Essentials of Clinical Genetics in Nursing Practice potx

[...]... functioning Providing health teaching and education related to genetics and genetic testing Serving as an advocate for a client and family affected by a genetic disorder Participating in public education about genetics Developing an individualized plan of care Reinforcing and interpreting genetic counseling and testing information Supporting families when they are receiving counseling and making decisions... complex The amino acid is placed in the growing chain, and as each is placed, an enzyme causes peptide bonds to form between the contiguous amino acids in the chain Passage of mRNA through the ribosome during translation has been likened to that of a punched tape running through a computer to direct the operation of machinery When the termination codon 14 Essentials of Clinical Genetics in Nursing Practice. .. decisions 8 Essentials of Clinical Genetics in Nursing Practice • • • Recognizing the possibility of a genetic component in a disorder and taking appropriate referral action Appreciating and ameliorating the social impact of a genetic problem on the client and family Advocating for patients and families Additionally, there is an organization for nurses interested in genetics, the International Society of Nurses... then applied and incubated with the microarray, allowing binding or hybridization to the immobilized target DNA The fluorescent signal is measured so that information about gene expression can be obtained Gene expression profiles can be developed This technique is useful in many studies in cancers and infectious diseases For 24 Essentials of Clinical Genetics in Nursing Practice example, in leukemia, different... Advanced -practice nurses will have additional skills to offer Depending on these, nurses may be providing any of the following in relation to genetic disorders and variations, many of which are extensions of usual nursing practice: • • • • • • • • • • • • • • • • • • • • Providing direct genetic counseling (requires advanced education and certification) Planning, implementing, administering, or evaluating... Genes never act in isolation; they interact with other genes against the individual’s genetic background and internal milieu and with agents and factors in the external environment KEY POINTS • • • • • • Health care and society are increasingly influenced by genetics and genomics Nurses will encounter clients/patients with genetically influenced disorders in every area of clinical nursing practice Genetic... that of suspects on file in data banks; Genetic testing for diagnosis of certain disease conditions; Human Diversity and Variation 27 • • • Distinguishing between similar-appearing genetic diseases at the molecular level; Determining carrier status for certain genetic disorders; Determining the microbial etiology of a person’s infectious disease and tracing variations in microbes to determine origins... determined Within segments of DNA, the exact identity and order of nucleotides can be determined to sequence a gene In the genetic approach to mapping, the distance between genes on the same chromosome is commonly expressed in terms of map units or centimorgans (after the geneticist Thomas Morgan) Physical mapping uses measures such as bases and 20 Essentials of Clinical Genetics in Nursing Practice FIGURE... basis of molecular characterization; Using these understandings to develop new therapeutic approaches to disease; Investigating how genetic risk information is conveyed in clinical practice, including how it influences health behaviors and affects outcomes and costs; Developing genome-based tools to improve health for all; Developing policy options for the uses of genomics that include genetic testing... research on “identifying and addressing ethical issues arising from genetic research, responsible clinical integration of new genetic technologies, privacy and the fair use of genetic information, and professional and public education about ELSI issues.” The Human Genome Project finished sequencing 99% of the gene-containing part of the human genome sequence in April 2003 A variety of themes X X X X X . gene-containing part of the human genome sequence in April 2003. A variety of themes 6 Essentials of Clinical Genetics in Nursing Practice TABLE 1.3 Usual Stage of. Services, Inc. 07080910/54321 Library of Congress Cataloging -in- Publication Data Lashley, Felissa R., 1941– Essentials of clinical genetics in nursing practice