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Lesley continues to work "seven days a week, 14-16 hours a day". Consider how this might challenge you perception(s) and possibly the way you currently interact and treat individuals living with a genetic illness.
Lesley also mentions that she is "more protective" of her children. Think about the different emotions that someone in a similar position to Lesley might feel towards their affected/at risk children when compared to their unaffected/not at risk children.
1. Using all the information provided by Lesley, draw a three generation family tree (pedigree). What further questions would you want to ask Lesley? For further information on taking a family history and drawing a family tree see Gaff CL (2005) Identifying clients who might benefit from genetic services and information. Nursing Standard. 20, 1, 49-53. An example of Lesley’s family tree and suggested further questions can be found here.
2. Imagine you are a primary care nurse. How would you support Lesley to reduce the risks of CHD by making lifestyle changes?
"Both deaths were very tragic for me and my family and I still feel that they could have been prevented."
"Personally, I work seven days a week, 14-16 hours a day, so as far as my lifestyle goes nothing has really changed apart from my outlook on life. I am far more outspoken. I have good days and bad; luckily the good outnumber the bad."
UK National Library for Health, Genetic Conditions Specialist Library - Familial Hypercholesterolaemia briefing
Heart UK - patient and professional organisation for FH and related disorders
Department of Health FH Cascade Testing Audit Project
National Institute for Health and Clinical Excellence (NICE) guideline development for FH