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

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Uses genetic- and genomic-based interventions and information to improveclients’ outcomes.Specific Areas of KnowledgePharmacogenetics, pharmacogenomics.Gene or gene product targeted therapy(e.g., HER2 and Herceptin BCR/ABLand imatinib).Protein replacement therapy(e.g., enzyme therapy for lysosomaldiseases).Chaperone therapy.Clinical Performance IndicatorsDemonstrate ability to incorporatefamily history as part of the nursingassessment.• Document family history informationon three-generations on bothmaternal and paternal side, whenavailable• Documents key genetic andgenomic assessment information• Uses genetic and genomic indicatorsas rationale for clients whomay benefit from further evaluationor other risk managementinterventions• Incorporate into the interprofessionalplan of care the need for furthergenetic/genomic evaluation orother risk management interventionsin collaboration with the clientMonitor client response to genetic/genomic based interventions.Intervene when client has an unintendedresponse to genetic/genomic based interventions toensure client safety.Collaborates with healthcare providers in providing genetic and genomic healthcare.Specific Areas of KnowledgeRoles of genetic/genomic healthcareprofessionals.Roles of other specialists in whichgenetic/genomic information andtechnology are integral to their caredelivery.Clinical Performance IndicatorsUse interprofessional communicationand collaboration skills to deliver safe,evidence-based, client-centered care.Demonstrate team building and collaborativestrategies when workingwith interprofessional teams.Adopt a range of interpersonal skillswhilst communicating with clientsand colleagues about genetic/genomic issues.
Collaborates with insurance providers/payers to facilitate reimbursement forgenetic and genomic healthcare services.Specific Areas of KnowledgeDeterminants of clinical utility ofgenetic/genomic tests(e.g., test specificity, sensitivity,positive predictive value;test cost-benefit information).Economic impact of new genetic/genomic based therapies:• Can be life-long therapy once started• Consideration of individual/familymaximum lifetime benefitInfluence of predisposition genevariants, genetic disease/disorder onaccess to health, life, disability, longterm care insurances and militarybenefits.Clinical Performance IndicatorsIdentify strategies that could be useto facilitate reimbursement for genetic/genomic services and/or tests.Describe other methods of paymentfor genetic/genomic healthcareservices (i.e., laboratory indigentassistance programs).34 Essentials of Genetic and Genomic Nursing, 2nd Edition
Page 5 and 6: Appendix A. Resources to Support th
Page 7: CONTRIBUTORS, CONSENSUS PANEL,AND E
Page 10: Endorsing OrganizationsAcademy of M
Page 14 and 15: • Genomics - Study of all the gen
Page 16 and 17: ESSENTIAL COMPETENCIESProfessional
Page 18: Provision of Education, Care, and S
Page 21 and 22: Outcome IndicatorsDomain: Professio
Page 23 and 24: Demonstrate in practice the importa
Page 25 and 26: Demonstrates ability to elicit a mi
Page 27 and 28: Conducts comprehensive health and p
Page 29 and 30: Assesses clients’ knowledge, perc
Page 31 and 32: Domain: Professional PracticeEssent
Page 33 and 34: Identifies ethical, ethnic/ancestra
Page 35 and 36: Domain: Professional PracticeEssent
Page 37: Provides clients with credible, acc
Page 42: IMPLEMENTATION STRATEGIESPractice a
Page 46 and 47: REFERENCES CITED IN TEXTAll URLs we
Page 48: 21. Danz, S. (2004). Integrating Ge
Page 51 and 52: Books and MonographsResourcePublish
Page 53 and 54: Genetic Issues forPerinatal Nurses
Page 55 and 56: International Society ofNurses in G
Page 57 and 58: University of California,San Franci
Page 59 and 60: Consumer/Client: General Informatio
Page 61 and 62: Consumer/Client: Support and Advoca
Page 63: The Genetics and PublicPolicy Cente
Page 66 and 67: Genome ResearchResourceContactBLAST
Page 68 and 69: Health Professional Practice and Ed
Page 70 and 71: Physician’s DatabaseQuery (PDQ®)
Page 72 and 73: News Sites Specializing in Genetics
Page 74 and 75: Professional Organizations: Nursing
Page 76 and 77: Risk AssessmentResourceHarvard Cent
Page 78 and 79: United States Government AgenciesRe
Page 80: ESSENTIALS OF GENETIC AND GENOMIC N

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