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Genetics should be viewed as an active dialogue between the organism and the env
Genetics should be viewed as an active dialogue between the organism and the environment. Patients often have risk factors for disease that are complemented by the environment. This can worsen the health of the patient. Inactivity can combine with poor eating habits to worsen the individual’s condition. These characteristics are related to the patient’s inability to deal with stress. Instead of breaking these patterns of behaviors, patients continue to reinforce stressors. Thus, diseases such as asthma and diabetes can be generational. A patient may reflect characteristics similar to those of other family members. A father with cardiovascular issues may see the same patterns in his children.
Parents pass on their reactions to triggers in the environment. The family system describes these reactions in detail. In a different environment, an individual can break the influence of family history. This can limit the propensity to disease and increase lifestyle choices that limit the effects of chronic diseases. Despite these advantages, patients often seek environments that seem familiar. Therefore, children often deal with stress from their parents similarly.
The development of these behaviors is nuanced. A patient may not recognize these changes until it is too late. Patients do not have total control over their biology, but a strong foundation of wellness can improve outcomes. The patient can reverse the effects of family history. Nevertheless, it is essential to understand how behavioral cues influence individual action. People are caught up with patterns of behavior, and these behaviors manifest uncontrollable impulses on the part of the individual. Patients can resist these impulses with sustained education.
Alspatch (2011) emphasizes that a patient’s health reflects multiple levels of parental influence on patients. The genetic makeup is expressed in a similar reaction to the environment. Claasen et al. (2010) indicate how patients share behaviors with their families. Wildin et al. (2021) describe how altering family history to emphasize wellness is possible. Nurses must be more active in encouraging patients to commit to a healthy lifestyle.
References
Alspach, J. G. (2011). The importance of family health history: your patients’ and your own. Critical Care Nurse, 31(1), 10-15. https://doi.org/10.4037/ccn2011240Links to an external site.
Claassen, L., Henneman, L., Janssens, A.C.J. Wijdenes-Pijl, M., Qureshi, N., Walter, F.M., Yoon, P.W. & Timmermans, D.R., 2010 (2010). Using family history information to promote healthy lifestyles and prevent diseases; a discussion of the evidence. BMC Public Health 10, 248 (2010). https://doi.org/10.1186/1471-2458-10-248Links to an external site.
Wildin, R. S., Messersmith, D. J., & Houwink, E. J. (2021). Modernizing family health history: achievable strategies to reduce implementation gaps. Journal of community genetics, 12(3), 493-496.v. https://doiLinks to an external site.: 10.1007/s12687-021-00531-6
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