Discussion – Week 2 Genomics Essay Assignment Paper
Discussion – Week 2 Genomics Essay Assignment Paper
Genomics plays a part in chronic illnesses and other diseases. Certain genes increase one’s risk of getting illnesses like breast and colon cancers and diabetes (CDC, 2020). According to the CDC genomics explores how diet, health, and behavior is impacted by genes (2020). I have firsthand experience on how my genes have impacted my health and my life. Therefore, this topic has always been fascinating and something that I am always interested in learning more about.
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The article “Genomic Competencies for Nursing Practice” discusses the importance of educating nurses in the Veterans Healthcare Administration (VHA) about the benefits of genetic service for veterans (Boyd et al., 2017). The field of genomics is constantly changing, and nurses need to be competent and aware of such changes to provide the resources appropriate for their patients. Veterans makeup almost 21 million of the healthcare population and only 57% use the benefits available to them at the VHA (Boyd et al., 2017). In 2011 VHA created an initiative called the Million Veteran Program or “MVP”. It worked with the veterans to study how genes, behavior, and environment affect health (Boyd et al., 2017). The Office of Nursing Services (ONS) developed a strategy to establish competencies in genetics and genomics in 2010. This was a four-year plan to establish competencies, evaluate the competencies and make any further recommendations so it can be incorporated into continued education (Boyd et al., 2017). As a result of this the course “Genomics in Your Nursing Practice” became available to nurses at the VHA via an online platform in 2014 (Boyd et al., 2017).
As nurses we are taught to advocate for our patient and provided the best care. This includes continuing to educate ourselves on advances that impact our patients. Genomics is a topic that is continuing to evolve and help create patient specific care that is tailored to the individual. We must also have the resources to provide to our patients so they can make informed decisions and offer them all possible option so they can make the right choice for them. Nurses must explore the patients’ family history in greater detail, screening, and understand the role genetics plays in chronic illnesses or the risk it may pose to the patient. Understand available resources and care coordination is essential to providing patient centered care.
There are considerations when exploring genomics that must be addressed. Protecting racial/personal discrimination from health insurance or employer is important to providing cost effective care for all. A person must not be punished for their genetic makeup. There must be laws and policies that reflect the advancement in medical care specifically related to genomics/genetics. As nurses we must not make assumptions about our patients health related to their race/ethnic background but must also consider genetics.
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