The nurse's genogram assessment for a patient with periorbital edema and family history of kidney issues indicates an assessment of risk for Polycystic Kidney Disease (PKD). PKD is a genetic disorder that causes multiple cysts to grow in the kidneys and can lead to kidney failure.
The nurse's assessment with a genogram indicates a concern for hereditary risks associated with kidney disorders. When considering a genetic disorder like polycystic kidney disease (PKD), the presence of multiple abnormal cysts developing in the kidneys is typical. Considering the family history in the genogram, the nurse would be addressing the patient's risk for PKD.
This disease can lead to symptoms such as high blood pressure, headaches, abdominal pain, blood in the urine, and excessive urination. It may ultimately progress to kidney failure necessitating interventions like kidney transplantation or hemodialysis.
So, the complete health history assessment and genogram suggest the nurse is evaluating the patient's risk for Polycystic Kidney Disease (PKD), which is an inherited disorder. This aligns with the information provided about PKD being a condition characterized by the growth of numerous cysts in the kidneys, which can affect individuals from infancy through adulthood and is passed down through families.