Some of the scenarios have questions that you may wish to use for different groups of health professionals, others are free for you to utilise as required within your teaching. These scenarios have been developed by healthcare professionals from situations in their practice.
Taking a family history can help when discussing a diagnosis
Two scenarios based around the possibility of cancer in a family
Use this scenario to understand the role of family history in bowel cancer risk assessment.
Using a genetic family history in the prenatal setting
Two midwife scenarios involving cystic fibrosis and developmental delay.
Use these two scenarios to understand how a pedigree can clarify family history information in the prenatal setting.
How do NICE guidelines use family history for clinical management?
Two scenarios involving familial hypercholesterolaemia which will help you to understand how NICE guidelines use family history for clinical management.
Use this scenario to understand how the family history of a patient presenting with high blood pressure might be suggestive of FH.
Use this scenario to understand how a high cholesterol concentration in a patient might be suggestive of FH.
Using family history in the palliative care setting
Two scenarios involving breast and bowel cancer to help you understand how a pedigree can clarify family history information in the palliative care setting.
Use this scenario to understand how the family history of a patient with breast cancer might be suggestive of an inherited predisposition to cancer involving either the BRCA1 or BRCA2 gene.
Use this scenario to understand how the family history of a patient with bowel cancer might be suggestive of an inherited predisposition to cancer known as HNPCC (Hereditary non polyposis colorectal cancer).
Scenarios for nursing
Use these four scenarios taken from Nursing Standard articles for discussing situations where nurses need to consider the implications of genetics for their clinical care.
Ethical & clinical scenarios
Use these 22 scenarios with Lesson Plan 4 ‘Ethics and Clinical Practice in Genetics’ or for group work within your own teaching sessions on communication, ethical decision making and consent in genetics. (Reproduced, with kind permission, from the Joint Commission on Medical Genetics ‘Consent and confidentiality in clinical genetic practice: Guidance on genetic testing and sharing genetic information’ 2nd edition September 2011).