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  1. The impact of genomic information and technology has the potential to improve healthcare outcomes, quality, and safety, and result in cost savings. These outcomes are directly dependent on optimizing the use of information technology in the healthcare system, including the EHR. 2 Individual genetic makeup and variation inform the risk of ...

    • What Nurses Need to Know to Provide The Best Patient Care.
    • Genetics, Genomics, and Epigenetics
    • Pharmacogenomics
    • Nursing Care and Genetics
    • Understanding Monogenic and Multifactorial Disorders
    • Genetic Red Flags
    • Interpreting Genetic Test Results
    • Nursing and Precision Medicine
    • Nursing at The Forefront
    • Genetic and Genomic Resources

    Takeaways: 1. Today, practicing nurses must understand the relationship of genetics and genomics to health, prevention, screening and treatment. 2. Nurses need the skills to gather family history, identify hereditary risk, and make appropriate referrals for genetic consultation and testing. 3. During the genetic assessment process nurses can help p...

    Genes are composed of DNA sequences located in segments along an individual’s chromosomes. A person’s genes are passed from one generation to the next, making genetics the study of heredity. The complete length of a person’s DNA within a cell is called the genome, making genomics the study of the structure of the genome through mapping and sequenci...

    Pharmacogenomics, the study of how a person metabolizes medications based on his or her personal genetic makeup, is one of the earliest applications of genetic and genomic research into clinical intervention. (See Genetic markers for drug response and function.) Pharmacogenomics has been most commonly used in psychiatry to determine drug choice and...

    The initial Scope and Standards for Clinical Genetics Nursing Practice was first published in 1998 after the American Nurses Association (ANA) recognized genetics as a nursing specialty. Then, shortly after completion of human genome sequencing, ANA published the Essentials of Genetic and Genomic Nursing: Competencies, Curricular Guidelines, and Ou...

    Electronic health records (EHRs) typically include a family history section for documenting health information over three generations. Ideally, an alert would prompt you to clarify information related to genetic risk factors. The best EHR would generate a pedigree based on the family history entered. Current EHRs aren’t able to produce pedigrees or...

    According to the Genetics in Primary Care Institute, red flags vary based on the assessment. For example, red flags for hereditary cancer will be different from those for a preconception evaluation. Also, an individual’s ethnicity and race have a significant influence on the distribution, incidence, and prevalence of many genetic diseases. Referral...

    After learning the test results, help clarify information provided by genetic professionals, explore implications for the patient and family, recommend health promotion and prevention practices based on genetic risk factors, and collaborate with healthcare providers for optimal care delivery. Individuals identified as high risk for genetic diseases...

    Precision medicine (tailoring medical treatment to each patient’s individual characteristics) has become an important component of nursing practice. Research supports precision medicine as an evolving strategy for disease treatment and prevention that includes attention to an individual’s variability in genes, environment, and lifestyle. The Nation...

    For 15 years, the Gallup Honesty and Ethics poll has ranked nursing as the most trusted profession in the United States. This public trustplaces nurses in the unique position to educate individuals and their families on the presence, absence, or future possibility of disease to improve health outcomes and promote delivery of patient-centered care. ...

    Susan Montgomery is a genetic nurse navigator in the risk assessment program, department of clinical genetics, at Fox Chase Cancer Center in Philadelphia, Pennsylvania. Wendy A. Brouwer is a women’s healthcare nurse practitioner in the breast medical oncology department at M.D. Anderson Cancer Center in Houston, Texas. Phyllis C. Everett is adult n...

  2. Mar 14, 2024 · Test logistics, patients, and genetic counseling. Clinical implementation of diagnostic GS will require important procedural updates and modifications related to the patient care pathway (Fig. 3 ...

    • Olaf Riess
  3. Importantly, all these rapid medical advancements in just one field, human genetics and genomics, call for the need for further specialisation (e.g. clinical cancer genetics, cardiovascular genetics, neurodevelopmental genetics) and wide integration of specialised genetic counselling services as a backbone for such clinics.

  4. In less than 50 years after the discovery of the structure of DNA, the entire human genome has been sequenced.1,2 This landmark achievement of the Human Genome Project will certainly lead to an increased role of genetics in the practice of medicine.3 When such a dramatic, historical change affects the practice of medicine, regardless of the medical disciplines involved, corresponding changes ...

    • Karen Snow
    • 2001
  5. Returning results will only be valuable when both the physician and the patient understand what genetic information means and if or how it can be incorporated into clinical care . Even with the potentials for benefit, it is important to understand that the role of genetic epidemiology in medical care, apart from a few notable exceptions, is largely undetermined.

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  7. Apr 23, 2014 · More than a decade since the Human Genome Project was declared complete, fewer than 60 genetic variants are deemed worthy for use in clinical care, most for severe conditions in very young children 1.

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