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Related to https://www.homeworkmarket.com/questions/13533-deliver-within-6-hrs
Paper instructions:
In Discussion Forum 2, post your response to the following. Please identify the forum in which you are participating in the subject line of your thread (e.g., “Discussion Forum 2/[Your Name]”), post your response to the selected discussion topic by the date indicated in the Course Calendar, and comment on at least two classmates’ responses.
Respond to the topics below for your posting. Support your response with a rationale.
Discuss the elements of a health history.
Identify a clinical presentation that would pose a potential barrier to communication. Please choose a different clinical presentation than one already identified in the forum.
Discuss how the nurse would facilitate reducing or eliminating the barriers.
What impact can communication barriers have on obtaining a health history?
How does the nurse establish rapport when factors such as age, gender, or disability are present?
What can the healthcare provider do to ensure a positive rapport?

2

The Genogram

Student’s Name

Institutional Affiliation

Course Name and Code

Instructor’s Name

Date of Submission

The Genogram

GrandPa

Grandma

GrandPa
Grandma

Father

Mother

Bro

Tina

Tina

Tina, 24 years old, has been living with her divorced mother for the last five years after her mother divorced Tina’s father following irresponsive intake of alcohol and endless family conflict. They live close to their grandmother on the mother’s side, who is 78years old. Their grandfather died at the age of 82, following an abrupt heart attack six years ago, while undergoing treatment in a private health facility. Both grandparents from Tina’s father’s side have all passed away. Her grandfather went down with diabetes, whereas her grandmother suffered from hypertension until her demise. Unfortunately, both her grandmother and mother are also on antihypertensive medication to control their high blood pressure.

Some of Tina’s family’s nonmodifiable risk factors include genetics, age, sex, and probably any co-existing illness such as diabetes. These nonmodifiable risk factors to the development of chronic illnesses such as hypertension and diabetes predispose Tina to develop any of her family lineage conditions. Since Tina’s mother and grandmother are all hypertensive, Tina, being a female, is at an increased risk of developing hypertension later in life. Advancing age would also increase the risk of developing high blood pressure (Czajkowski et al., 2015). Tina’s genetic composition comprises some of the inherited traits from her mother and father, which increases her risk of developing a heart condition.

However, these factors are nonmodifiable; lifestyle modification could help reduce the risk of developing chronic illnesses in the family. Restriction of dietary sodium intake, reduction in dietary fat content, restricting high starch foods, avoidance of alcohol or tobacco use, and engagement in physical exercises would reduce her risk to the development of chronic illnesses (Czajkowski et al., 2015).

References

Czajkowski, S. M., Powell, L. H., Adler, N., Naar-King, S., Reynolds, K. D., Hunter, C. M., … & Charlson, M. E. (2015). From ideas to efficacy: The ORBIT model for developing behavioral treatments for chronic diseases. Health Psychology, 34(10), 971. https://psycnet.apa.org/doiLanding?doi=10.1037/hea0000161.

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