Read two or more of your colleagues’ postings from the Discussion question (support with evidence if indicated).
Respond with a comment that asks for clarification, provides support for, or contributes additional information to two or more of your colleagues’ postings.
Support your response with references from the professional nursing literature, less than or equal to five years old.
I chose genetically competent care for those with chronic illness. The article I chose is involves breast cancer and how the Oncotype DX Breast Reassurance Score Assay is beneficial in making treatment decisions for early-stage breast cancer patients.
Current practice in determining prognosis for these patients include patient age at diagnosis, axillary node involvement, tumor size, histology, lymphatic/ vascular invasion, etc (Curtit et al., 2016). According to the article, these factors can help predict long term outcome of treatment. However, it also states that this system of identification does not work for early breast cancer patients that do not fit into either the low or high risk category.
The article discusses how the Oncotype DX Breast Recurrence Score Assay takes in account 21 genes. According to Curtit et al. (2016), “the gene expression data are used to calculate a Recurrence result that is significantly associated with the 10-year risk of distant recurrence (95% confidence interval) in ER and HER2-negative patients, (p. 923).
The nurse’s role in providing care to these patients consists largely of emotional support (Remmers et al., 2010). However, as with any illnesses, it also requires self-education and competency about the disease. We have to be educated about the disease, treatment options, and testing process to be able to relate to, or be empathetic to, our patients.
Ethical implications involving genetics are many. For example, although genetic testing is available, it does not mean that everyone wants to know if they carry a gene that can cause cancer. That being said, this can cause issues in decision making. For example, maybe the husband does not want the testing, but the wife does want the testing for her husband. Maybe the husband doesn’t want to know, but the wife thinks it’s important to know for the kids’ sake. These decisions can greatly effect treatment options and prognosis for the patient and family members (Beamer, 2017).
There are also ethical issues involving gene editing. Is it ethical to alter genes at the sperm and egg level? Some say yes, others no. If it is allowed, will it be marketed as service you have to pay for? Is it ethical for some people to be able to pay for this, while others can’t afford it?
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