DNP 810 Topic 3 Discussions GCU
DNP 810 Topic 3 Discussions GCU
DNP 810 Topic 3 Discussions GCU
Comprehensive health and physical assessments, including environmental and genomic factors, are critical for providing patients with individualized care. Precision health is defined as the use of information from patients such as lifestyle, social, economic, cultural, and environmental factors to assist doctoral-prepared nurses in practicing holistically. Conley and colleagues (2019) This information is more important than ever in today’s changing demographics. In my work with vulnerable populations, I believe that being aware of social determinants is critical. An advanced practice nurse’s responsibilities include more than just understanding chronic illnesses and how to treat them medically. Conley and colleagues (2019)
Nurses are at the forefront and play a critical role in bringing precision medicine to the front lines. One of the primary goals of precision medicine/health is to improve patient diagnosis and treatment. Using tools like the My Family Health Portrait can help you start the conversation. A family health history can reveal specific diseases that run in families, shared genes, and environmental and behavioral factors. (MFHP, 2nd.) This is useful for determining a family history of kidney disease, diabetes, hypertension, and obesity. (MFHP, 2nd.)
Mei R. Fu, Emma Kurnat-Thoma, Angela Starkweather, Wendy A. Henderson, Ann K. Cashion, Janet K. Williams, Maria C. Katapodi, Karin Reuter-Rice, Kathleen T. Hickey, Veronica Barcelona de Mendoza, Kathleen Calzone, Yvette P.
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Once genetic alterations have been made, one’s genes can induce different responses compared to other individuals. As a result, some people may develop a disease after exposure to something in the environment, while others may not. Epigenetic alterations can be elicited through environmental factors significantly augmenting the relationship between DNA and proteins (Ayorech et al., 2019). Your genes hold the basic instructions for your body to grow and function, but they are far from the only thing controlling your traits. Most traits are shaped both by a person’s genes and by environmental factors. Environmental factors include everything outside of DNA that affects your traits (Ayorech et al., 2019).
A DNP-prepared nurse can use the information to educate their patients on how genes, via their influences on
morphology and physiology, create a framework within which the environment shapes an individual’s behavior. The environment can affect morphological and physiological development; behavior develops due to that patient’s shape and internal workings (Ludeke et al., 2021). In addition, genetics influence a child’s well-being by setting the limits of growth, development, and health potential that could lead to a child’s insecurity about some aspects about their self, but with the right lifestyle factors, for example, physical activity, can lead to a lavish lifestyle with a child’s well-being (Ludeke et al., 2021). Furthermore, genes can interact with other genes and the environment. Some genes may dominate and prevent others from being expressed. In other cases, specific biological influences might impact genetic expression. An example of biological influence over gene expression is a child not getting proper nutrition (Ludeke et al., 2021). In addition, the environment a child is exposed to both in utero and throughout the rest of their life can also impact how genes are expressed. For example, exposure to harmful drugs while in utero can dramatically impact later child development (Ludeke et al., 2021).
A multi-generational family health history can facilitate your management of a patient’s disease. What model would you use to create a multi-generational family health history for a patient? Explain. Support your rationale with a minimum of two scholarly sources.
Why is it important to have a comprehensive health and physical assessment that includes information on environment and genomic influences? How can the doctoral-prepared nurse apply this information in practice? Explain. Support your rationale with a minimum of two scholarly sources.