Discuss new information that you learned about genetics and application to clinical practice from the case study.

Discuss new information that you learned about genetics and application to clinical practice from the case study.

Please complete the case study on Maria at the following link: http://g-3-c.org/ 
Discuss new information that you learned about genetics and application to clinical practice from the case study. How will this new information prepare you in your role as a DNP?

Class notes
Genetic and genomic science is impacting nursing care. Advances in science have uncovered that mostly all diseases and conditions have genetic or genomic roots. Application of these principles is critical in all aspects of clinical practice and academic preparation for the DNP and will be reviewed in this module.
Since 2003 with the completion of the Human Genome Project, scientists have been able to isolate human DNA and identify specific genes that cause disease and impact health promotion, prevention and treatment. Before continuing on the theory for genetics and genomics it is important to clarify a few associated definitions:

Genetics: study of heredity and transmission of inherited variations
Genomes: genetic component of an organism
Genomics: study of the structure of genomes/genes and how they interact with each other, as influenced by cultural and psychosocial variables.
Pedigree: a graph of a family health history using standard symbols
Genetics, Genomics and the Family History
Family health histories are important to gather to determine the degree of risk to 3 generations of family members. Sharing the same genes and environments can expose patients to chronic diseases. Health promotion and prevention activities are developed based upon the risk factors. It is difficult for patients to have knowledge of all family members and their health. The following web sites provide some tools that can be utilized by family members in planning processes for detecting family health histories:

http://www.cdc.gov/genomics/

https://www.hhs.gov/programs/prevention-and-wellness/family-health-history/index.html

http://genomicscases.net/en/user_home. see if you can get in

Case #1 Background:
Maria is a New Patient to a local family practice; she had a full genome scan performed by a
direct to consumer testing company. The results reveal an increased risk of cardiovascular
disease and heart attack.
Patient Information:
Name: Maria
She is a healthy female, 39, married for 15 years, vegetarian, marathon runner, avid exerciser,
good body weight (low BMI), information seeker, has a teenage boy and a pre‐teen girl, both
living with her and her husband. They live in a large city, downtown. Maria works at very
stressful job as an accountant and is very computer literate. She does not have a routine
primary care provider because she is otherwise healthy.
Educational Content to Provide:
Pedigree Construction
Red Flags for significant family history of coronary artery disease

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