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9780763733254

Nursing Care in the Genomic Era: A Case Based Approach

by ;
  • ISBN13:

    9780763733254

  • ISBN10:

    0763733253

  • Format: Paperback
  • Copyright: 2004-11-18
  • Publisher: Jones & Bartlett Learning

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Supplemental Materials

What is included with this book?

Summary

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).

Author Biography

Jean F. Jenkins, PhD, RN, FAAN Senior Clinical Advisor, National Human Genome Research Institute, National Institutes of Health, Bethesda, Maryland Dale Halsey Lea, MPH, RN, CGC, APNG, FAAN Assistant Director, Southern Maine Genetics Services, Foundation for Blood Research, Scarborough, Maine

Table of Contents

Foreword xiii
Francis Collins
Alan Guttmacher
Introduction Why is genomics important for nurses to utilize in their practice? xv
Connecting Genomics to Biology
1(22)
Introduction: Genetics Old and New
1(5)
Elucidating the Structure and Function of the Human Genome
6(1)
Human Genome Discoveries
7(1)
Chromosomes, Genes, and DNA: Basic Human Genetics Terminology
7(2)
DNA and RNA: How Proteins Are Made
9(3)
Genetic Variation and Basic Patterns of Inheritance
12(4)
New Genomics and Biology
16(1)
Nursing Implications: The Importance of Family History in Assessment, Planning, Diagnosis, and Treatment
16(4)
Summary
20(1)
Chapter Activities
20(3)
Connecting Genomics to Practice
23(36)
Family History as a Tool
23(2)
Variation in the Human Genome
25(2)
Family History Tools
27(25)
Ethical Issues and Family History
52(2)
Genetics and Genomics in Practice
54(1)
Resources for Public Information
55(1)
Summary
55(1)
Chapter Activities
56(3)
Connecting Genomics to Health Benefits
59(10)
Introduction
59(1)
Genetic Approaches to Prevention and Early Detection
60(1)
Genetic Testing
61(2)
Disease and Drug Response
63(1)
Therapeutic Approaches
63(1)
Health Modifiers
64(1)
Conveying Genetic Risk Information
65(1)
Monitoring for Residual Disease and Medical Surveillance
65(1)
Health Care Resources and Systems
66(1)
Summary
66(1)
Chapter Activities
67(2)
Connecting Genomics to Health Benefits: Genetic Testing
69(42)
Introduction
69(6)
Genetic Testing: What it is and How it is Used Clinically
75(1)
Genetic Testing Defined
75(3)
Types of Genetic Testing
78(1)
Clinical Genetic Tests
79(1)
Research Genetic Tests
80(1)
Oversight of Genetic Testing
80(1)
Information Provided by Genetic Testing
80(4)
Clinical Uses of Genetic Testing: Newborn Screening, Carrier Testing, Prenatal Screening and Diagnosis
84(1)
Newborn Screening
84(6)
Family Education and Support
90(3)
Carrier Testing
93(2)
Prenatal Screening and Diagnosis
95(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
14(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

Supplemental Materials

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The New copy of this book will include any supplemental materials advertised. Please check the title of the book to determine if it should include any access cards, study guides, lab manuals, CDs, etc.

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