NURS 5220 Genealogy Discussion Patient Interview: A 45-year-old male, Assignments of Nursing

Download NURS 5220 Genealogy Discussion Patient Interview: A 45-year-old male and more Assignments Nursing in PDF only on Docsity! Patient Interview: Patient: A 45-year-old male Purpose: Family history interview focusing on potential hereditary health concerns. Patient Demographics: Age: 45 Gender: Male Race: Hispanic Review of Pertinent Patient History Findings: Hypertension diagnosed in early 30s, managed with medication and lifestyle modifications. Appendectomy at age 25. No other significant surgical history. Regular check-ups with a primary care physician. Non-smoker, occasional alcohol consumption (2-3 drinks per week). Occasional back pain, managed with over-the-counter pain relievers. Review of Pertinent Family History: Three Generations: Paternal Side: Grandfather (Deceased): Stroke at 68. Grandmother (Deceased): Congestive heart failure at 75. Father (Alive, 70): Hypertension and type 2 diabetes. Mother (Alive, 68): No significant medical history. Maternal Side: Grandfather (Deceased): Lung cancer at 72. Grandmother (Deceased): Alzheimer's disease complications at 80. Aunt (Alive, 60): Breast cancer survivor. Uncle (Deceased): Heart attack at 58. Patient's Generation: Patient (Alive, 45): Hypertension. Patient's Sister (Alive, 42): No significant medical history. Synopsis of Major Health and Genetic Disorders Identified: Paternal side: Hypertension, type 2 diabetes, and heart disease. Maternal side: Lung cancer, Alzheimer's disease, and breast cancer. Patient: Hypertension. Brief Educational Summary: Given the family history of hypertension, heart disease, and breast cancer, it's crucial for the patient to prioritize preventive healthcare measures. Regular blood pressure monitoring, cholesterol checks, and discussions with a healthcare provider about heart disease risk factors are essential. Additionally, the patient should be aware of the signs and symptoms of breast cancer and discuss appropriate screening options with their healthcare provider, especially given the family history of the disease. Lifestyle modifications such as maintaining a healthy weight, regular exercise, and a balanced diet can also contribute to overall heart health and reduce the risk of certain cancers. E.J is a 45-year-old Chinese male to explore any health concerns that might run in his family. E.J shared that he's been dealing with high blood pressure since his early 30s, but he's been managing it well with medication and lifestyle changes. He also mentioned having had his gallbladder removed at 22 years old and occasionally experiencing back pain, which he treats with over-the-counter pain relievers, Tylenol and Advil. Despite these challenges, he's rarely sees his primary care doctor. He leads a sedentary lifestyle, limiting alcohol to a few drinks per week but denies smoking. When we talked about his medications, E.J mentioned taking an HCTZ for his high blood pressure, showing he's actively working to keep his blood pressure maintained. As we discussed E.J’s family history, we discovered a complex mix of health issues from multiple generations on both his mom and dad's side. On his dad's side, there's a trend of high blood pressure, diabetes, and heart disease. E.J’s paternal grandfather died of a heart attack at the age of 50 while E.J’s paternal grandmother had diabetes and deceased at 80. E.J’s dad who is 60 y/o is currently being treated for high blood pressure, cholesterol, and diabetes. On his mom's side, there's a history of lung cancer, Alzheimer's disease, and breast cancer. E.J maternal grandfather died of lung cancer at the age of 79. E.J's maternal grandmother had breast cancer and Alzheimer's disease complications and died at the age of 83. E.J's aunt (65y/o) and mother (62y/o) both successfully overcame breast cancer. Given this information, E.J is at high risk of heart disease, diabetes, and cancer (Hu, et al, 2020). We discussed the importance of staying on top of his blood pressure, watching out for any heart disease risk factors, and awareness of cancer sign and symptoms particularly lung and breast cancer even though is primary found in females. I also educated E.J the importance of maintaining his healthy habits, like managing his weight, staying active, and eating well, as these are crucial for keeping his heart healthy and reducing his cancer risks. This holistic approach aims to not only prevent potential health issues but also empower E.J with the knowledge and tools to lead a healthy life, despite the genetic factors at play. Reference: Hu, P., Dharmayat, K. I., Stevens, C. A. T., Sharabiani, M. T. A., Jones, R. S., Watts, G. F., Genest, J., Ray, K. K., & Vallejo-Vaz, A. J. (2020). Prevalence of familial hypercholesterolemia among the general population and patients with atherosclerotic cardiovascular disease: A systematic review and meta- analysis. Circulation, 141(24), 1742–1759. https://doi.org/10.1161/CIRCULATIONAHA.119.044795 Hi Alexendra, It sounds like Mr. J.M. is dealing with a challenging situation but is taking measures to manage his health, especially with the background of ulcerative colitis. With his demanding job, intense physical activity, and strict diet, along with managing a chronic condition, highlights the importance of maintaining treatment schedules and lifestyle balance. Family history plays a role with both gastrointestinal and cardiac conditions. I agree with your advice on keeping up with the Remicade, improving sleep patterns, and involving family for support is vital. It’s a good to remember how one’s lifestyle, genetics, and health management are all tied together. Integrate a Regular Sleep Schedule: Given the challenges J.M. faces with his erratic work hours affecting his sleep pattern, it would be beneficial for him to prioritize establishing a more consistent sleep schedule. Since a disrupted circadian rhythm can exacerbate health issues, including flare-ups of ulcerative colitis, finding ways to stabilize his sleep, even within the constraints of shift work, is crucial. Techniques might include using blackout curtains, maintaining a pre-sleep routine, and exploring shift work sleep disorder (SWSD) strategies, such as strategic napping or light therapy. Stress Management Techniques: The high demands of J.M.'s job as a narcotics detective, combined with his competitive weightlifting, likely contribute to stress levels that could trigger ulcerative colitis symptoms and increase heart disease risk. Incorporating stress reduction strategies, such as mindfulness meditation, yoga, or even scheduled downtime, could help manage stress-induced flare-ups. Additionally, seeking support from a mental health professional experienced in working with first responders can provide tailored strategies for coping with job-related stress. To boost his heart health, especially with his background in hypertrophic cardiomyopathy and high blood pressure, the patient could really benefit from stepping up his cardio workouts. Adding a mix of activities like brisk walks, bike rides, or even some light swimming could do wonders. Plus, tackling his alcohol use with some extra support, maybe through a program or counseling, could help him stick to his goal of quitting drinking for good. This kind of tailored exercise plan and support for cutting out alcohol can make a big difference in managing his conditions and improving his overall health.