SU NSG5003 Week 3 Discussion Latest 2019 April Question # 00600102 Course Code : NSG5003 Subject: Health Care Due on: 04/06/2019 Posted On: 04/06/2019 04:52 AM Tutorials: 1 Rating: 4.9/5
NSG5003 Advanced Pathophysiology
Week 3 Discussion
Cancer,
Genetics, and Genomics
Rachel
comes from a family with a history of breast cancer on her mother’s side.
Rachel’s mother died of breast cancer when she was very young. Rachel has two
sisters, Lisa and Kristin. Rachel has remained close to Lisa, but she no longer
has a relationship with Kristin. At a routine checkup, Rachel is told about the
availability of genetic testing for identifying a predisposition to breast
cancer. Her doctor recommends the test to Rachel given her family history.
Rachel has the genetic testing done and finds that she has a mutated breast
cancer 1, early onset (BRCA1) gene. Her doctor tells her she is at high risk
for developing breast and ovarian cancer. Rachel’s doctor suggests she ask her
sisters to be tested also, so they can take the proper preventative measures.
Rachel feels comfortable sharing this information with Lisa, but she has not
spoken to Kristin in many years. Rachel tells her doctor that she is not in
contact with Kristin and will not make an effort to tell her about BRCA1 and
genetic testing. Rachel’s doctor feels confident that she can locate Kristin
but worries about breaching patient confidentiality if she goes against
Rachel’s wishes.
If you were
Rachel’s healthcare provider, what would you do? Provide a rationale for your
response. Include the pathological processes associated with breast cancer.
What role does the BRCA1 gene contribute to managing the patient’s care?
Describe and explain the role of the BRCA1 and breast cancer 2, early onset
(BRCA2) gene in contribution as a risk factor for breast cancer. Analyze the
risk factors for breast cancer and possible interventions to preventive health
management for women and men.
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