Genetic Testing for Hypertrophic cardiomyopathy (HCM) . Ethical and Genetic considerations

Genetic Testing for Hypertrophic cardiomyopathy (HCM) . Ethical and Genetic considerations

Apa Format

Citing two peer reviewed medical research articles, journals dated 2014-2019

4-5 sentences to answer each question

1. As a nurse do you think that genetic diagnostic tools will be a standard scope of practice for nurses in the acute and critical care areas especially with relation to cardiac patients?

2. In the future do you think that a nurse gathering a family history will have to obtain a family pedigree with genetic information or in your opinion is this already being done?

3. If you could purchase a commercial genome wide scan that was inexpensive and accurate would you personally use one and would you also use it on all your family members?

As genomic health care becomes commonplace, nurses will be asked to provide genomic care in all health care settings including acute care and critical care. This information will help critical care nursing leaders become familiar with genetics related to common cardiac conditions and prepare acute care and critical care nurses for a new phase in patient diagnostics, with greater emphasis on early diagnosis and recognition of conditions before sudden cardiac death. Genomics, the study of genes and their functions, is becoming increasingly routine in all clinical settings. Knowledge about genomics and diagnostic tools has great promise in individualizing diagnosis and treatment for conditions that are seen in intensive care units (ICUs).To meet the new challenges of genomic health care, the Consensus Panel on Genetic/Genomic Nursing Competencies recommends including genetics/genomics in undergraduate nursing courses to ensure that registered nurses have the required knowledge and skills in all patient care settings. These competencies have been endorsed by 47 nursing organizations, including the Council of Cardiovascular Nursing of the American Heart Association. Family health history and genetic tests are the two most important tools that nurses use in genomic health care to assess genetic risk. Familiarity with genomic vocabulary, research, and testing options is essential for acute care and critical care nurses to understand new information about diseases and treatments, to process patient and family requests for information, and to be sensitive and responsive to genetic conditions.

Hypertrophic cardiomyopathy (HCM) is the most common cause of sudden death in individuals younger than 35 years. It is characterized by a variety of disorders, including enlarged sarcomeres and left ventricular hypertrophy, malpositioned mitral valve papillary muscles that contribute to mitral regurgitation, pulmonary congestion, cardiac dysrhythmias (atrial fibrillation/flutter and ventricular tachycardia), left ventricular outflow tract obstruction, and, ultimately, diastolic heart failure.

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