Assignment:physical assessment

Comprehensive health and physical assessment that includes information on environment, and genomic influences. Frame this answer through your current role, whether as an Advanced Registered Nurse Practitioner (ARNP) with a practice, or a nurse executive overseeing nursing practice in an organization.

Assignment:physical assessment

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Comprehensive health and physical assessment that includes information on environment, and genomic influences. Frame this answer through your current role, whether as an Advanced Registered Nurse Practitioner (ARNP) with a practice, or a nurse executive overseeing nursing practice in an organization.

Why should nurse managers care about advances in genomics in healthcare? The impact of genomic information and technology has the potential to improve healthcare outcomes, quality, and safety, and result in cost savings. These outcomes are directly dependent on optimizing the use of information technology in the healthcare system, including the EHR. Individual genetic makeup and variation inform the risk of disease, including in the prenatal, newborn, childhood, and adult contexts; can be used as a screening tool; more precisely characterize health conditions; improve medication selection, including therapies that may be designed to target the underlying disease genomics; and inform management of symptoms.

So important are these new advances that the American Nurses Association added the concept of genetics/genomics to the second edition of its Nursing Informatics: Scope and Standards of Practice. These standards state that informatics nurses must be able to “incorporate genetic and genomic technologies and informatics into practice” and “demonstrate in practice the importance of tailoring genetic and genomic information and services to clients based on their culture, religion, knowledge level, literacy, and preferred language

A roadmap for determining if genetic and genomic findings are clinically relevant is a project called ClinGen, an NIH-funded resource dedicated to building an authoritative central resource that defines the clinical relevance of genomic variants for use in precision medicine implementation. ClinGen is aimed at improving patient care through accelerating the understanding of genomic variation in healthcare through data sharing, knowledge curation, and technology development. Three questions are raised in considering whether a clinical variation is known: Is the gene associated with the disease? Is this variant causative? Is this information actionable? Working groups are establishing data models and standards for integrating these finding into EHRs.