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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 |