DNP 810 Topic 1 Family History

DNP 810 Topic 1 Family History

Genetics play an important role in the of specific traits and diseases in families. Families with a history of a genetic disease such as cancer have its members being at a high risk of developing the disease. It is therefore important for nurses to have adept understanding of the genetic basis of observed health problems. The knowledge is important in assisting the populations they serve to life a healthier lifestyle that minimizes health problems. Therefore, this paper examines my family history using the family health portrait.

Summary of the History

My family comprises of seven members. They include three brothers, one sister, and my parents. I was diagnosed with hypertension when I was 18 years old. I was also diagnosed with chronic bronchitis at the age of 22. My brother, James, was diagnosed with COPD at the age of 35 years. My paternal uncle died of heart attack at the age of 49. My maternal aunt was diagnosed with Alzheimer’s disease at the age of 62.  The images below are pedigree of the different conditions that are evident in our family history. They were developed using the template provided in My Family Health Portrait website.

Figure 1: Family history of hypertension

Figure 2: Familial history of chronic bronchitis

Figure 3: Familial history of COPD

Figure 4: Familial history of heart attack

Figure 5: Familial history of Alzheimer’s disease

Heredity Patterns Discovered

The family tree diagram revealed the existence of observable of hypertension in our family. It became evident that having a paternal uncle with heart attack increased my risk of developing hypertension. According to Patel, Masi and Taddei (2017), there is a high risk of hypertension being inherited. The risk of inheritance is increased in cases where parents had the condition. The risks are however reduced in cases of distant relatives such as paternal and maternal uncles. There are also rare forms off hypertension that are inherited in a known pattern in families (Patel et al., 2017).). The diagram however revealed the lack of inheritability pattern in COPD and chronic bronchitis. As shown by McCarthy (2018), most of the cases of chronic bronchitis and COPD are not inherited. They arise from the influence of environmental factors such as chemical fumes and smoke from tobacco. In rare cases, the development of these conditions is attributed to genetics. An example is an individual born to parents with alpha-1 antitrypsin deficiency. The deficiency results in the insufficient production of alpha-1 antitrypsin protein that provides protective roles to the lungs. Persistent exposure to environmental irritants such as smoke also causes genome-wide variations on the locus of chromosome 11015.5, hence, the high risk of COPD and chronic bronchitis (Lee et al., 2014). However, there is a lack of this exposure in the family, hence, the limited possibility of COPD and chronic bronchitis being inherited in the family.

Risk of Transmission to Other Family Members

The risk of transmission of some of the health problems in the is high. One of them is hypertension. According to Bakris and Sorrentino (2017), the risk of inheritance of hypertension ranges between 30 and 60% in families. The risks are significantly enhanced due to the influence of contributory ethnic-related genes. The risk of transmission of heart attack to subsequent generations is also high. This is attributed to the fact that a risk of 50% exists in first-degree families with autosomal dominant genes for heart attack. It therefore increases the need for cascade screening. The risk of inheriting Alzheimer’s disease in the subsequent generations is also high. According to Ronald, William and Aradhana (2016), there is a 100% risk of developing Alzheimer’s disease in the progeny if the genetic traits are inherited from either or both parents. The mutation is often transferred across generations with at least 50% of the offspring developing the disease before or at 60 years. The risk of transmitting COPD and chronic bronchitis is however reduced when compared to the above conditions. This is attributed to the lack of clearly identified pattern of genetic transmission for the diseases. Furthermore, there is insufficient evidence that links an episode of COP and chronic bronchitis with genetic predispositions.

Feasibility of Using the Tool in Practice

The use of the tool provided by My Family Health Portrait is feasible in my practice. The tool is easy to use. The healthcare provider

can input all the family data to determine the risk of genetic transmission for a disease. The tool is also easy to interpret. Users can develop a correlation between exposures and outcomes with ease. The tool can also be used by individuals who are not trained on health-related professions. This implies that the universality of tool can be optimized to promote the health and wellbeing of the populations.

Important information for writing discussion questions and participation

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Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

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Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

• Your response needs to be a minimum of 150 words (not including your list of references)
• There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
• Include in-text citations in your response
• Do not include quotes—instead summarize and paraphrase the information
• Follow APA-7th edition
• Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

• A minimum of 6 responses per week, on at least 3 days of the week.
• Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
• Each response needs to be at least 75 words in length (does not include your list of references)
• Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
• Follow APA 7th edition
• Points will be deducted if the above is not followed

• Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
• Here are some helpful links
• The is a great resource

Conclusion

In summary, the use of the My Family Health Portrait has increased my understanding of the genetic transmission of diseases. It has enabled me to predict the risk of disease occurrence in a family. The information obtained from the tool can be used to promote healthy lifestyles among those at risk. Therefore, the tool should be adopted for use in clinical settings.

DNP 810 Topic 1 Family History

Taking a family history is an important step in determining current and future health needs and education. There are many tools available to complete a comprehensive health history. The Surgeon General’s Family Health History tool is part of the larger Family Health History Initiative that encourages people to talk about and write down health issues that seem to run in the family, bringing a larger focus on this important issue. This assignment allows the learner to use the tool and become familiar with this initiative.

General Guidelines:

Use the following information to ensure successful completion of the assignment:

• This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
• Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
• This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.
• You are required to submit this assignment to LopesWrite. Refer to the  for assistance.

Directions:

Use the “My Family Health Portrait” to document your own family history.

Designate a proband for the pedigree with a disease or condition of interest.

Write a summary (750-1,000 words) of your findings. Include the following information:

1. Discuss of the heredity patterns discovered.
2. Evaluate the risk of transmission to other/new family members.
3. Propose the feasibility of using this tool in your own practice.

It may be possible to earn portfolio practice immersion hours for this assignment. Enter the following after the references section of your paper:

Practice Hours Completion Statement DNP-810

I, (INSERT NAME), verify that I have completed (NUMBER OF) clock hours in association with the goals and objectives for this assignment. I also have tracked said practice immersion hours in the Typhon Student Tracking System for verification purposes and will be sure all approvals are in place from my faculty and practice mentor.