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Family Health Risk
Name
Institution
Summary
This assignment is concerned with the explanation of the “family” as the potential carrier of certain disease for individual through genetic expressions. Selected individual is C (female, 3 years) suffering from Cat’s eye reflex as her right eye has huge red spot in place of white pupil. Generation III will define her along with her siblings (2 brothers, 5yr and 7 yrs old), generation II will encapsulate her mother and father whereas generation I will encompass her maternal and paternal grandparents. In the end, some nursing interventions will be defined in this regard.
Generation I
Table 1
Paternal Grand Parents Genetic History
No.
History
Paternal Grand Father
(60 years, alive)
Paternal Grand Mother (58 years, alive)
1
Health History
Illness: Hypertension
Gynecological History: Normal
Health maintenance: Active
Illness: Alzheimer’s Disease
Gynecological History: Normal birth
Health maintenance: Active
2
Reproductive History
Sexual maturity: 16 years
Sexual Status: Active
Off springs: 1
Sexual maturity: 14 years
Sexual Status: Active
Number of off springs: 1
3
Ethnicity
White American
White American
4
Variation in Growth and development
Achieved growth and developmental milestones at appropriate age
Achieved growth and developmental milestones at appropriate ages
5
Cause of disorder
Stress
Genetic
6
Questions
Not specified
How heredity expressions define our physical and mental health?
How can we avoid this?
7
Communication
Not specified
Concerned with the genetic facts and figures behind illness
Table 2
Maternal Grandparent Genetic History
No.
History
Maternal Grand Father (59 years, Alive)
Maternal Grand Mother (54 years, Alive)
1
Health History
Illness: Benign hypertensive arteriolar Nephrosclerosis
Surgical History: Null
Childhood illness: Null
Gynecological History: Normal
Health maintenance: Active
Illness: Breast Cancer (5 years ago)
Surgical History: Breast Surgery
Childhood illness: Null
Gynecological History: Normal
Health maintenance: Active
2
Reproductive History
Sexual maturity: 15 years
Disorder; Null
Off springs: 2
Sexual maturity: 14 years
Disorder; Null
Off springs: 2
3
Ethnicity
White American
White American
4
Variation in Growth and development
Achieved growth and developmental milestones at appropriate age
Achieved growth and developmental milestones at appropriate ages
5
Cause of disorder
Thyroid problem
Genetic
6
Questions
Not specified
How can we minimize genetic risk?
7
Communication
Not specified
Concerned with the genetic facts and figures behind physical illness
Generation II
Table 3
Parental Genetic History
No.
History
Father (28 years, alive)
Mother (26 years, alive)
1
Health History
Illness: null
Gynecological History: Normal
Health maintenance: Active
Illness: retinoblastoma at 3 yrs
Treatment: Chemotherapy
Gynecological History: Normal birth
Health maintenance: Active
2
Reproductive History
Sexual maturity: 16 years
Sexual Status: Active
Off springs: 3
Sexual maturity: 15 years
Sexual Status: Active
Number of off springs: 3
3
Ethnicity
White American
White American
4
Variation in Growth and development
Achieved growth and developmental milestones at appropriate age
Achieved growth and developmental milestones at appropriate ages
5
Cause of disorder
None
Physical
6
Questions
Not specified
Not specified
7
Communication
Not specified
Not specified
Generation III
Table 4
Patient and sibling history
No.
History
Sibling A (Male, 7 yr)
Sibling B (Male, 5 yr)
Sibling C (Female, 3yr)
1
Health History
Illness: None
Gynecological History: Normal
Illness: Hypospadias (corrected at birth)
Gynecological History: complicated birth
Illness: cat’s eye” reflex
Gynecological History: Normal birth
2
Reproductive History
-
-
-
3
Ethnicity
White American
White American
White American
4
Variation in Growth and development
Achieved growth and developmental milestones at appropriate age
Achieved growth and developmental milestones at appropriate ages
Achieved growth and developmental milestones at appropriate ages
5
Cause of disorder
None
Premature birth
Genetic (mother)
6
Questions
Not specified
Not specified
Not specified
7
Communication
Not specified
Not specified
Not specified
Nursing Interventions
Nursing intervention will include:
Appropriate referral of the patient
Education and support of patient and her family
Interpretation and explanation of genetic factors before patient and her family
Explanation of potential impact of genetic information on patient and family
Explaining various treatment options for cat’s eye reflex including enucleation of the eye, external beam radiography, branchytherapy, thermotherapy, laser photocoagulation, cryotherapy, systematic chemotherapy, intra-arterial chemotherapy, nano-particulate chemotherapy and chemoreduction with their potential side effects (Qaddoumi et. al., 2012; McEvoy et. al., 2014; Tse et. al., 2014; Langenau, 2015).
References
Langenau, D. M., et al. (2015). Preclinical Models Provide Scientific Justification and Translational Relevance for Moving Novel Therapeutics into Clinical Trials for Pediatric Cancer. Cancer Res., 75, 5176–5186. Retrieved February 21, 2019 from https://www.ncbi.nlm.nih.gov/pubmed/26627009
McEvoy, J., et al. (2014). RB1 gene inactivation by chromothripsis in human retinoblastoma. Oncotarget. 5, 438–450. Retrieved February 21, 2019 from https://www.ncbi.nlm.nih.gov/pubmed/24509483
Qaddoumi, I., et al. (2012). Topotecan and vincristine combination is effective against advanced bilateral intraocular retinoblastoma and has manageable toxicity. Cancer, 118, 5663–5670. Retrieved February 21, 2019 from https://www.ncbi.nlm.nih.gov/pubmed/22516936
Tse B. C., et al. (2013). Superselective intraophthalmic artery chemotherapy in a nonhuman primate model: histopathologic findings. JAMA Ophthalmol, 131, 903–911. Retrieved February 21, 2019 from https://www.ncbi.nlm.nih.gov/pubmed/23619956
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