genealogy discussion.docx - 1 Running head GENEALOGY...

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1Running head: GENEALOGY DISCUSSIONM1; Lesson 2: Genealogy DiscussionMy NameUniversity of Texas at Arlington College of Nursing and Health InnovationIn partial fulfillment of the requirements ofN5220 Advanced Health AssessmentToshia McKeon, APRN, MSN, CPNPFebruary 27, 2020
2GENEALOGY DISCUSSIONM1; Lesson 2: Genealogy DiscussionAs the interview takes place the healthcare provider begins to understand the patient as a whole. Information obtained includes the patient’s demographics, chief concern, history of present illness, past medical history, etc., therefore establishing a rapport with the patient that allows the provider to educate them on risk factors that are identified (Ball et al., 2019). NarrativeThe patient is a 58-year-old Caucasian male, of Italian descent, that is currently employedas an executive of a pharmaceutical company. He is married with no biological children. He was referred by his established cardiologist, as he recently moved to town and seeks a primary care provider (PCP). Patient is considered a reliable historian. Although patient does not have a chief concern at this visit, he does seek to establish a rapport with a PCP as he is new to town and has an extensive past medical history (PMH). His PMH includes hereditary hyperlipidemia, coronary artery disease (CAD), and hypertension. He underwent triple coronary artery bypass graft (CABG) surgery at the age of 43 (2005), after being diagnosed with obstructive CAD post heart catheterization. He subsequently underwent another coronary angiogram with percutaneous intervention (PCI) of his grafts due to significant collateral circulation. Other surgical history includes a colonoscopy at the age of 50 (2012).

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