Assignment InstructionsThis week you are going to obtain a family genetic history on a non-related adult participant. More detailed instructions are available in the attached Intake Form. Below are some Guidelines to help you as you navigate this assignment:Refer to Chapter 4 pp 52-54 in your Jarvis textbook that discusses family history.Download the Family Genetic History Form located in the resources file of your course.Complete the family genetic history using the information from your non-related adult participant. The focus of this assignment is on health and health risk therefore you do not need to include nursing/medical detail. Please be sure to read chapter 4 or the assigned readings in Week 2 to consider the potential impact of genetics and family health history on an individual’s state of health and health risk.This paper does not require APA format except for a title paper. However, it is expected that the student will use proper writing and grammar techniques. References are to be documented in APA format.If it provides more insight for you, you may use the draw function in word to demonstrate the relationships among the family genogram. However, this is not the focus of this assignment. Rather, the student is expected to gather health information and analyze potential health risk for the participant who provided the information.
family_genetic_history_intake_form.docx
family_genetic_history_guidelines_and_grading_rubric.docx
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Name
Family Genetic History Intake Form
Purpose
The purpose of this assignment is to understand the implications of genetics on an individual’s
health and potential risk for disease. You are to obtain a family genetic history on a non-related
adult participant.
Important – When taking a family genetic history it is very important that the information be
accurate. Please inform your participant that they have the right to refuse to share information
with you. If the adult participant exercises this right, please write in the appropriate spot “Does
not want to disclose information.”
Directions
Please refer to pages 52-54 in your textbook for how to obtain a family history. The guidelines
and grading rubric for this assignment will be found in your assignment folder. This assignment
is worth 11% of your course grade or 150 points.
Family Genetic History (50 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 using
the chart below. Each description should include the following information: first name,
birthdate, death date, occupation, education, primary language, and a health summary,
including any medical diagnoses. Indicate if any information is not applicable or unknown.
Remember if the individual does not want to disclose the information please write “Does not
want to disclose” in the appropriate line. Here is an example of part of a completed form:
Family Member
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:
Description
NS
1920
1979
Retired as a truck driver
6th grade
English
He was diagnosed with heart disease, diabetes, and hypertension. He died from a
heart attack.
DT
1928
1988
House wife
Does not want to disclose
English
Diagnosed with chronic obstructive pulmonary disease, heart disease and obesity.
Died from heart failure.
Name
Genetic History Form
Family Member
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
Description
Name
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:
Name
Health summary:
2. Evaluation of family genetic history (45 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 depression, hypertension, or cancer, what
might that mean for the adult participant’s future health?
3. Planning for health maintenance/promotion (50 points)
Plan changes based on the evaluation of the adult participant’s family’s health history that will
promote an optimal level of health now and to promote health in the future. Provide evidence for
health promotion activities (consider Healthy People 2020 goals, health.gov and other types of
evidence) Include what information you would provide to the adult participant regarding the results
of the family genetic history.
Family Genetic History Guidelines and Grading Rubric
Purpose
The purpose of this assignment is to understand the implications of genetics on an individual’s
health and potential risk for disease. You are to obtain a family genetic history on a non-related
adult participant.
Course Outcomes
This assignment meets the following course outcomes:
1. Examine communication patterns used in the care of culturally diverse individuals and
families (PO 1)
2. Analyze evidence-based resources and scientific principles to support clinical decision
making. (PO 3)
5. Utilize nursing judgment in development of individualized plan of care incorporating a
holistic framework across the health-illness continuum (PO 5)
7. Integrate professional awareness of the effect of genetics, culture and healthcare
disparities on the health of individuals and families. (PO 9)
8. Demonstrate scholarly written communication supported by current evidence (PO-9)
Points
This assignment is worth 15% of your course grade or 150 points.
Due Date
The Family Genetic History Assignment is to be submitted by Sunday 11:55 pm ET in Week 3.
