HIPPA
a. Made effective in 2003, has the privacy rule to set standards
for the protection of health information
i. Information in a patient's record is confidential. Each health
care agency has policies governing how a patient's health
information can be shared among health care providers
ii. Only individuals involved in a patent's care can access
medical records
General Survey
a. overall appraisal of the presentation of the patient and
behavior
b. helps with full examination and assessments
Components of general survey
a. gender, race, age, signs of distress, body type, posture,
gait, body movement(intentional and unintentional),
hygiene, grooming, dress (culture), body odor, mood,
behavior, reactions, facial expressions, speech, signs of
patient abuse(children,adults, older adults), substance abuse
criteria for interpretation of data
a. Physical normative values
b. Cultural variations
c. Developmental
Factors that can affect pulse
,● athletes
● medication
● pain/short term
● hemorrhage, loss of blood increase bp to increase pulse
● orthostatic- change in bp when sudden standing up
● older the person, less pulse
Genetics
a. concerned with the general mechanisms of heredity and the
variation of inherited traits
Thus how genetic genetic traits are transmitted from one
generation to the next composes genetics
Genomics
b. Refers to the study of all of the genetic material in an
organism. Is concerned with how a gene is expressed within a
person or family.
Focusing on the function of all human DNA, including genes
and noncoding DNA regions
Heritability
c. is a measure of how well differences in people's genes
account for differences in their traits
Traits include characteristics such as height, eye color,
intelligence and certain disorders like schizophrenia and autism
spectrum disorder
Gene
, d. coded instructions for the making of all proteins the human
body produces (Smallest unit of DNA)
Genome
every human somatic cell with a nucleus and contains the entire
set of human genes
Chromosomes
DNA packaged in small units
Contains a single, long piece of DNA with many different genes
Every human cell contains 23 pairs
Autosomal dominant
single gene traits require gene alleles that control the trait be
located on this chromosomes Dominant gene expressed even
when only 1 allele of the pair is dominant Trait does not skip
generations Risk for each child to get trait is 50% Trait is found
equally in males and females
Autosomal Recessive
single gene traits require that the gene controlling the trait be
located on this chromosome. Normally the trait can be expressed
only when both alleles are present Trait may not appear in all
generations of any one branch of a family The trait often first
appears only in siblings rather than in parents and children
ABout 25% of a family will be effected and express the trait The
children of two affected parents will always be affected (risk is
100%). Unaffected adults who are carriers (heterozygous for the
trait) and do not express the trait themselves can transmit the
trait to their children if their partner either is also a carrier or is