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Genetics in Clinical Practice: New Directions for Nursing and Health Care

Author(s): Dale Halsey Lea, RN, MPH, FAAN, Foundation for Blood Research,Southern Maine Regional Genetics Service, Maine
Jean F. Jenkins, PhD, RN, FAAN, National Human Genome Research Institute
Clair Francomano, MD, National Human Genome Research Institute
Details:
  • ISBN-13: 9780763705428
  • ISBN-10:076370542X
  • Paperback    300 pages      © 1998
Price: International Sales $113.95 US List
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Overview

Genetics in Clinical Practice provides a unique, understandable approach to the emerging science of genetics. This book addresses the increasingly important role genetics plays in health care with well illustrated, clearly written discussions. Featuring cutting edge content, Genetics in Clinical Practice clarifies the Human Genome Project and new genetic technologies, including molecular and cancer genetics, breast and colon cancer genes, inheritance patterns, patient counseling, and ethical, legal, and social implications. 

ShowKey Features

Includes "Gene Care Link," links to relevant World Wide Web sites
Introduces each chapter with objectives, rationales, and application activities
Delineates the role of the nurse as patient educator, advocate, and counselor in prenatal, individual, and family health education
Presents conclusions, summary points, and questions for critical thinking
Provides extensive illustrations to visually reinforce content
Features case studies that explore practice-based applications and integration of genetic information
Includes appendixes on community resources and a glossary

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ShowTable of Contents

Self-Awareness Activity: Preparation
Part 1: Demographics
Part 2: Professional History and Goals
Part 3: Nursing Education in Genetics: Topics Review

Chapter 1. The Human Genome Project
Historical Perspective
Strategic Plan

Chapter 2. Genetics and Health Care
Medicine
Genetics Services
Economics
Treatment
Education

Chapter 3. The Scientific Basis of Genetics
Genes: The Units of Heredity
Chromosomes: The Packages of Genes
Cell Division
DNA, RNA, Protein: The Central Dogma of Genetics
Gene Structure and Function
Gene Mutations
Genes: A Critical Component of Health and Disease
Classification of Hereditary Genetic Disorders

Chapter 4. Integrating Genetics into Nursing Practice
Collecting, Reporting, and Recording Genetic Information
Offering Genetic Information and Testing
Nursing Considerations in Genetic Screening and Testing
Nursing Participation in Management of Patients with Genetic Conditions

Chapter 5. What to Expect from Genetic Counseling
Components of Genetic Counseling
Relevant Issues in Genetic Counseling
The Genetic-Counseling Process

Chapter 6. The Process of Genetic Testing for Nurses and Their Patients
Genetic-Testing Methods
Genetic-Testing Issues

Chapter 7. The Genetic Basis of Cancer
The Genetic Basis of Cancer
Causes of Oncogenesis
Classes of Cancer-Causing Genes
Chromosomal and Genetic Abnormalities in Cancer
The Future of Cancer Genetics

Chapter 8. Cancer-Risk Assessment and Counseling
Components of Cancer-Risk Assessment: A Case Example
Diagnosing Hereditary Cancer Syndromes Familial Cancer-Risk Counseling
Genetic Susceptibility Testing

Chapter 9. Ethics, Genetics, and Nursing Practice
The Relevance of Ethics
Approaches to Ethics
Overview of Ethical Issues Commonly Confronted in Genetics
Ethical Considerations in Genetic Testing
Genetic Services and Gene Therapy
The Ethical, Legal, and Social Implications Program of the HGP

Chapter 10. Future Directions
Knowledge
Tools
Opportunity
Obligations

Afterword
Appendix A: Case Studies for Critical Thinking and Discussion

Appendix B: Social Policy Papers: Selected References

Appendix C: Resources for Nurses and Their Patients

Appendix D: Selected National Human Genome Research Institute Factsheets
Self-Awareness Activity: Reflection
Glossary
Index

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ShowAbout the Author(s)

Dale Halsey Lea, RN, MPH, FAAN-Foundation for Blood Research,Southern Maine Regional Genetics Service, Maine

Dale Lea is a board certified genetic counselor and nurse administrator working at the Foundation for Blood Research, Maine. Twenty years of experience of integrating genetic discoveries into practice for prenatal and early childhood, and adult-onset diseases has provided Dale with a rich understanding of the clinical implications for both consumers and professionals as a result of genomics.

Additional Titles by this Author

Jean F. Jenkins, PhD, RN, FAAN-National Human Genome Research Institute

Jean Jenkins worked for two Institutes at the National Institutes of Health, Bethesda, Maryland. She is currently Senior Clinical Advisor, Office of the Director, National Human Genome Research Institute, where her primary focus is education about the implications of genomics for health care. Jean was previously involved with the application of genetic testing research studies for high risk cancer families as Clinical Nurse Specialist Consultant, National Cancer Institute. As part of the NCHPEG coalition, Jean assisted in the development of the core competencies in genetics essential for all healthcare professionals.

Clair Francomano, MD-National Human Genome Research Institute

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ShowReviews

  • "Genetics in Nursing. . .will contribute to future efforts to increase nursing knowledge and understanding of genetics and its role in the wellness-illness continuum and in health care."
    --Elizabeth Thomson, RN, MS
    National Human Genome Research Institute

    "The information in this book is what every practicing nurse should know about genetics to practice nursing today."

    --Sandy Daack-Hirsch, RN, BSN
    University of Iowa Hospitals and Clinics

    "It is suitable for practicing nurses caring for persons and families requiring genetic testing or counseling."

    --Sara L. Gill, MSN, BSN, RN
    University of Texas Health Sciences Center at San Antonio

    Doody's Nursing and Allied Health Quarterly, Winter 1998
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