Please see the course syllabus regarding the policy for late assignments. Any questions or
concerns should be directed to your instructor via email within your course.
Important Disclaimer
Important – When taking a family genetic history it is very important that the information be
accurate. Please inform your participant that they have the right to refuse to share information
with you. If the adult participant exercises this right, please write in the appropriate spot “Does
not want to disclose information.”
Directions
1. Refer to Chapter 4 pp 52-54 in your Jarvis textbook that discusses family history.
2. Download the Family Genetic History Form located in the resources file of your course.
3. Complete the family genetic history using the information from your non-related adult
participant. The focus of this assignment is on health and health risk therefore you do
not need to include nursing/medical detail. Please be sure to read chapter 4 or the
1
assigned readings in Week 2 to consider the potential impact of genetics and family
health history on an individual’s state of health and health risk.
4. This paper does not require APA format except for a title paper. However, it is expected
that the student will use proper writing and grammar techniques. References are to be
documented in APA format.
5. If it provides more insight for you, you may use the draw function in word to demonstrate
the relationships among the family genogram. However, this is not the focus of this
assignment. Rather, the student is expected to gather health information and analyze
potential health risk for the participant who provided the information.
Grading Criteria
Criteria
Family Genetic History
Points
50
5
%
Explanation
Develop a family genetic history that includes the
adult participant’s grandparents, parents, the adult
participant, the adult participant’s spouse or
significant other, and any children that the adult
participant may have. You do NOT need to use
symbols or other drawing elements, but instead
describe each person mentioned and their
relationships.
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 depression, hypertension, or cancer, what
might that mean for the adult participant’s future
health?
Evaluation of Family
Genetic History
45
4.5
Planning for health
maintenance/promotion
50
5
Plan changes based on the evaluation of the adult
participant’s family’s health history that will
promote an optimal level of health now and to
promote health in the future. Provide evidence for
health promotion activities (consider Healthy
People 2020 goals, health.gov and other types of
evidence) Include what information you would
provide to the adult participant regarding the
results of the family genetic history.
Writing Style
05
0.5
Use proper grammar, syntax and spelling with
appropriate medical terminology
Total
150
15
2
Assignment Criteria
A
(135- 150 points)
Exemplary
All required criteria
included; no errors
(45-50 points)
B
(120 – 134 points)
Accomplished
Three or four generations
included in the history;
information is provided
about each person but
lacks detail about
relationships and/or
health information
(40-44 points)
C
(105 – 119 points)
Developing
Two generations included;
no relationships described
or no health information
provided
(35-39 points)
F
(0 – 104 points)
Beginning
No history or fewer than
two generations included;
no relationships described
or no health information
provided
(0 – 34 points)
Evaluation of Family
Genetic History
45 points
Evaluation complete;
thoroughly covers all
required elements
(41-45 points)
Evaluation addresses only
two of apparent health
risks within the history
(36-40 points)
Evaluation addresses only
one of apparent health
risks within the history
(31-35 points)
Evaluation missing
(0 -30 points)
Planning for health
maintenance/promotion
50 points
Plan for health promotion
incorporates all areas of
risk within the family
genetic history,
demonstrating critical
thinking; answered all
required questions.
Provides evidence to
support plan.
(45-50 points)
No grammar, spelling, or
syntax errors. Writes in
complete sentences.
APA format where
appropriate.
(5 points)
Plan for health promotion
demonstrated basic
understanding of the
family genetic history;
answered all but one of
the required questions
(40-44 points)
Plan for health promotion
demonstrated basic
understanding of the
family genetic history
answered two of the
required questions
(35-39 points)
Plan for health promotion
does not demonstrate
basic understanding of the
family genetic history or is
missing
(0-34 points)
No more than two errors
of any type
(4 points)
Three or more errors of
any type
Three or more errors of
any type
Family Genetic History
50 points
Writing style
5 points
Total points = 150
3
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