Nursing Care in the Genomic Era: A Case Based Approach

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ISBN: 9780763733254 | 0763733253
Cover: Paperback
Copyright: 11/18/2004

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Nursing Care in the Genomic Era consists of core competencies in genetics, interwoven with stories that highlight a particular condition and the related biological, personal, and psychosocial issues. Chapters then go on to address the knowledge, skills, and attitudes necessary for nurses and health professionals as recommended by the National Coalition for Health Professional Education in Genetics (NCHPEG).

Foreword

xiii

Francis Collins

Alan Guttmacher

Introduction Why is genomics important for nurses to utilize in their practice?

Connecting Genomics to Biology

(22)

Introduction: Genetics Old and New

(5)

Elucidating the Structure and Function of the Human Genome

(1)

Human Genome Discoveries

(1)

Chromosomes, Genes, and DNA: Basic Human Genetics Terminology

(2)

DNA and RNA: How Proteins Are Made

(3)

Genetic Variation and Basic Patterns of Inheritance

(4)

New Genomics and Biology

(1)

Nursing Implications: The Importance of Family History in Assessment, Planning, Diagnosis, and Treatment

(4)

Summary

(1)

Chapter Activities

(3)

Connecting Genomics to Practice

(36)

Family History as a Tool

(2)

Variation in the Human Genome

(2)

Family History Tools

(25)

Ethical Issues and Family History

(2)

Genetics and Genomics in Practice

(1)

Resources for Public Information

(1)

Summary

(1)

Chapter Activities

(3)

Connecting Genomics to Health Benefits

(10)

Introduction

(1)

Genetic Approaches to Prevention and Early Detection

(1)

Genetic Testing

(2)

Disease and Drug Response

(1)

Therapeutic Approaches

(1)

Health Modifiers

(1)

Conveying Genetic Risk Information

(1)

Monitoring for Residual Disease and Medical Surveillance

(1)

Health Care Resources and Systems

(1)

Summary

(1)

Chapter Activities

(2)

Connecting Genomics to Health Benefits: Genetic Testing

(42)

Introduction

(6)

Genetic Testing: What it is and How it is Used Clinically

(1)

Genetic Testing Defined

(3)

Types of Genetic Testing

(1)

Clinical Genetic Tests

(1)

Research Genetic Tests

(1)

Oversight of Genetic Testing

(1)

Information Provided by Genetic Testing

(4)

Clinical Uses of Genetic Testing: Newborn Screening, Carrier Testing, Prenatal Screening and Diagnosis

(1)

Newborn Screening

(6)

Family Education and Support

(3)

Carrier Testing

(2)

Prenatal Screening and Diagnosis

(8)

Potential Risk of Genetic Testing

103

(1)

Cultural and Economic Issues and Genetic Testing

104

(2)

Summary

106

(1)

Chapter Activities

107

(4)

Connecting Genomics to Health Outcomes: Pharmacogenetics and Pharmacogenomics

111

Introduction

111

(5)

Pharmacogenetics and Pharmacogenomics

116

(2)

Genetic Mechanisms and Variable Drug Response

118

(1)

Pharmacokinetics

119

(1)

Pharmacodynamics

120

(1)

Clinical Applications of Pharmacogenetics

120

(9)

Gene-Environment Interactions and Clinical Interventions

129

(1)

Nursing Implications

130

(1)

Nursing Roles

131

(5)

Ethical and Societal Issues

136

(5)

Summary

141

(1)

Chapter Activities

142

Putting the Pieces Together: How I Learned of the Genetic Condition in My Family

(161)

Introduction

147

(6)

Indications for Making a Genetics Referral: Putting the Pieces Together

153

(1)

A Nursing Framework for Making a Genetics Referral

154

(2)

Nursing Assessments and Genetic Referrals

156

(8)

Finding Peer Support

164

(1)

Summary

165

(1)

Chapter Activities

166

(9)

Commentary: ``Breaking the News'' Talking with Parents about Their Child's Birth Defect or Genetic Condition, Physician, Alan Guttmacher, MD

167

(8)

Finding What I Need

175

(34)

Introduction

175

(7)

How Genetics Professionals Became a Part of My Life

182

(1)

Genetics Counseling and Evaluation: What Is It and Who Are the Providers?

