Genogram of Shadow Health Tina Jones

Genogram of Shadow Health Tina Jones Genograms are pictorial graph of the organization and characteristics of a family across three or more generations (Green, n.d.). “This list enables all health care providers to quickly assess the patient’s history by the summary presented on this list” (Ball et al, 2015). Genograms can be used for seeing patterns such as disease risk, illness, basis of health, and treatment responses (Calzone et al, 2010). Nurses being the most trusted health professional make contributions to the field of human genetics/genomics and complement the work of other health care providers improve the health of the public (Calzone et al, 2010). “By seeing family patterns on a genogram, individuals may realize their personal identity more fully by seeing themselves as part of a greater family network, and by observing family values passed down over the generations” (Green, n.d.). Genomic profile and health history has the potential to help people avert adult onset disorders and consequential morbidity and mortality (Calzone et al, 2010). “In order for people to benefit from widespread genetic/genomic discoveries, nurses must be competent to obtain comprehensive family histories, identify family members at risk for developing a genomic influenced condition and for genomic influenced drug reactions, help people make informed decisions about and understand the results of their genetic/genomic tests and therapies, and refer at-risk people to appropriate health care professionals and agencies for specialized care” (Calzone et al, 2010). There genographs and health history collectively elicit health related information that is pertinite to quality healthcare. Patient Tina Jones, 28 year old obese African American single woman who presents for complete physical examination and evaluation for right foot injury. Ms Jones is the primary source of health history, offering information easily and without any inconsistency. She is alert and oriented to person, place, and time, seated upright on examination table. Speech is clear and coherent, maintaining eye contact throughout the interview. Ms Jones’ chief complaint is that “I hurt my right foot one week ago.” Ms. Jones reports she tripped and cut her foot open while not wearing shoes; wound located on the plantar surface. She has past medical history of asthma and type II diabetes. Patient states she has cleaned the wound two times a day with soap and water, then covers with neosporin and bandaid. She states her current pain is 7 out of 10 on the numeric pain scale after her last dose of tramadol a few hours ago that was prescribed from the emergency department. While she was in the emergency department x-rays were completed which were negative. Ms. Jones has called out of work and missed one day of school due to severe pain when standing and unable to bare weight on her right foot. She currently doe not take any medications to control her diabetes nor monitors her blood sugar. Ms. Jones reports increase swelling in ankle and redness around wound site. The pain is described as “throbbing” and “sharp, shooting” when bearing weight. She noted some “blood and pus” from wound site, denying any odor from the wound. For the past two days she had reported fevers. Denies any recent illness. Reports any 10 lbs weight loss, which was unintentional and denises any change in diet or level activity. Asthma diagnosed at age 2 1/2 , uses her albuterol inhaler when needed, which is rare. Patient was last hospitized for asthma in high schooll; never was intubated. Type II diabetes was diagnosed at age 24. She briefly took metformin, but stopped taking three years ago, stated that the pills upset her stomach. She does not monitor her blood sugar, last blood sugar was 245. Patient denised having surgies. Patient is not currently sexually active, period irregular (every 4- 6 weeks); never pregnant. No history of STIs or STI symptoms. Immunizations are current, Tenanus booster received a year ago; influenza not current. Reports that she is up to date on childhood vaccines. No tobacco usage, occasional cannabis use stopped at age 21. No reports of any other madicinal drugs. Occasional drinker, states drinks with friends, roughly 2-3 times per month. Current Medication: Acetminophen 500-1000 mg PO prn (headaches); Ibuprofen 600mg PO TID prn (cramps); Tramadol 50 mg PO BID prn (footpaint); albuterol 90 mcg/spray MDI 2puffs Q4hours prn (wheezing). Allergies: Penicillin (rash); denies food or latex aallergies; Cats (itchy water eyes, wheezing, sneezing) Family History: