Health Assessment Essay

Health Assessment Essay

Patient Case

The patient, JM,  is a 38-year male immigrant from Africa who moved in with his family fifteen years ago to pursue tertiary education in the United States. JM was born in 1984 in Africa. He is known hypertensive for the past two years. His major complaints were chest discomfort and easy fatiguability for the past three days. He was diagnosed with cardiomyopathy in the clinic and has been advised to continue his hypertensive medications. He reports that his mother died at 41 after cardiac complications a few days following the delivery of their last born, AM, who is 25 years now. His mother was diagnosed with cardiomyopathy at autopsy. The patient is the firstborn in a family of three. The second-born, SM, is a 30-year-old married lady who is alive and well. Their father suffered a cerebrovascular accident but is currently alive and not hypertensive. Her paternal aunt is also hypertensive. Her younger sister was recently diagnosed with hypertension. JM denied any other medical or psychiatric condition in the family. There is also no history of past surgeries. The patient denies any leg swelling, palpitations, or neck vein distension in this visit.

JM’s family has a familial history of cardiovascular disease. Hypertensive heart diseases have been elaborated by literature evidence to be hereditary (Momeni-Moghaddam et al., 2019). Dilative cardiomyopathy was diagnosed in the patient mother and now in the patient. Dilative cardiomyopathy is one of the inheritable cardiovascular diseases (Schultheiss et al 2019; Reichart et al., 2019). Some of the risk factors include longstanding hypertension and family history. His race is also a risk for cardiovascular diseases (Fundikira et al., 2019). This patient had both risk factors. His paternal grandmother also died of a heart condition that was unclear to him.

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Genogram

References

Fundikira, L. S., Chillo, P., van Laake, L. W., Mutagaywa, R. K., Schmidt, A. F., Kamuhabwa, A., Kwesigabo, G., & Asselbergs, F. W. (2021). Risk Factors and Prevalence of Dilated Cardiomyopathy in Sub-Saharan Africa: Protocol for a Systematic Review. JMIR research protocols, 10(1), e18229. https://doi.org/10.2196/18229

Momeni-Moghaddam, M. A., Asadikaram, G., Akbari, H., Abolhassani, M., Masoumi, M., Nadimy, Z., & Khaksari, M. (2019). CD36 gene polymorphism rs1761667 (G > A) is associated with hypertension and coronary artery disease in an Iranian population. BMC cardiovascular disorders, 19(1), 140. https://doi.org/10.1186/s12872-019-1111-6

Reichart, D., Magnussen, C., Zeller, T., & Blankenberg, S. (2019). Dilated cardiomyopathy: from epidemiologic to genetic phenotypes: A translational review of current literature. Journal of internal medicine, 286(4), 362–372. https://doi.org/10.1111/joim.12944

Schultheiss, H. P., Fairweather, D., Caforio, A., Escher, F., Hershberger, R. E., Lipshultz, S. E., Liu, P. P., Matsumori, A., Mazzanti, A., McMurray, J., & Priori, S. G. (2019). Dilated cardiomyopathy. Nature reviews. Disease primers, 5(1), 32. https://doi.org/10.1038/s41572-019-0084-1

 

MAYBE A REALTIVE, FRIEND, ( CAN CHOOSE ANYBODY YOU LIKE) PLEASE PROVIDE INFORMATION ( IN THE NARRATIVE) SO I CAN MAKE ADJUSTMENTS. THANK YOU FOR THE HELP.

Narrative: 75%

• • The patient interview that explores hereditary conditions
    • Document both those conditions that the patient acknowledges and those that they deny
  • Narrative Discussion that provides a “processing” of the information from your interview
  • Patient Demographics (do not include the patient name or real DOB
  • Review of pertinent Patient History findings
  • Review of pertinent Family History
  • Synopsis of the major health and genetic disorders identified
  • Brief Educational Summary provided to the patient based on ONE of the risks identified.

Pedigree (pictorial genogram) 15%

• • Provide:
  • A pictorial Pedigree
  • Including:
  • 3 generations of family.
  • Age of Patient
  • Relationship of family members
  • Health status of family members
  • Alive (age) or deceased (age of death & cause of death)
  • Known hereditary diseases for each family member
  • Symbol Key that describes sex, family relationships, Death illness or similar diseased, color use
  • Format of the Pedigree is individualized