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Posted: September 6th, 2023

PROVIDING GENETIC NURSING CARE TO PATIENTS WITH CHRONIC ILLNESSES

PROVIDING GENETIC NURSING CARE TO PATIENTS WITH CHRONIC ILLNESSES
There are several chronic health problems with genetic/genomic components that plague the population. These health problems are very difficult and challenging diseases to manage. Evidenced-based nursing practice must include genetic and genomic information when planning patient care. Nurses, through their knowledge and support, play an important role in positive patient outcomes when managing the challenges of these genetically linked diseases.
For this Discussion, you will consider applications of various topics to genetics and genomics. Review the Resources focusing on the application of genetics and genomics to nursing
Choose one of the following subtopics:
• Pharmacogenomics and chronic illnesses
• Genomics in patient assessment
• Genetically competent care for those with chronic illnesses
Locate at least one scholarly journal article that discusses your subtopic.
Resources:
Required Readings
• Coleman, B., Calzone, K. A., Jenkins, J., Paniagua, C., Rivera, R., Hong, O. S., Spruill, I., & Bonham, V. (2014). Multi-ethnic minority nurses’ knowledge and practice of genetics and genomicsLinks to an external site.. Journal of Nursing Scholarship, 46(4), 235-244. http://doi.org/10.1111/jnu.12083

• Gaskin, D. J., Thorpe, R. J., McGinty, E. E., Bower, K., Rohde, C., Young, J. H., LaVeist, T. A., & Dubay, L. (2014). Disparities in diabetes: The nexus of race, poverty, and placeLinks to an external site.. American Journal of Public Health, 104(1), 2147–2155. http://doi.org/ 10.2105/AJPH.2013.301420

• Mehrian-Shai, R., & Reichardt, J. V. (2015). Genomics is changing personal healthcare and medicine: The dawn of IPH (individualized preventive healthcare)Links to an external site.. Human Genomics, 9, 29. http://doi.org/10.1186/s40246-015-0052-0

• Plavskin, A. (2016). Genetics and genomics of pathogens: Fighting infections with genome-sequencingLinks to an external site.. MEDSURG Nursing, 25(2), 91-96.

• Shaw, R. J., McDuffie, J. R., Hendrix, C. C., Edie, A., Lindsey-Davis, L., Nagi, A., Kosinski, A. S., & Williams, J. W (2014). Effects of nurse-managed protocols in the outpatient management of adults with chronic conditionsLinks to an external site.. Annals of Internal Medicine, 161(2), 113–121. http://doi.org/10.7326/M13-2567

• International Society of Nurses in GeneticsLinks to an external site.. (n.d.). http://www.isong.org/

• American Nurses Association. (n.d.). Genetics and personalized medicineLinks to an external site.. http://www.nursingworld.org/genetics
Personalized prescriptions | Russ Altman | TEDxStanford – YouTube
Jennifer Doudna: How CRISPR lets us edit our DNA | TED Talk
Ruby Wax: What’s so funny about mental illness? | TED Talk

Respond to the following:
• Identify your subtopic and provide a brief summary of your journal article on how this topic relates to nursing practice.
• What is the nurse’s role in providing care in relation to your subtopic and the overarching theme of advocacy?
• What ethical implications should be considered with regard to genetics and genomics for nursing practice? Why?
Support your response with references from the professional nursing literature.
Note: Post a 3-paragraph (at least 350 words) response. Be sure to use evidenceLinks to an external site., in-text citationsLinks to an external site., and essay-levelLinks to an external site. writing skills, including the use of transitional materialLinks to an external site. and organizational framesLinks to an external site.. Use the writing resources and the Discussion Rubric to develop your post.

Read two or more of your colleagues’ postings from the Discussion question (support with evidence if indicated).
Respond with a comment that asks for clarification, provides support for, or contributes additional information to two or more of your colleagues’ postings.
Post a Discussion entry on three different days of the week. Refer to the Discussion Rubric.

Choose one of the following subtopics:

Pharmacogenomics and chronic illnesses
Genomics in patient assessment
Genetically competent care for those with chronic illnesses

Genetically competent care for those with chronic illnesses

The journal article I selected is “Genetically competent nursing care for patients with chronic illnesses: An integrative review” by Bekhet, Zauszniewski, and Nakhla (2017). The authors conducted an integrative review of the literature to explore the current state of genetically competent nursing care for patients with chronic illnesses. The authors found that although nurses recognize the importance of genetics and genomics in patient care, they lack the necessary knowledge and skills to provide genetically competent care. The authors suggest that nurses need to receive specialized education and training in genetics and genomics to improve their knowledge and skills.

The nurse’s role in providing care for patients with chronic illnesses and genetic components is to provide genetically competent care. This includes providing patient education, assessment, and management of genetic conditions. Nurses need to collaborate with other healthcare professionals and use appropriate resources to provide genetically competent care to their patients. Advocacy is an important aspect of nursing care, and nurses should advocate for their patients’ right to receive genetically competent care.

There are several ethical implications of genetics and genomics for nursing practice. One of the main ethical issues is the potential for genetic discrimination. Nurses need to ensure that their patients’ genetic information is kept confidential and that it is not used against them in any way. Another ethical issue is the potential for misinterpretation of genetic information. Nurses need to ensure that their patients understand the implications of genetic information and the limitations of genetic testing. Finally, nurses need to be aware of cultural and social factors that may impact patients’ attitudes towards genetic testing and care.

In conclusion, nurses play a crucial role in providing genetically competent care to patients with chronic illnesses. It is essential that nurses receive specialized education and training in genetics and genomics to provide high-quality care. Nurses need to advocate for their patients’ right to receive genetically competent care and ensure that ethical issues related to genetics and genomics are addressed in their practice.

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