Under which component of a health history would the nurse document the findings of a genogram? Review of Systems Past Health Biographic Data Family History
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Step 1: A genogram is a diagram that shows the family history of a patient. Show more…
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79. The nurse is asking a patient about his family history as part of an assessment. Which component is included in an effective family history? • Asking the patient about the current and past health status of the patient's children • Asking about the family history for the patient's siblings and parents only • Obtaining a family history of the patient's spouse • Covering at least three generations of family history
Hubert A.
Adrenoleukodystrophy (ALD) is a genetic disorder in which lipids with very high molecular weights are not metabolized and accumulate within cells. Accumulation of these fats in the brain damages the myelin that surrounds nerves. This progressive disease has two causes: an autosomal recessive allele, which causes neonatal ALD, and a mutation in the ABCD1 gene located on the X chromosome. A controversial treatment is the use of Lorenzo’s oil, which is expensive; despite this treatment, neurological degradation persists in many patients. Gene therapy as a potential treatment is currently in trials but is also very costly. An infant patient exhibits symptoms of neonatal ALD, which are difficult to distinguish from the X-linked form of the disease. The infant’s physician consults electronic health records to construct a pedigree showing family members who also presented symptoms similar to ALD. The pedigree is shown in this diagram. The infant patient is circled. Symbols for males (o) and females (m) are filled when symptoms are present. A. Using the pedigree, explain which form of ALD (neonatal or X-linked) is present in the infant. B. Sharing of digital records among health providers is one method proposed to improve the quality and reduce the cost of health care in the U.S. The privacy of electronic health records is a concern. Pose three questions that must be addressed in developing policies that balance the costs of treatments and diagnoses, patient quality of life, and risks to individual privacy.
Construct a pedigree chart and predict the likelihood that the patient has the defective gene. A 25-year-old woman is referred by her primary care provider for genetic counseling. When she presents to the counseling center, she is very concerned because her mother was recently diagnosed with Huntington's Chorea. She wants to hear more about the disease and the risk for herself, siblings, and any potential offspring she may bear. Her family history is reviewed. There is no medical history suggestive of a genetic disorder for her father. She has two brothers, neither of whom have symptoms of this disorder. Unfortunately, her maternal grandparents deceased at an early age during a boating accident; therefore, their medical history is very limited and noncontributory. The client's only maternal sibling, an aunt, is currently being evaluated for the disease.
Sri K.
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