2 the genogramstudent’s nameinstitutional aff

1. 2
The Genogram
Student’s Name
Institutional Affiliation
Course Name and Code
Instructor’s Name
Date of Submission
The Genogram
GrandPa
Grandma
GrandPa
Grandma
Father
Mother
Bro Tina
Tina

2. Tina, 24 years old, has been living with her divorced
mother for the last five years after her mother divorced Tina's
father following irresponsive intake of alcohol and endless
family conflict. They live close to their grandmother on the
mother's side, who is 78years old. Their grandfather died at the
age of 82, following an abrupt heart attack six years ago, while
undergoing treatment in a private health facility. Both
grandparents from Tina's father's side have all passed away. Her
grandfather went down with diabetes, whereas her grandmother
suffered from hypertension until her demise. Unfortunately,
both her grandmother and mother are also on antihypertensive
medication to control their high blood pressure.
Some of Tina's family's nonmodifiable risk factors
include genetics, age, sex, and probably any co-existing illness
such as diabetes. These nonmodifiable risk factors to the
development of chronic illnesses such as hypertension and
diabetes predispose Tina to develop any of her family lineage
conditions. Since Tina's mother and grandmother are all
hypertensive, Tina, being a female, is at an increased risk of
developing hypertension later in life. Advancing age would also
increase the risk of developing high blood pressure (Czajkowski
et al., 2015). Tina's genetic composition comprises some of the
inherited traits from her mother and father, which increases her

3. risk of developing a heart condition.
However, these factors are nonmodifiable; lifestyle
modification could help reduce the risk of developing chronic
illnesses in the family. Restriction of dietary sodium intake,
reduction in dietary fat content, restricting high starch foods,
avoidance of alcohol or tobacco use, and engagement in
physical exercises would reduce her risk to the development of
chronic illnesses (Czajkowski et al., 2015).
References
Czajkowski, S. M., Powell, L. H., Adler, N., Naar-King, S.,
Reynolds, K. D., Hunter, C. M., ... & Charlson, M. E. (2015).
From ideas to efficacy: The ORBIT model for developing
behavioral treatments for chronic diseases. Health
Psychology, 34(10), 971.
https://psycnet.apa.org/doiLanding?doi=10.1037/hea0000161.
Pages: 1 pages ( 275 words, Double spaced)
Number of sources: 1
Related to https://www.homeworkmarket.com/questions/13533-
deliver-within-6-hrs
Paper instructions:
In Discussion Forum 2, post your response to the following.
Please identify the forum in which you are participating in the
subject line of your thread (e.g., “Discussion Forum 2/[Your
Name]”), post your response to the selected discussion topic by
the date indicated in the Course Calendar, and comment on at
least two classmates' responses.

4. Respond to the topics below for your posting. Support your
response with a rationale.
Discuss the elements of a health history.
Identify a clinical presentation that would pose a potential
barrier to communication. Please choose a different clinical
presentation than one already identified in the forum.
Discuss how the nurse would facilitate reducing or eliminating
the barriers.
What impact can communication barriers have on obtaining a
health history?
How does the nurse establish rapport when factors such as age,
gender, or disability are present?
What can the healthcare provider do to ensure a positive
rapport?