Week 6 Discussion Clinical Nursing Future Directions of Nursing Care

Week6 Discussion Clinical Nursing: Future Directions of Nursing Care

Week6 Discussion Clinical Nursing: Future Directions of Nursing Care

Nursingcare is gradually evolving to appreciate the importance of genomicsand genetics in provision of optimal care in hospitalized andpalliative care. According to Jenkins and Calzone (2007), genomicsand genetics help in identifying hereditary characteristicsinfluencing disorder patterns among patients. Over the last couple ofyears, nurses have embraced genomics and genetics in assessment,identification of issues and essential resources needed in providinglong-term care to patients. Additionally, the medical fields are alsoproviding critical information relevant in palliative care, as wellas enhancing patient education for personalized care and support(Kirk, Calzone, Arimori, &amp Tonkin, 2011). One of the benefits ofgenetics and genomics among BSN nurses is in assessment of patients’inherited disorders.

HowCan The BSN Nurse Incorporate Elements Of Genomics Into NursingPractice?

BSNNurses can use family pedigrees to construct relationships betweenpatients’ disorders and hereditary patterns from family histories.This helps in making accurate assessments of patients’ cause ofdisorders, as well as identifying appropriate care strategies(Daack‐Hirsch,Dieter, &amp Griffin, 2011). Once the assessment has been done,nurses use the genomics reports to identify resources required tofacilitate quality care, while engaging patients with educativesessions to build relationships (Thompson &amp Brooks, 2011). BNSNurses can rely on the genomics data to advice patients onappropriate insurance policies and other legal and ethical issuesrelevant to the nursing practice.

Inpalliative care, nurses can convince family members to visit geneticsand genomics counselors for advanced tests, and to find ways ofpreventing development of the disorder to other unborn familymembers. The field has facilitated identification of passiveinherited patterns among other family members, hence extending careto a larger population (Lea, Skirton, Read, &amp Williams, 2011).

WhatAre Your Thoughts About Ways That Genomics Could Be Included As PartOf The Nursing Assessment?

Basedon the evaluation, nurses gain a lot by incorporating genetics andgenomics in everyday care. The medical field ensures that allpossible causes of disorders are identified, while creating a list ofresources required in providing quality care to patients. Evaluationscan be done by engaging BSN students in ethical and professionaltests, which might demonstrate awareness of end-of-life expectationsfrom patients, as well as show the nurse’s competence in dealingwith terminal cases. Some of the tests may include sedative doses, aswell other medications required to sustain life of terminally illpatients.

Palliativecare is provided to patients whose conditions are nonreactive andunresponsive to curative treatment. Among the BSN nurses, the rolediffers from that of diploma nurses since they take center stage andleads nursing teams, hence determine the treatment plans,medications, sedatives, and other risky decisions. One of the risksfaced by nurses in palliative care is on potential liability, whichmay arise from decision consequences of life-sustaining treatmentsand care plans. For example, some treatment plans involving feedingtubes, dialysis, and opioid dosages, require professionalism sinceexcessive dosages can lead to adverse medical conditions.Additionally, nurses are faced with ethical dilemmas in theend-of-life care. Nurses must appreciate and respect the decisions ofpatients and family members, while still operating under professionalexpectations. Relieving pain, suffering, and other stressingconditions must be performed with professionalism, while respectingthe liberty and choices of patients. Nurses may withhold therapies tospeed up patients’ death. They may also proceed with treatment,hence increasing resource utilization and increasing suffering uponthe patients.


Daack‐Hirsch,S., Dieter, C., &amp Quinn Griffin, M. T. (2011). Integratinggenomics into undergraduate nursing education.&nbspJournalof Nursing Scholarship,&nbsp43(3),223-230.

Jenkins,J., &amp Calzone, K. A. (2007). Establishing the essential nursingcompetencies for genetics and genomics.&nbspJournalof Nursing Scholarship,39(1),10-16.

Kirk,M., Calzone, K., Arimori, N., &amp Tonkin, E. (2011).Genetics‐GenomicsCompetencies and Nursing Regulation.&nbspJournalof Nursing Scholarship,&nbsp43(2),107-116.

Lea,D. H., Skirton, H., Read, C. Y., &amp Williams, J. K. (2011).Implications for educating the next generation of nurses on geneticsand genomics in the 21st century.&nbspJournalof nursing scholarship,&nbsp43(1),3-12.

Thompson,H. J., &amp Brooks, M. V. (2011). Genetics and genomics in nursing:Evaluating&lt i&gt Essentials&lt/i&gt implementation.&nbspNurseeducation today,&nbsp31(6),623-627.