DNP 810 Topic 4 Genetic Counseling GCU
DNP 810 Topic 4 Genetic Counseling GCU
DNP 810 Topic 4 Genetic Counseling GCU
When caring for families where genetic risk has been identified, a family health nurse has two major responsibilities. They entail assisting families in understanding the risk and assisting family members in making the best decisions for their specific circumstances, beliefs, and culture (Kaakinen et al., 2018). The family nurse should educate the family and encourage members who may be required to undergo regular screening to do so (Wright et al., 2018). Furthermore, because the discovery of genetic risk is considered bad news, the nurse should offer support to the family.
The nurse should undertake a risk assessment that entails obtaining a genetic family history, including drawing a genogram that collects essential information about the family structure and relationships (Kaakinen et al., 2018). In addition to genetic assessment, the nurse should provide preconception education and counseling to the couple. Preconception counseling involves providing information and support to a couple before conception to reduce health risks and promote health. It entails developing a health risk profile that consists of family history, ethnic background, specific genetic disorders, poor lifestyle habits, prescribed treatments, and occupational or household exposures.
In this case, I would obtain a comprehensive health history of the family, including the couple, their immediate family members, clients’ maternal and paternal side of the family, and relatives who have died and the cause of death
(Wright et al., 2018). I would then conduct a genetic nursing assessment that would consist of a three-generation pedigree, family health history, reproductive history, and ethnicity of the clients. It would also include variations in the growth and development of members in the family, and their understanding of causes of health conditions that have occurred in more than one of their family members (Kaakinen et al., 2018). In addition, I would undertake the couple through preconception education and develop a health risk profile based on the clients’ personal history. I would also educate them on the benefits of taking folic acid and vitamin B supplements to help lower the incidence of neural tube defects (Kaakinen et al., 2018). After identifying the factors that may put their babies at a health risk, Lastly, I would enquire if they want a further consultation with a genetic specialist who would guide them on childbearing options.
References
Kaakinen, J. R., Coehlo, D. P., Steele, R., & Robinson, M. (2018). Family health care nursing: Theory, practice, and research. FA Davis.
Wright, H., Zhao, L., Birks, M., & Mills, J. (2018). Nurses’ competence in genetics: An integrative review. Nursing & health sciences, 20(2), 142-153.
With the increase in knowledge around genetic issues, it is important that all health care providers are prepared to have thorough genetic-based discussions now with their patients. In this assignment, you will synthesize your knowledge into a client case with a real or potential genetic health-related illness.
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 LopesWrite Technical Support articles for assistance.
Directions:
Write a paper (1,000-1,250 words) addressing a client case that might benefit from the process of genetic counseling. Describe the reason for the genetic counseling based on the findings from your completion of the family health portrait. Discuss the possible reactions the patient may have to your counseling and how to avoid negative reactions.
Imagine this assignment as if you are giving this counseling to a patient. Discuss the following:
- Health
- Prevention
- Screening
- Diagnostics
- Prognostics
- Selection of treatment
- Monitoring of treatment effectiveness
It may be possible to earn portfolio practice immersion hours for this assignment. Enter the following after the references section of your paper:
Practice Immersion 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.
