Taking a 3-generation family health history is an important screening tool to detect conditions that ‘run’ in families. Read links, Text Chapter 4 and view the videos in the Module 1 lesson content on genetics. View genetic articles of interest at the main page of National Human Genome Research Institute
Link to the following pdf to learn how to communicate in a non-threatening language to patients when taking a family health history: http://samples.jbpub.com/9781449652722/9781449645106_CH01_001_036.pdfLinks to an external site.
(You may have to right click and open link in a new window.)
Taking family histories with genetics in mind.
Also, view this website and learn about core principles of genetics for the health care professional: https://www.ncbi.nlm.nih.gov/books/NBK115543/Links to an external site.
(You may have to right click and open link in a new window)
Case Study DIRECTIONS: You will submit three (3) files to the dropbox in ONE WORD DOCUMENT:
Turnitin defaults to only one submission. Please combine the table, genogram, and your paper in ONE Word document. You will upload that one document via Turn It In. (Remember, Turn It In only allows for one file to be submitted, so BOTH part A and B of this assignment must be in ONE Word document).DO NOT SUBMIT .PDF FILE as Turnitin does not recognize .pdf files.
(A) Family health history genogram diagram AND table, both automatically generated by the Surgeon General’s website (below in 1a);
(B) Case study (APA format) of your client’s family health history (3-4-page write-up).
B. Directions for Case Study (APA format) write-up (45 points):
Study and analyze the family’s pedigree genogram diagram and health history table that you’ve created with your client. Remember, you, as a non-geneticist cannot be expert on all genetic disorders and genetic contributions to disease. Therefore, your goal as an RN, is to recognize genetic factors, diseases, or conditions that may contribute to your client and children’s health risks. (Review links above again) Look carefully at the genogram and family health history assessment table and describe the risks you assess, such as:
Major medical/chronic medical concerns (obesity, diabetes, heart disease, COPD, renal failure)
Chronic psychiatric conditions (depression, bi-polar, anxiety, substance abuse, etc)
Miscarriages, Congenital malformations
Dysmorphic features (hexadactyly or six fingers or toes; wide-spacing between eyes, low-set ears, etc.)
Intellectual disability (mental retardation, learning disabilities, or developmental delay)
Any other concerns. (Obesity, inactivity)
Genetic disorders (sickle cell, cystic fibrosis)
When writing your 3-4 page APA format paper, use the below #2, 3, & 4 emboldened headings to organize your work.
2. Genogram assessment (15 points). From this client’s family health assessment, decide, then explain what genetic factors, disease(s) or conditions are the greatest risk to your client and children.
3. Risk assessment (15 points):
Discuss 2 specific counseling interventions you could plan that would reduce health risk to client’s family (after assessing the family’s health history and genogram).
4. Conclusion 10 points: Write a short summary of the benefits of a family health history and risk assessment for your family. Summarize the recommendations.
5. APA format 5 points: Paper will be 3-4 pages in length (not counting title page, diagram/genogram and references).
Remember, you will submit all three files in ONE Word document to the dropbox:
1. The SG’s genogram diagram
2. The client’s family history table
3. The APA Case Study paper of your client’s family health history (using headings # 2, 3, & 4 above).
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Introduction:
Taking a family health history is an essential screening tool for identifying potential genetic factors that can affect the health of an individual and their offspring. This case study discusses the family health history and genogram of a client and provides an assessment of their risk for developing various medical conditions.
Genogram Assessment:
The genogram indicates that the client has a family history of diabetes, heart disease, and obesity. These conditions can be genetic, and the client’s risk of developing them can be increased due to their family history. The genogram also shows that there is a history of miscarriages in the family, which could be a result of genetic or environmental factors. The client’s family history also includes a history of congenital malformations and dysmorphic features, such as hexadactyly and low-set ears, which could indicate a genetic condition.
Risk Assessment:
Based on the client’s family history, two counseling interventions that could reduce their health risks are genetic counseling and lifestyle modification. Genetic counseling can provide the client with information about their risk of developing genetic conditions based on their family history. This can help the client make informed decisions about their healthcare and family planning. Lifestyle modification, such as regular physical activity and a healthy diet, can reduce the client’s risk of developing conditions such as diabetes and heart disease.
Conclusion:
The benefits of a family health history and risk assessment include identifying potential genetic factors that can affect an individual’s health and their offspring, allowing for informed decision-making regarding healthcare and family planning. The recommendations for this client are to consider genetic counseling to understand their risk of developing genetic conditions and to make lifestyle modifications to reduce their risk of developing medical conditions associated with their family history.
References:
Surgeon General’s Family Health History Initiative. (n.d.). My Family Health Portrait. Retrieved from https://phgkb.cdc.gov/FHH/html/index.html
National Human Genome Research Institute. (n.d.). Core Principles of Genetics. Retrieved from https://www.genome.gov/genetics-glossary/Core-Principles-of-Genetics
