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246 Exam 2
CH 8 & 9
Term | Definition |
---|---|
sexual orientation | an inherent or immutable enduring emotional, romantic or sexual attraction to other people; straight or gay |
biological sex | related to the X and Y chromosome (typically assigned to a person at birth based on genitalia) |
gender identity | one's innermost concept of self as male, female, a blend of both or neither |
transgender | people whose gender identity is different from their biological sex or that assigned to them at birth may identify as |
cisgender | gender identity is same as biological sex |
nonbinary | the person does not identify as man or woman |
gender expression | through appearance usually expressed via societal expectations of what is masculine or feminine; appearance, hairstyle |
health disparities and challenges | HIV, higher number of chronic and acute conditions that prevent them from ADLs, limited health service research |
coming out | a multistage process |
social affirmation | begin telling people about transitioning their gender identity and altering the way they express gender through clothes, hairstyle |
legal affirmation | state and federal documents are changes to reflect the transition |
medical affirmation | children and adolescents may begin taking cross - sex hormones to suppress puberty |
surgical affirmation | body is surgically altered so it aligns with gender identity |
family structure of intersex children | self defined |
mixed oriented marriage MOM | consists of one partner who identifies as heterosexual of one sex, other partner is homosexual |
gene | basic physical and functional unit of heredity |
genomics | the study of all the genes in the entire genome |
genetics | study of a particular gene |
prenatal diagnosis | indicates whether the fetus has inherited the gene mutation that will cause a specific condition |
diagnostic | when S/S present, confirms or denied a suspected condtion |
detection of carrier status | planning for pregnancy, blood work to see if a carrier |
predictive testing for familial disorders | higher chance of getting the disease (BRCA) |
predictive or pre-symptomatic testing | detects whether they inherited a mutation in a gene, whether they will or may develop a future condition |
direct consumer test | 23 and me |
pharmacogenetics testing (PGx) | examine an individuals genes to determine how medications are absorbed, move through the body and are metabolized |
PGx | allows individualized drug treatments that are specific to each person helping to avoid toxicity and improve efficiency |
advantages of testing | opportunity to learn what you are inherited of, passing on, decreases anxiety; managment |
disadvantages of testing | can change family attitudes towards family members, insurance coverage |
disclosure of information parents of children | challenges of when to inform child of condition, how much information to give, insurance issues, instability |
disclosure of information families with genetic disorders | genetic testing and emotional health; anxiety about being a carrier and survivor guilt |
characteristic communication | known to the family, knowledgable, good communicator |
approach communication | calm, reassuring, able to answer questions |
timing communication | as soon as possible, after confirmation |
communication channel | told in person, confidentiality |
care coordination communication | referral to specialist ASAP and communicate with provider, have phone numbers ready |
information communication | written information and follow up appt, provide paperwork |
family support communication | access to support groups |