Case Study DIRECTIONS: You will submit three (3) files to the dropbox in ONE WORD DOCUMENT:
(A) Family health history genogram diagram AND table, both automatically generated by the Surgeon General’s website (below in 1a);
1A: Family Genogram and Family Health History Table (15 points): Review the following link of the Surgeon General’s (SG) family health history tool.
https://www.genome.gov/health/Family-Health-History
(B) Case study (APA format) of your client’s family health history (3-4-page write-up).
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
https://cbiit.github.io/FHH/html/index.html
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).
