siblings (write a brief summary of any significant
health issues)

Maternal grandfather
First and
last initials:

Birthdate:

Death
date:

Occupation:

Education:

Primary
language:

Health
summary:

Maternal grandmother
First and
last initials:

Birthdate:

Death
date:

Occupation:

Education:

Primary
language:

Health
summary:

Mother
First and
last initials:

Birthdate:

Death
date:

Occupation:

Education:

Primary
language:

Health
summary:

Mother’s siblings (write a brief summary of any significant
health issues)

Adult
Participant
First
and last initials:

Birthdate:

Death date:

Occupation:

Education:

Primary language:

Health summary:

Adult
participant’s siblings (write a brief summary of any significant health
issues)

Adult
participant’s spouse/significant other
First and last
initials:

Birthdate:

Death date:

Occupation:

Education:

Primary language:

Health summary:

Adult
participant’s children (write a summary for each child, up to four children)
Child
#1 first and last initials:

Birthdate:

Death date:

Occupation:

Education:

Primary language:

Health summary:

Child
#2 first and last initials:

Birthdate:

Death date:

Occupation:

Education:

Primary language:

Health summary:

Child
#3 first and last initials:

Birthdate:

Death date:

Occupation:

Education:

Primary language:

Health summary:

Child
#4 first and last initials:

Birthdate:

Death date:

Occupation:

Education:

Primary language:

Health summary:

2. Evaluation of family genetic history (30 points)Evaluate the impact of thefamily’s genetic history on your
adult participant’s health. For example, if the adult participant’s mother and
both sisters have diabetes, hypertension, or cancer, what might that mean for the
adult participant’s future health?3. Planning for future wellness (45 points)Plan changes based on the evaluation of the adult
participant’sfamily’s health history that will promote an optimal level of
wellness both now and in the future. Include what information you would provide
to the adult participant regarding the results of the family genetic history.

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