Rubric Criteria
Total125 points
| Criterion | 1. Unsatisfactory | 2. Less Than Satisfactory | 3. Satisfactory | 4. Good | 5. Excellent |
| Proposal of What to Say to the Patient, Including the Many Points Offered in the Assignment Proposal of What to Say to the Patient, Including the Many Points Offered in the Assignment | 0 points Proposal of what to say to the patient, including the many points offered in the assignment, is not presented. | 20 points Proposal of what to say to the patient, including the many points offered in the assignment, is presented but incomplete. | 22 points Proposal of what to say to the patient, including the many points offered in the assignment, is presented but done at a perfunctory level. | 23 points Proposal of what to say to the patient, including the many points offered in the assignment, is clearly presented. Discussion is convincing. Information presented is from mostly current scholarly sources, but some outdated sources are used. | 25 points Proposal of what to say to the patient, including the many points offered in the assignment, is clearly presented. Discussion is insightful and detailed. Information presented is from current scholarly sources. |
| Mechanics of Writing (includes spelling, punctuation, grammar, language use) Mechanics of Writing (includes spelling, punctuation, grammar, language use) | 0 points Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used. | 5 points Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, and/or word choice are present. | 5.5 points Some mechanical errors or typos are present but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used. | 5.75 points Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used. | 6.25 points Writer is clearly in command of standard, written, academic English. |
| Argument Logic and Construction Argument Logic and Construction | 0 points Statement of purpose is not justified by the conclusion. The conclusion does not support the thesis. Argument is incoherent and uses noncredible sources. | 8 points Sufficient justification of thesis is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. | 8.8 points Argument is orderly but may have a few inconsistencies. The argument presents minimal justification of the thesis. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. | 9.2 points Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression in support of the thesis from introduction to conclusion. Most sources are authoritative. | 10 points Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative. |
| Paper Format (Use of appropriate style for the major and assignment) Paper Format (Use of appropriate style for the major and assignment) | 0 points Template is not used appropriately, or documentation format is rarely followed correctly. | 5 points Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent. | 5.5 points Appropriate template is used. Formatting is correct, although some minor errors may be present. | 5.75 points Appropriate template is fully used. There are virtually no errors in formatting style. | 6.25 points All format elements are correct. |
| Possible Reactions the Patient May Have to Counseling and How to Avoid Negative Reactions Possible Reactions the Patient May Have to Counseling and How to Avoid Negative Reactions | 0 points Discussion of the possible reactions the patient may have to counseling and how to avoid negative reactions is not present. | 25 points Discussion of the possible reactions the patient may have to counseling and how to avoid negative reactions is present but incomplete. | 27.5 points Discussion of the possible reactions the patient may have to counseling and how to avoid negative reactions is present but done at a perfunctory level. | 28.75 points Discussion of the possible reactions the patient may have to counseling and how to avoid negative reactions is clearly present. Discussion is convincing. Information presented is from scholarly but dated sources. | 31.25 points Discussion of the possible reactions the patient may have to counseling and how to avoid negative reactions is clearly present. Discussion is insightful. Information presented is from current scholarly sources. |
| Documentation of Sources Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) | 0 points Sources are not documented. | 5 points Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. | 5.5 points Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. | 5.75 points Sources are documented, as appropriate to assignment and style, and format is mostly correct. | 6.25 points Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. |
| Reason for the Genetic Counseling Based on the Findings From the Family Health Portrait Reason for the Genetic Counseling Based on the Findings From the Family Health Portrait | 0 points Discussion of the reason for the genetic counseling based on the findings from the completion of the history tool is not present. | 25 points Discussion of the reason for the genetic counseling based on the findings from the completion of the history tool is present but incomplete. | 27.5 points Discussion of the reason for the genetic counseling based on the findings from the completion of the history tool is present but done at a perfunctory level. | 28.75 points Discussion of the reason for the genetic counseling based on the findings from the completion of the history tool is clearly present and convincing. Information presented is from scholarly but dated sources. | 31.25 points Discussion of the reason for the genetic counseling based on the findings from the completion of the history tool is clearly present and insightful. Information presented is from current scholarly sources. |
| Thesis Development and Purpose Thesis Development and Purpose | 0 points Paper lacks any discernible overall purpose or organizing thesis. | 7 points Thesis is insufficiently developed or vague; purpose is not clear. | 7.7 points Thesis is apparent and appropriate to purpose. | 8.05 points Thesis is clear and forecast the development of the paper. It is descriptive and reflective of the arguments and appropriate to the purpose. | 8.75 points Thesis is comprehensive. The essence of the paper is contained within the thesis. Thesis statement makes the purpose of the paper clear. |