183

(5)

Genetics Specialists: Who They are and What They Do

188

(3)

Nursing and Genetic Education and Counseling

191

(3)

Future Models for Genetic Counseling and Evaluation

194

(6)

Summary

200

(1)

Chapter Activities

201

(8)

Commentary: Without a Bigger Team, Our ``Genomics'' Cup Will Runneth Over, Genetic Counselor, Don Hadley, MS, OGC

203

(6)

Transitions and New Understandings: How Genetics Has Transformed My Life

209

(38)

Introduction: The Impact of Genetic Information

209

(8)

Transitions and New Understandings: Genetics and My Personal Life

217

(1)

Before Testing: How I Coped

218

(1)

To Test or Not To Test

218

(9)

How My Test Result Affected Me

227

(2)

More Decisions: Sharing My Genetic Information

229

(1)

New Roles and Relationships: Genetics and My Family

230

(2)

Nursing Implications

232

(5)

Summary

237

(1)

Chapter Activities

237

(10)

Commentary: The Role of the Psychologist in Genetics Clinical Care, Psychologist, Andrea Farkas Patenaude, PhD

241

(6)

Connecting Genomics to Society

247

(20)

Introduction

247

(1)

Genomic Data and Race, Ethnicity, and Culture

248

(5)

Genomics and the Concept of ``Self''

253

(2)

Genomics and the Family: Traits and Behaviors

255

(1)

Genomics and Community Identity

256

(1)

Genomics, Race, Ethnicity, and Research

257

(1)

Ethical Boundaries and Use of Genomics

258

(1)

Translation of Research to Policy: Integration of Genetics and Genomics

259

(3)

Implications for Nursing: Transcultural Nursing

262

(2)

Chapter Activities

264

(3)

Connecting Genomics to Society: Spirituality and Religious Traditions

267

(20)

Introduction

272

(2)

Genomics and the Concept of Normal: What is Normal?

274

(2)

Genomics and the Concept of Soul: When Does Life Begin?

276

(1)

Genomics and Identity: What Does It Mean to Be Human?

277

(1)

Religious Boundaries and Use of Genomics: What Can We Do? What Should We Do?

277

(1)

Gene Therapy: Is It All in the Genes?

278

(2)

Cloning

280

(1)

Stem Cell Research

281

(1)

Translation of Religion to Policy: Integration of Genetics and Genomics

282

(1)

Implications for Nursing: Spirituality in Care

283

(1)

How Then Should We Face the Future?

284

(1)

Chapter Activities

285

(2)

My Hopes and Fears: How I Feel about Genetic Research

287

(30)

Introduction

287

(5)

Genetic Research

292

(1)

Genetic Testing Research

293

(1)

Genetic Mapping Research

294

(2)

Treatment Research: Clinical Trials

296

(2)

Pharmacogenetic Research

298

(3)

Ethical and Social Considerations with Genetic Testing and Treatment Research

301

(10)

Genetics Research and Racially or Ethnically Diverse Populations

311

(1)

Genetic Testing and Community Research

312

(1)

Summary: Implications for Nurses

313

(2)

Chapter Activities

315

(2)

Braving New Frontiers: What Is My Future with My Genetic Condition?

317

(16)

Introduction

317

(1)

Profound Change

317

(2)

Power

319

(1)

Possibilities

319

(1)

Policy

320

(1)

Patience

320

(1)

Persuaded

321

(1)

Professionals

321

(1)

Public Perception

322

(1)

Public Health

322

(1)

Preventive

323

(1)

Predictive

323

(1)

Perplexities

324

(1)

Performance

324

(1)

Promise

325

(3)

Priorities

328

(1)

Passionate

329

(1)

Chapter Activities

329

(4)

Commentary: Kevin Lewis, Chairman of the Board, Colon Cancer Alliance

330

(3)

Integration of Genomics to Improve Health Care

333

(30)

Introduction

333

(1)

Research Advances and Integration of Genomics into Health Care

334

(1)

HapMap

335

(1)

Genomics and Future Applications

335

(1)

Genomics and Nursing Practice: Expanding Roles for Nurses

335

(16)

Educating Nurses to Face the Challenge

351

(2)

Research Directions

353

(1)

Moving Forward

354

(1)

Chapter Activities

354

(9)

Commentary: Summary of the Contribution of the Credentialing Process to Assurance of Quality Nursing Care That Integrates Genetics/Genomics, Rita Black Monsen, DSN, MPH, RN

358

(5)

Genomics Resources for Nurses

363

(20)

The Nursing Workforce

363

(1)

Nurses and Genomics Resources

364

(1)

Professional Nursing Societies: Genetics Resources for Nurses

364

(16)

New Information Technologies and Genomics Resources

380

(1)

Chapter Activities

380

(3)

Addendum NCHPEG Competencies

383

(12)

Purpose

384

(1)

Implementation

385

(1)

Recommendations

386

(3)

References

389

(1)

Acknowledgments

389

(1)

NCHPEG Member Organizations

390

(5)

Index

395

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Nursing Care in the Genomic Era: A Case Based Approach

Summary

Author Biography

Table of Contents

Supplemental Materials