Family Genetic History Form

By Published on October 5, 2025
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  1. QUESTION

Complete the family genetic history using the information that the adult participant is willing to share with you. The focus of this course is on the normal “healthy” individual so your paper does not need to contain much medical/nursing detail. Refer to your textbook or the Internet to learn what impact the family’s health history may have on the adult participant’s personal state of wellness both now and in the future.

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Subject Nursing Pages 11 Style APA
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Answer

Family Genetic History Form

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.”

Directions: Refer to the Family Genetic History guidelines and grading rubric found in Doc Sharing to complete the information below. This assignment is worth 100 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 (35 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 of a heart attack.

Paternal grandmother

First and last

Birthdate:

1932

Death date:

1998

Occupation:

Housewife

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:

GB

Birthdate:

1906

Death date:

1991

Occupation:

Farmer

Education:

6Th Grade

Primary language:

English

Health summary:

Diagnosed with type 2 diabetes. Died from coronary artery disease.

Paternal grandmother

First and last initials:

JC

Birthdate:

1911

Death date:

1996

Occupation:

Housewife

Education:

5Th Grade

Primary language:

English

Health summary:

Diagnosed with breast cancer. Died from cancer of the breast.

Father

First and last initials:

LD

Birthdate:

1936

Death date:

2014

Occupation:

Farmer

Education:

7Th Grade

Primary language:

English

Health summary:

Diagnosed with type 2 diabetes. Died from heart failure.

Father’s siblings (write a brief summary of any significant health issues)

Three of his siblings were diagnosed with diabetes, and they all died of diabetes-related complications.

Maternal grandfather

First and last initials:

DB

 

Inserted: -

 

Inserted: ,

initials:

Birthdate:

1900

Death date:

1970

Occupation:

Clinician

Education:

Graduate

Primary language:

English

Health summary:

Diagnosed with chronic kidney disease. Died from kidney failure.

Maternal grandmother

First and last initials:

SA

Birthdate:

1905

Death date:

1979

Occupation:

Business woman

Education:

7Th Grade

Primary language:

English

Health summary:

No chronic illness diagnosed. Died from a road accident.

Mother

First and last initials:

NP

Birthdate:

1942

Death date:

2002

Occupation:

Hotelier

Education:

7Th Grade

Primary language:

English

Health summary:

Diagnosed with HIV/ADS. Died from AIDs related diseases.

Mother’s siblings (write a brief summary of any significant health issues)

Does not want to disclose.

Adult Participant

First and last initials:

DT

Birthdate:

1974

Death date:

N/A

Occupation:

Technician

Education:

Non-university level post-secondary

Primary language:

English

Health summary:

No chronic illness diagnosed.

Adult participant’s siblings (write a brief summary of any significant health issues)

Elder brother has been diagnosed with hypertension and is on medication.

Adult participant’s spouse/significant other

First and last initials:

JN

Birthdate:

1980

Death date:

N/A

Occupation:

Housewife

Education:

8Th Grade

Primary language:

English

Health summary:

No chronic illness diagnosed

Adult participant’s children (write a summary for each child, up to four children)

Child #1 first and last initials:

LB

Birthdate:

2004

Death date:

N/A

Occupation:

N/A

Education:

6Th Grade

Primary language:

English

Health summary:

Diagnosed with asthma and is on medication

Child #2 first and last initials:

PS

Birthdate:

2010

Death date:

N/A

Occupation:

N/A

Education:

Pre-primary

Primary language:

English

Health summary:

No chronic illness diagnosed.

Child #3 first and last initials:

N/A

Birthdate:

N/A

Death date:

N/A

Occupation:

N/A

Education:

N/A

Primary language:

N/A

Health summary:

N/A

Child #4 first and last initials:

N/A

Birthdate:

N/A

Death date:

N/A

Occupation:

N/A

Education:

N/A

Primary language:

N/A

Health summary:

N/A

 

  1. Evaluation of family genetic history (25 points)

Family members share many factors in common including their genetic make-up. These factors may carry some medical conditions down the family line. Notably, the family’s genetic history of DT presents diabetes and its comorbidities as the most common chronic illness running in the family line.

            Considering that DT’s paternal grandfather, father, and three of their siblings were diagnosed with type 2 diabetes, and the fact that DT's mother died of breast cancer and his elder brother has been diagnosed with hypertension, it means that DT is at risk of developing type 2 diabetes and its morbidities such as stroke, heart disease, high blood pressure, certain cancers in future. Therefore, DT should take immediate measures to avert the risk. A family history of type 2 diabetes posits a higher incidence of the condition (HR 2.72, 95% CI 2.48, 2.99) hence, DT, now 41, is at the greatest risk of developing type two diabetes.

  1. Planning for future wellness (35 points)

 

The information regarding the result that I would give DT is that type 2 diabetes that is genetically connected runs down his family line and that he stands a greater risk developing this disease in future. I would then advise him to improve his Odds by adopting the following changes to promote his optimal level of wellness;

  • Check on his weight

DT should check on his weight by losing extra weight. Obesity and Overweight increase the risk of diabetes due to the presence of excess glycogen in the body.

 

  • Check on his diet

DT should check on his diet and ensure a healthy diet. Poor diet is a significant risk factor for diabetes. For example, high cholesterol diet increases the risk of diabetes. Therefore, DT should promote healthy diet like the semi-vegetarian diet that contain a lot of fibers needed to improve blood sugar control, lowers the risk of heart disease and cancer and promote weight loss. His diet should contain a lot of fruits, vegetables, beans, whole grains, nuts, and seeds.

  • Regular exercise

DT should engage in regular physical activity. Physical activity helps in lowering blood sugar level and boosts the sensitivity to insulin hence promotes regulation of blood sugar that, if not regulated, would pose a greater risk of diabetes. Besides, physical exercise also promotes weight loss hence helps maintain a healthy weight.

  • Avoid smoking

DT should avoid smoking. Smoking boosts the risk of developing diabetes and lung cancer.

Finally, I would advise DT to share his concerns about diabetes prevention with his doctor.

ML

 

References

 

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