Client’s Family Health History Genogram:  60 points (10% of final grade)

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: Lin / Links to an external site.

(You may have to right click and open link in a new window.)

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.pd / Links 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)

Video Instructions on how to complete your table and genogram click here to view a video on how to complete your genogram {Part A of the assignment.}

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).

A. Family Genogram and Family Health History Table (15 points):  Review the following link of the Surgeon General’s (SG) family health history tool. Link to: Surgeon General’s Website / Links to an external site 

Use this link to start your genogram. Links to an external site.  >  Click on “Create a family health history”  > begin to enter the person’s information. Do not use names.  Only initials or, for example, Uncle C; Grandma B; etc.

Choose a family of convenience (not your own).  Interview your client for a family health history assessment.  Build a family genogram using the SG’s website link above.  Select “unknown” if you don’t have the information asked for (i.e. age of disease onset).  Save a copy of the genogram to submit to the dropbox.

Review the family health history table with client’s family disease history information.  You will use this information in the case study write-up.  Save a copy of this family history table to submit to the dropbox with your genogram diagram.

Save both of these as one .docx file (labeled: your last name_client genogram).  

***Note…If you have difficulty saving the genogram and health history table as a .docx file, you can take a screen shot of both items. Just be sure we can read all of the information.***

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

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