Tina Geogram PDF

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Tina Jones Genogram Paternal Grandparents 65 *Died of colon cancer * Hx of High blood pressure * Hx of High cholesterol *Hx Type 2 diabetes

82 * Hx of High blood pressure * Hx of High cholesterol

Uncle Hx of Alcoholism

Father Died at 58 in car accident * Hx of High blood pressure * Hx of High cholesterol *Hx Type 2 diabetes Hx of obesity

Maternal Grandparents 78 *Died of Heart Attack * Hx of High blood pressure * Hx of High cholesterol

In 73 *Died of stroke * Hx of High blood pressure * Hx of High cholesterol

Mother 50 * Hx of High blood pressure * Hx of High cholesterol

Children Tina 28 * Hx Type 2 diabetes * Hx of Asthma

Brother 25 Hx: Obesity

Sister 14 Hx of Asthma

Tina Jones is a 28 year old female, African American who is allergic to cats, dust, and penicillin. Tina is overweight with a past medical history of type 2 diabetes and asthma. Tina Jones’s chief complaint is worsening pain in her right after she tripped down the stairs and scraped her foot on the cement. The wound is non-healing, with no odor at this time but patient notes white pus coming draining from wound. The wound is preventing her from her doing everyday activities. Tina reports having to stop classes at her college as a result. She reports pain that is not relieved with pain medications at this time. She does not smoke or drink. She reports using Proventil to control asthma symptoms and uses 1-3 puffs as needed. She reports non-management of her diabetes. She reports increased urination, thirst and has lost about 10 pounds within the last month. She reports family The family genogram reveals history of hypertension and hyperlipidemia on both her maternal and paternal side of the family. The patient is also at an increased risk for complications with diabetes related to deficit knowledge on the management of her diabetes. She also has an increased risk of hypertension, hyperlipidemia and stroke in relation to her family history. Educating Tina on her diabetes management includes increased motivation to comply with therapeutic recommendations, involvement in the treatment process, increased awareness of cardiovascular risk factors and change in her behavior (Świątoniowska, Sarzyńska, Szymańska-Chabowska, Jankowska-Polańska, 2019). According to the U.S. Preventive Service Task Force (USPSTF), they recommend screening for prediabetes and type 2 diabetes in adults aged 35 to 70 years who have overweight or obesity. Being that Tina’s family has a high risk for diabetes type 2 and her brother is overweight, prescreening should begin with her siblings at the age of 35 to manage and utilize preventative interventions. The USPSTF also recommends offering or referring adults with cardiovascular disease risk factors to behavioral counseling interventions to promote a healthy diet and physical activity. This should be done at the age of 18. Both Tina and her brother qualify and should be provided with the tools to promote healthy diet and physical activity to help manage obesity and prevent high blood from occurring. In a study conducted by Guirguis-Blake, Evans, Webber, Coppola, Perdue, and Weyrich in 2021, hypertension can be modified through lifestyle and pharmacological interventions to reduce cardiovascular events and mortality. They reviewed the benefits and harms of screening and confirmatory blood pressure measurements in adults, to inform the US Preventive Services Task Force. Out of the 52 studies conducted, 95% that was screened for hypertension reported fewer annual cardiovascular-related hospital admissions for cardiovascular disease in the intervention group compared with the control group.

References Guirguis-Blake, J. M., Evans, C. V., Webber, E. M., Coppola, E. L., Perdue, L. A., & Weyrich, M. S. (2021). Screening for hypertension in adults. JAMA, 325(16), 1657. https://doi.org/10.1001/jama.2020.21669 United States preventive services Taskforce. United States Preventive Services Taskforce. https://www.uspreventiveservicestaskforce.org/uspstf/ Świątoniowska, N., Sarzyńska, K., Szymańska-Chabowska, A., & Jankowska-Polańska, B. (2019). The role of education in type 2 diabetes treatment. Diabetes Research and Clinical Practice, 151, 237-246. https://doi.org/10.1016/j.diabres.2019.04.004...