Chamberlain College of Nursing NR305 Health Assessment NR305_Family_Genetic_History_Form Rev. 11/1/16 als 1 Family Genetic History F 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 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. 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 MLChamberlain College of Nursing NR305 Health Assessment NR305_Family_Genetic_History_Form Rev. 11/1/16 als 2 First and last initials: 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’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.” Family Member Description Paternal grandfather First and last initials: HD Birthdate: 1882 Death date: 1942 Occupation: Police officer Education: Unknown Primary language: English Health summary: He was an alcoholic with cirrhosis of the liver. He died from the cirrhosis of the liver. Paternal grandmother First and last initials: ED Birthdate: 1882 Death date: 1943 Occupation: Housewife Education: Unknown Primary language: English Health summary: She had diabetes, and died from complications of diabetes. Father First and last initials: AD Birthdate: 1921 Death date: 1992 Occupation: Truck driver Education: 6th grade Primary language: English Health summary: He was diagnosed with heart disease, alcoholism, and prostate cancer (he did not go to doctor much so no other health history is known). He died of an abdominal aortic aneurysm after surgery for prostate cancer removal, which is when the aneurysm was found according to patient. Father’s siblings (write a brief summary of any There were 5 siblings, and pertinent health issues are - diabetes, heart disease, dementia, alcoholism, and hypertension. It is unknown what sibling had what history, but could remember father talking about these things.Chamberlain College of Nursing NR305 Health Assessment NR305_Family_Genetic_History_Form Rev. 11/1/16 als 3 significant health issues) Maternal grandfather First and last initials: EH Birthdate: 1888 Death date: 1961 Occupation: Steel mill worker Education: Unknown Primary language: English Health summary: He was diagnosed with chronic lung disease, hypertension, and heart disease. Died from a heart attack. Maternal grandmother First and last initials: NH Birthdate: 1886 Death date: 1958 Occupation: Housewife Education: Unknown Primary language: English Health summary: She was diagnosed with heart disease, and hypertension. Died from a heart attack. Mother First and last initials: ND Birthdate: 1920 Death date: 2008 Occupation: Secretary Education: High school Primary language: English Health summary: She was diagnosed with arthritis, osteoporosis, 4 heart attacks, congestive heart failure, both knees replaced, cataracts, DVT, and hypertension. She died from complications of the DVT. Mother’s siblings (write a brief summary of any significant health issues) 2 siblings, one bother and one sister. Sister had a stroke, and died from the stroke. Brother had a heart attack that he died from, nothing else is known. Adult Participant First and last initials: EN Birthdate: 1950 Death date: Living Occupation: Secretary Education: High school Primary language: English Health summary: She has been diagnosed with atrial fibrillation, coronary artery disease, arthritis, degenerative disc disease, obesity, COPD, anxiety, borderline diabetes, and spinal stenosis. She also possibly had gestational diabetes, but went into labor the day that testing was scheduled for it. She has had an ablation to try and fix the atrial fibrillation without success. The patient is also a current smoker.Chamberlain College of Nursing NR305