NR305 W2 Family Genetic History
Family Genetic History Form
NOTE: Please do NOT remove any of the text on this form. Do NOT use any other form but this one. Fill it in and submit in its entirety to aid in its grading. Also, you may NOT complete this assignment on yourself. If you do use yourself as a subject, you will receive a 20% penalty deduction in your final score. Thank you.
NR305 W2 Family Genetic History
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.
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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., ”. When you are finished, submit the form to the Family 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.
NR305_W2_Family_Genetic_History
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 grandfatherFirst 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 grandmotherFirst 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. |
NR305_W2_Family_Genetic_History
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’s health 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 grandfatherFirst and last initials: | DB |
Birthdate: | July 20, 1941 |
Death date: | Still living |
Occupation: | Transit- Retired |
Education: | 10th grade |
Primary language: | English |
Health summary: | HTN, Diabetes type 2, Gout, “heart problems” |
Paternal grandmotherFirst and last initials: | LB |
Birthdate: | January 11, 1945 |
Death date: | Still living |
Occupation: | House wife/ cleaned houses |
Education: | 8th grade |
Primary language: | English |
Health summary: | HTN, sickle cell trait |
FatherFirst and last initials: | DB jr |
Birthdate: | June 25th 1965 |
Death date: | Still living |
Occupation: | Construction |
Education: | High school |
Primary language: | English |
Health summary: | HTN, Gout |
Father’s siblings (write a brief summary of any significant health issues) | Had one sister died around age 50, cause unknown |
Maternal grandfatherFirst and last initials: | unnkown |
Birthdate: Essay NR 537 Week 7 Performance Evaluation | |
Death date: | |
Occupation: | |
Education: | |
Primary language: | |
Health summary: | |
Maternal grandmotherFirst and last initials: | dd |
Birthdate: | January 25, 1941 |
Death date: | Living |
Occupation: | House wife |
Education: | “High school” |
Primary language: | English |
Health summary: | HTN, sickle cell anemia, arthritis |
MotherFirst and last initials: | AM |
Birthdate: | November 14, 1959 |
Death date: | Still living |
Occupation: | Administrative assistant |
Education: | 1 year in college |
Primary language: | English |
Health summary: | HTN |
Mother’s siblings (write a brief summary of any significant health issues) | Half brother- no known health issues |
Adult Participant First and last initials: | MD |
Birthdate: | November 11,1970 |
Death date: | Still living |
Occupation: | Teacher |
Education: | Bachelors degree |
Primary language: | English |
Health summary: | HTN |
Adult participant’s siblings (write a brief summary of any significant health issues) | none |
Adult participant’s spouse/significant otherFirst and last initials: | JD |
Birthdate: | June 25, 1976 |
Death date: | Still living |
Occupation: | Teacher |
Education: | Masters degree |
Primary language: | Spanish, English |
Health summary: | No health issues |
Adult participant’s children (write a summary for each child, up to four children)Child #1 first and last initials: | Two children with no health issues that they know of. The oldest child has asthma. |
Birthdate: | April 21, 2001 |
Death date: | Still alive |
Occupation: | College student |
Education: | Sophomore in college |
Primary language: | English and Spanish |
Health summary: | Asthma |
Child #2 first and last initials: | AD |
Birthdate: | December 19th, 2004 |
Death date: | Still living |
Occupation: | Student |
Education: | 10th grade |
Primary language: | English and Spanish |
Health summary: | No health issues |
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: |
NR305_W2_Family_Genetic_History
2. Evaluation of family genetic history (30 points)
Evaluate the impact of the family’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?
Due to his family history of hypertension the participant was likely to inherent the disease as well. This may be due to his southern background which has a high salty food intake. He stated his family were predominately over weight as is he so that to puts him at greater risk for heart disease. He believes that one of his aunts had cancer, but he is not sure what type of cancer is was. He may maybe at a higher risk for cancer as well depending on the location of the caner.
3. Planning for future wellness (45 points)
Plan changes based on the evaluation of the adult participant’s family’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.
I advised him to develop a better dietary habit to help rid him of the HTN and the probability of him developing type II diabetes. He does not smoke and claims to exercise on a regular basis by playing basketball and golf a few times a week. But he does indicate that his diet can be better. He sees his PCP yearly and takes his blood pressure medications as prescribed.
Essay NR 537 Week 7 Performance Evaluation
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I stated that limiting salt and fat in his diet would put him on a better path to decreasing his chances of developing a few of his family health issues and he agreed. Many of his family members smoked but he only knows of his maternal aunt to have cancer so he Is not to concerned about it. I explained that he should still speak with his PCP about the hx of cancer in his family and get a prostate examine. He ensued me that he gets a thorough exam yearly and monitors his BP as hos wife makes him check it every time they go to the pharmacy. I explained to him that due to your family history that it is in his best interest to monitor his bp and swelling of the limbs for health issues,