Essentials of Genetic and Genomic Nursing - American Nurses ...

Domain: Professional PracticeEssential Competency: IdentificationIdentifies clients who may benefit from specific genetic and genomic information and/orservices based on assessment data.Specific Areas of KnowledgeComponents of family history needed toidentify disease susceptibility or genetic/genomic condition.• Standard pedigree nomenclature• Type of information that needs to becollected and recorded such as:⇒ Disease and age of onset, ethnicity,both maternal and paternal lineages⇒ Three generations⇒ Existing family history toolsInheritance patterns:• Single gene• MultifactorialIndicators of disease susceptibility or agenetic condition:• Family history⇒ Red flags of genetic/genomic conditionssuch as:• disease found primarily in males,• early age of onset for chronic adultonset disease,• multiple cases of rare disease⇒ Confounders:• race and ethnicity• Physical findings• Health history:⇒ Environmental and lifestyle factors⇒ Multifactorial influenceCommon health conditions with a genetic/genomic component to disease susceptibility,screening and detection, diagnosis,treatment, and prognosis.Indicators of 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 standardizedsymbols and terminology.Identify factors in a family and health historythat contribute to: disease susceptibility;disease characteristics, treatment,prognosis; or genetic/genomic condition.Identify clients who may benefit from furtherevaluation of the identified diseasesusceptibility or genetic/genomiccondition.Demonstrate assessment of client concernsor understanding about informationreceived from specialty genetic services(i.e., on-line genetic testing results).Demonstrate ability to incorporate familyhistory as part of the nursing assessment.• Documents family history informationon three-generations on both maternaland paternal side, when available.• Documents key genetic and genomicassessment information.• Uses genetic and genomic indicators asrationale for clients who may benefitfrom further evaluation or other riskmanagement interventions.• Incorporate into the interprofessionalplan of care the need for further genetic/genomic evaluation or other risk managementinterventions in collaborationwith the client.