RUA: Health History

Health history

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Health history

Cardiovascular diseases refer to a variety of illnesses that affect our heart. Illnesses under the heart disease umbrella comprises of diseases related to blood vessels, coronary heart vessels and heart-related birth defects (Valdez, Greenlund, Khoury, Yoon, 2007). It is often termed as heart failure or heart disease which is generally linked with other conditions such as chest pain, stroke, hypertension and high cholesterol level (Loomba, Abraham, Unalp, Wilson, Lavina, Doo, 2012). These conditions increase the risk of cardiovascular disease in a person.

Health history assessment

Various factors are positively associated with cardiovascular disorders. Only clinical considerations would be discussed here.

Cultural and developmental considerations

Unhealthy lifestyles, junk food consumption, and family history are significantly associated with cardiovascular diseases (Woodward, Pedoe, 2007). High blood pressure, obesity, physical inactivity, high cholesterol level, smoking, and drinking also increases the chances of cardiovascular disease in a person.

Psychosocial considerations

Certain psychosocial factors subsidize the pathogenesis of heart-related disease. This field has headed towards the advancement of a new field of cardiovascular disorders (Hunt, Gwinn, Adams, 2003). The epidemiological and pathophysiological studies have identified a robust link among numerous psychosocial factors that increases the risk of cardiovascular disease. Certain noteworthy factors including anxiety, aggression, job stress, poor communal support positively increase the risk of cardiovascular diseases (Harrison, Hindorff, Kim, Bowen, 2003). In current years, additional psychosocial risk factors are stress, trauma, and other mental health issues.

Review of system

Generally, the evidence from different studies has suggested that multiple adaptable lifestyle elements are of utmost importance in improving the healthy lifestyle of a person. Population-wide cardiac disease risk decrease is possible at the primary and secondary level of healthcare facilities (Harrison, Hindorff, Kim, Bowen, 2003). Efforts to upturn the prevalence of defensive lifestyle changes are required to improve the health of a person. The adults with a progressive family history indicate a significantly greater probability of acquiring the disease. Medical history of a person and family history should be the methodology to monitor children at risk of cardiovascular disease. This screening should be a part of prevention promotions intended to decrease the burden of cardiovascular diseases in children.

References

BIBLIOGRAPHY Woodward, M., Brindle, P., & Tunstall-Pedoe, H. (2007). Adding social deprivation and family history to cardiovascular risk assessment: the ASSIGN score from the Scottish Heart Health Extended Cohort (SHHEC). Heart, 93(2), 172-176.

Hunt, S. C., Gwinn, M., & Adams, T. D. (2003). Family history assessment: strategies for prevention of cardiovascular disease. American journal of preventive medicine, 24(2), 136-142.

Harrison, T. A., Hindorff, L. A., Kim, H., Wines, R. C., Bowen, D. J., McGrath, B. B., & Edwards, K. L. (2003). Family history of diabetes as a potential public health tool. American journal of preventive medicine, 24(2), 152-159.

Loomba, R., Abraham, M., Unalp, A., Wilson, L., Lavine, J., Doo, E., ... & Nonalcoholic Steatohepatitis Clinical Research Network. (2012). Association between diabetes, family history of diabetes, and risk of nonalcoholic steatohepatitis and fibrosis. Hepatology, 56(3), 943-951.

Valdez, R., Greenlund, K. J., Khoury, M. J., & Yoon, P. W. (2007). Is family history a useful tool for detecting children at risk for diabetes and cardiovascular diseases? A public health perspective. Pediatrics, 120(SUPPLEMENT 2), S78-S86.

Health History Worksheet

Family Member

Description

Paternal grandfather

First and last initials:

RK

Birthdate:

1932

Death date:

1994

Occupation:

Salesman

Education:

Middle

Primary language:

English

Health summary:

Diagnosed with hypertension, high cholesterol and diabetes. He died because of heath failure

Paternal grandmother

First and last initials:

KP

Birthdate:

1935

Death date:

1992

Occupation:

housewife

Education:

primary

Primary language:

English

Health summary:

Diagnosed with hypertension, diabetes and high cholesterol level. She died because of stroke

Father

First and last initials:

AM

Birthdate:

1962

Death date:

Alive

Occupation:

Business

Education:

12 grade

Primary language:

English

Health summary:

Diagnosed with high blood pressure and Smoking, Lung cancer

Father’s siblings- Summary of any significant health issues

One of his brothers was died because of heart attack.

Maternal grandfather

First and last initials:

DL

Birthdate:

1933

Death date:

1992

Occupation:

Farmer

Education:

Primary

Primary language:

English

Health summary:

Diagnosed with smoking. Hypertension, chronic lung cancer and died because of heart attack

Maternal grandmother

First and last initials:

SC

Birthdate:

1934

Death date:

1991

Occupation:

Housewife

Education:

8th grade

Primary language:

English

Health summary:

Diagnosed with hypertension, diabetes and died because of kidney failure

Mother

First and last initials:

DG

Birthdate:

1963

Death date:

Alive

Occupation:

Housewife

Education:

8th grade

Primary language:

English

Health summary:

Diagnosed with High blood pressure, high cholesterol level, 1 missed abortion because of high blood pressure

Mother’s siblings- Summary of any significant health issues

6 brothers and sisters. One of the sisters died because of kidney failure she was diagnosed with diabetes and high blood pressure, high cholesterol level. Other sister is also having diabetes.

Adult Participant

First and last initials:

SP

Birthdate:

1987

Death date:

Alive

Occupation:

clerk

Education:

12th grade

Primary language:

English

Health summary:

Diagnosed with high cholesterol level, smoking.

Adult participant’s siblings Summary of any significant health issues

Two siblings with no medical history

Adult participant’s spouse/significant other

First and last initials:

SO

Birthdate:

1989

Death date:

alive

Occupation:

Housewife

Education:

14th grade

Primary language:

English

Health summary:

One stillbirth and diagnosed with diabetes

Adult participant’s children- Up to 4 children

Child #1 first and last initials:

WL

Birthdate:

2011

Death date:

alive

Occupation:

Education:

Student

Primary language:

English

Health summary:

Not diagnosed

Child #2 first and last initials:

FM

Birthdate:

2009

Death date:

alive

Occupation:

-

Education:

-

Primary language:

English

Health summary:

Not diagnosed

Child #3 first and last initials:

UY

Birthdate:

2010

Death date:

alive

Occupation:

-

Education:

-

Primary language:

English

Health summary:

Not diagnosed yet

Child #4 first and last initials:

IP

Birthdate:

2016

Death date:

Stillbirth

Occupation:

-

Education:

-

Primary language:

-

Health summary:

-