Essentials of Genetic and Genomic Nursing - American Nurses ...
Essentials of Genetic and Genomic Nursing - American Nurses ...
Essentials of Genetic and Genomic Nursing - American Nurses ...
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Domain: Pr<strong>of</strong>essional PracticeEssential Competency: IdentificationIdentifies clients who may benefit from specific genetic <strong>and</strong> genomic information <strong>and</strong>/orservices based on assessment data.Specific Areas <strong>of</strong> KnowledgeComponents <strong>of</strong> family history needed toidentify disease susceptibility or genetic/genomic condition.• St<strong>and</strong>ard pedigree nomenclature• Type <strong>of</strong> information that needs to becollected <strong>and</strong> recorded such as:⇒ Disease <strong>and</strong> age <strong>of</strong> onset, ethnicity,both maternal <strong>and</strong> paternal lineages⇒ Three generations⇒ Existing family history toolsInheritance patterns:• Single gene• MultifactorialIndicators <strong>of</strong> disease susceptibility or agenetic condition:• Family history⇒ Red flags <strong>of</strong> genetic/genomic conditionssuch as:• disease found primarily in males,• early age <strong>of</strong> onset for chronic adultonset disease,• multiple cases <strong>of</strong> rare disease⇒ Confounders:• race <strong>and</strong> ethnicity• Physical findings• Health history:⇒ Environmental <strong>and</strong> lifestyle factors⇒ Multifactorial influenceCommon health conditions with a genetic/genomic component to disease susceptibility,screening <strong>and</strong> detection, diagnosis,treatment, <strong>and</strong> prognosis.Indicators <strong>of</strong> need for targeted treatmentselection• known targeted interventions available• genetic tests available• adverse drug reaction• altered response to interventionClinical Performance IndicatorsDemonstrate ability to elicit a completethree-generation family health history.Construct a pedigree from collected familyhistory information using st<strong>and</strong>ardizedsymbols <strong>and</strong> terminology.Identify factors in a family <strong>and</strong> health historythat contribute to: disease susceptibility;disease characteristics, treatment,prognosis; or genetic/genomic condition.Identify clients who may benefit from furtherevaluation <strong>of</strong> the identified diseasesusceptibility or genetic/genomiccondition.Demonstrate assessment <strong>of</strong> client concernsor underst<strong>and</strong>ing about informationreceived from specialty genetic services(i.e., on-line genetic testing results).Demonstrate ability to incorporate familyhistory as part <strong>of</strong> the nursing assessment.• Documents family history informationon three-generations on both maternal<strong>and</strong> paternal side, when available.• Documents key genetic <strong>and</strong> genomicassessment information.• Uses genetic <strong>and</strong> genomic indicators asrationale for clients who may benefitfrom further evaluation or other riskmanagement interventions.• Incorporate into the interpr<strong>of</strong>essionalplan <strong>of</strong> care the need for further genetic/genomic evaluation or other risk managementinterventions in collaborationwith the client.