Application of a Family Pedigree for Nursing Practice: Lesson Plan and Grading Rubric

The following lesson plan is the combined effort of the nursing faculty members who participated in the 2012 National Human Genome Research Institute Summer workshop in Genomics short course at the National Institutes of Health in Bethesda, Maryland.

During the workshop we were given the task of completing a genetics/genomics lesson plan and assessment. Our hope is that you are able to use this lesson plan or an amended version of this lesson plan to facilitate learning in your nursing students. 
This lesson plan was developed with both undergraduate and graduate nursing students in mind.


Type Website, Other
CME Available No
Topic
Cost Free
Note Microsoft word document; PDF

Genomic Competencies

Experts from the disciplines listed below have tagged this resource as fulfulling genomic competencies.

Physician Assistant

  • Patient Care
    • 4:   Incorporate genetic tests into patient management
    • 5:   Discuss the range of genetic and genomic-based approaches to the treatment of disease.
  • Practiced-based Learning and Improvement
    • 1:   Use information technology to obtain current and credible information about genetics for self, patients, and colleagues

Nurse

  • Professional Responsibilities
    • PR-1:   Recognize one's own attitudes and values
      • PR1-K1:   Values, attitudes and beliefs
        • PR1-1:   Engage in reflective practice about one's own beliefs and values related to client care that integrates genetics and genomics.
      • PR1-K2:   Impact of personal values, attitudes and beliefs
        • PR1-1:   Engage in reflective practice about one's own beliefs and values related to client care that integrates genetics and genomics.
  • Nursing Assessment
    • NA-2:   Demonstrate ability to elicit three-generation family health history information
      • NA2-K1:   Components of family history needed
        • NA2-1:   Demonstrate ability to elicit a complete three-generation family health history.
        • NA2-2:   Identify available family history tools to facilitate collection of family health history information.
    • NA-3:   Construct a pedigree from collected family history
      • NA3-K1:   Components of family history needed to identify disease susceptibility or genetic/genomic condition
        • NA2-1:   Demonstrate ability to elicit a complete three-generation family health history.
        • NA3-1:   Construct a pedigree from collected family history information using standardized symbols and terminology.
        • NA3-2:   Identify available family history tools to generate and document a pedigree, e.g. Surgeon General's Family Health Portrait.

Genetic Counselor

  • Genetics Expertise and Analysis
    • 1:   Demonstrate and utilize a depth and breadth of understanding and knowledge of genetics and genomics core concepts and principles.
      • 1a:   Demonstrate knowledge of principles of human, medical, and public health genetics and genomics and their related sciences.
    • 3:   Construct relevant, targeted and comprehensive personal and family histories and pedigrees.
      • 3a:   Demonstrate proficiency in the use of pedigree symbols, standard notation, and nomenclature.
      • 3b:   Utilize interviewing skills to elicit a family history and pursue a relevant path of inquiry.
      • 3c:   Use active listening skills to formulate structured questions for the individual case depending on the reason for taking the family history and/or potential diagnoses.
      • 3d:   Elicit and assess pertinent information relating to medical, developmental, pregnancy and psychosocial histories.
  • Interpersonal, Psychosocial and Counseling Skills
    • 11:   Promote client-centered, informed, non-coercive and value-based decision-making.
      • 11a:   Recognize one's own values and biases as they relate to genetic counseling.
    • 8:   Establish a mutually agreed upon genetic counseling agenda with the client.
      • 8a:   Describe the genetic counseling process to clients.
    • 9:   Employ active listening and interviewing skills to identify, assess, and empathically respond to stated and emerging concerns.
      • 9a:   Elicit and evaluate client emotions, individual and family experiences, beliefs, behaviors, values, coping mechanisms and adaptive capabilities.
      • 9b:   Engage in relationship-building with the client by establishing rapport, employing active listening skills and demonstrating empathy.
      • 9c:   Assess and respond to client emotional and behavioral cues, expressed both verbally and non-verbally, including emotions affecting understanding, retention, perception, and decision-making.