NURS5220 GENEALOGY DISCUSSION GRADED A+ LATEST UPDATES MAY 2023.

NURS5220 GENEALOGY DISCUSSION GRADED A+ LATEST UPDATES MAY 2023. 1.Running head: GENEALOGY DISCUSSION Genealogy Discussion The University of Texas at Arlington College of Nursing In partial fulfillment of the requirements of N5220 Advanced Health Assessment Courtney Stewart, MSN, APRN, CPNP-PC 2 GENEALOGY DISCUSSION May 22, 2020 As the interview takes place the healthcare provider begins to understand the patient as a whole. This paper includes two sections, a narrative, and a pictorial genogram. Information obtained includes the patient's demographics, a hereditary condition, narrative discussion to understand the family pedigree, review of patient and family history, synopsis of major health and genetic disorders, and an educational summary on only one of the risk factors identified. Narrative Demographic identifiers The patient is a 58-year-old Asian male, of Korean descent. This history is obtained from the patient himself who is considered to be a reliable historian. He is currently employed as a technician in a dental laboratory company. He has been married for 30 years and has one daughter, ages 29. He lives with his wife now. The patient denies any current medical conditions or concerns. However, the patient came to see a primary care provider (PCP) because he had a simple physical check-up a few weeks ago at the Korean community center and found his blood pressure was elevated and high cholesterol (LDL). The blood pressure was 155/96 mmHg and total cholesterol was 260 mg/dL. This patent was born in South Korea. He graduated Theological Seminary in S. Korea and ministered as a church pastor for 10 years. In 2010, he moved to the US, and now is working in a dental laboratory office as a technician. He is a non-smoker and denied any recreational drug use. However, he drinks two to three cups of coffee a day and also drinks one glass of red wine once a week. The patient eats more fish, chicken, vegetables, and fruit than beef and lamb. However, the patient likes to eat Korean style salted fish and preserved food like kimchi. He likes jogging and exercises two to three times a week, including cardio and strength training. The patient attends Korean Christian services weekly with family. The patient has a past medical history of right knee replacement and appendectomy surgery. 3 GENEALOGY DISCUSSION The patient denied any recent headache, pain, chills, fatigue, night sweats, difficulty in breathing, or vision change. He also denies hearing loss, ear pain, or discharge from the ear, and tinnitus. The patient denies any changes in smell but does experience seasonal allergies, therefore has sinus pain occasionally. The patient denies any loss of consciousness and dizziness. No coughing, wheezing, cyanosis, dyspnea, or hemoptysis is reported by the patient. The patient also denies seizure, numbness, or tremors, falls. He expresses some anxiety about the diagnosis and treatment of hypertension and hyperlipidemia. Otherwise the patient's overall health condition is good. He does not currently take any prescribed medication, but he takes vitamin C, 2000 mg three times a day. He also has an updated immunization, including BCG