New technologies are changing the evolution
of modern day medicine. These technologies have led to the discoveries of
remarkable things such as DNA and genetic inheritance, an idea that has
transformed health care, biological science, and even how medical care is
viewed. This concept coined genetics or genetic medicine aims at addressing the
association between the genetic mutation and the disorder whereas, genomics
addresses how the genetic mutation is expressed and the severity of expression
with the resulting impact upon the individual's health. Genetics provides the
mapping of the human genome and has resulted in overwhelming changes in medical
care and a new responsibility for all nurses to be knowledgeable in regards to
genomic health disorders (Camak, 2016).
Genetics and genomic developments are currently
being integrated into all specialties of nursing clinical practice including
but not limited to; oncology, pharmacogenetics, cardiology, palliative care,
obstetrics, hospice and end of life care. This process has created new roles
for nurses, including the integration of genetics into pharmacotherapeutics,
and the integration of genetics and genomics into treatment guidelines for many
diseases and disorders. The most essential role of the nurse is that of the client educator and advocate, while providing clients with accurate,
informative and unbiased genetic education and resource information. During
this process, nurses support clients and families by ensuring that they
understand the risks and benefits of initiating genetic services (Camak, 2016).
The American Association of Colleges of
Nursing [AACN] states that nursing educators now have the responsibility to
encourage nursing graduates of all types to become patient advocates for clients and families facing genomic health compromise including that of genetic
counseling. The AACN expresses the need for nursing programs to prepare
graduates to, “recognize the relationship of genetics and genomics to health,
prevention, screening, diagnostics, selection of treatment, and monitoring of
treatment effectiveness, using a constructed pedigree from collected family
history information as well as standardized symbols and terminology” (Camak,
2016). To accomplishing this nurses acting as educators, need to possess an
understanding of genetics and genomics, pharmacogenomics, be competent in
screening and identifying those at risk for genetic health compromise and
effectively address client and family advocacy needs (Camak, 2016). This type
of understanding will allow nurses at all levels from novice to well established experts, to take the lead in incorporating
genetic and genomic needs at all levels of patient care. Teaching the
appropriate application of genomic treatment guidelines, further equipping and empowering clients with factual and evidenced based information, that will assist them in living the healthiest life possible.
Reference
Camak, D. J. (2016). Review: Increasing
importance of genetics in nursing. Nurse Education Today, 4486-91.
doi:10.1016/j.nedt.2016.05.018
Personal Genomics. (n.d.). Retrieved
November 30, 2016, from
http://innovatemedtec.com/digital-health/personal-genomics
DeCODE
genetics Archives -. (2015, November 12). Retrieved November 30, 2016, from
http://hannessmarason.com/blog/tag/decode-genetics/
Posted by: Shane Howard SN, FSCC
Good afternoon Shane,
ReplyDeleteDefinitely a fantastic post!
Genetics is definitely ever-evolving in the health care field with new research coming out daily. Who knows, maybe one day there will be an entire class on just genetics. It's amazing how much information can be obtained from just genetic testing. Apparently, certain medications do not work for certain people because of their genetic makeup. So now, there is company who does genetic testing to figure out what medication should be used to best treat the disorder. This could potentially be very cost efficient considering how much a chemotherapeutic medication costs that might not even be the best medication to shrink the tumor.
You make a very good point stating patient teaching about genetic testing is crucial because of the associated benefits and risks. I can imagine a person discovering they have the gene to develop a debilitating disease can possibly be just as debilitating as actually experiencing disease. With that said, it would be very interesting to see a study done on how it affects a person knowing versus a person not knowing the genetic tendency of developing a particular disease.
Thank you very much for sharing!! ��
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