DNP 810 Full Course Genomic Tech Assignments

DNP 810 Full Course Genomic Tech Assignments

DNP 810 Full Course Genomic Tech Assignments

Since the completion of the human reference genome in 2003, the focus within the broader genomics community has shifted to the identification of genetic variants that exist between individuals and populations. With the advent of next-generation sequencing, there is now a tractable method in terms of speed, accuracy, and cost, to sequence the DNA of many individuals to identify such variants. The availability of this technology has opened new doors for clinical translation of variant detection and the correlation of these changes with disease and therapeutic outcomes. New goals by the community envision whole-genome or whole-exome sequencing being available to all patients and the results of this testing seamlessly integrated into the clinical decision-making process.

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DNP 810 Full Course Discussions GCU

DNP 810 Topic 1 DQ 1

Name three essential structural elements of a functional eukaryotic chromosome and describe their functions. Discuss the implications related to research, health, and life span in terms of one of the structural elements.

DNP 810 Topic 1 DQ 2

Describe the difference among replication, transcription, and translation for both DNA and RNA.

DNP 810 Topic 2 Discussions

DQ 1 Describe at least four factors that can be associated in a complex inheritance health issue.

DQ 2 Compare two genomic tests used for screening, diagnosis, and management of a disease. Describe whether outcome data exists related to the utility of these tests and what the data shows, if available.

Topic 2 DQ 2 Sample Approach : The DNP topic for the project is “Serodiscordant HIV couples, Utilization of pre-exposure prophylaxis (PrEP) treatment education”. The PICOT question that has been formulated for the DNP project is that “In couples who are HIV Serodiscordant (P) how does pre-exposure prophylaxis treatment education (I) compare to no pre-exposure prophylaxis treatment (C) affect prevention of infection and decrease in transmission (O) over a three month period (T)”. Serodiscordant couples means that one individual is HIV positive and the other one is HIV negative. The world health organization is thoroughly working on HIV prevention and providing guidelines to ensure everyone’s safety (Ranganathan, M. 2016).  In the past few years, there has been lot of development with regards to the HIV prevention plans and tools. There is a lot of research going on for the safety of the couples of this time. The additional research is going on to develop and make advanced tools for the evidence based interventions for the couples. There is best couple counseling, couple-based interventions and use of antiviral agent for the couple is been arranged by a lot of health care institute. This topic has a variety of sub-topics on which the researcher and scientist can carry out their researches. References

MacPhail, C., Khoza, N., Abler, L., & Ranganathan, M. (2016). Process guidelines for establishing Intercoder Reliability in qualitative studies. Qualitative Research16(2), 198-212. Retrieved from: https://journals.sagepub.com/doi/abs/10.1177/1468794115577012

Topic 3 DQ 1

Contrast two models used for multigenerational family health histories. Which do you prefer and why?

Topic 3 DQ 2

Describe the importance of a 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.

DNP 810 Topic 4 Discussions

DQ 1

Genetics testing is viewed as either positive or negative. When used to detect the genes for breast cancer, health insurance companies deny care based on genetics. Why? Describe one genetic test and its impact on health, prevention, screening, diagnostics, treatment selection, and treatment effectiveness.

DQ 2

Evidence-based practice and standardized clinical guidelines have improved organizations and the ability of providers to provide the care with the highest level of evidence to each patient. Describe one pharmacological agent with a protocol/clinical guideline that is used. Discuss how this protocol may not take into consideration genetic variations. What can be done to tailor care to each patient while providing standardized treatments?

DNP 810 Topic 5 DQ 1

Describe one health issue and discuss how nutrition can impact this health issue positively and negatively.

DNP 810 Topic 5 DQ 2 Choose one disorder of malnutrition. Discuss the genetic and environmental influences on this disorder, including prevalence rates, testing, treatment, and prognosis.

DNP 810 Topic 6 DQ 1 Discuss how genetic and genomics can play a role in a demand for new health services and how it may impact health care expenditures in the aging population. Give one example.

Topic 6 DQ 2 Describe one method that includes using evidence-based data to support a new or innovative ways to care for the aging now or in the future. How will it impact care and what are the anticipated outcomes?

Topic 7 DQ 1 Discuss how genetic and genomics can play a role in a demand for new health services and how it may impact health care expenditures in the chronic disease population. Give one example.

Topic 7 DQ 2 Describe one method that includes using evidence-based data to support a new or innovative way to care for those with chronic disease now or in the future. How will it impact care and what are the anticipated outcomes?

DNP 810 Full Course Genomic Tech Assignments Topic 8 DQ 2

Choose one recent (within last 2 years) news story about genetic or genomic technology. Describe the issue presented. From the perspective as an RN or APRN, describe the ethical, cultural, religious, legal, fiscal, and societal implication.

Researchers at the National Institute of Health (NIH) in June of 2019 announced plans to fund genomic research as it relates to applying genomic medicine interventions to the management of chronic diseases such as high blood pressure, depression, and chronic pain. A total investment of $42 million dollars over five years will be allocated to support clinical trials that are part of phased project by the Implementing Genomics in Practice (IGNITE) Network. The trials are set to begin in 2020, and will “assess the benefits, applicability and efficacy of applying genomics” to treating the chronic diseases mentioned. The chronicity of these diseases is more common in people of African decent than their European or Asian counterparts. In the first phase of clinical trials is was discovered that in specific African populations a mutation in the apolipoprotein L1 (APOL1) gene is prevalent and is responsible for “increasing susceptibility to severe kidney disease by a factor of 10” (NIH, 2019).

The research is helping to combine the study of pharmacogenomics with genomics of disease to determine if genetic testing prior to prescribing medications to treat chronic diseases will provide better clinical outcomes by using the information to design a medication that best matches up with the patients genetic make up. This study proposes that patients of African decent may experience better management of chronic diseases and have fewer side effects with using a genomic approach to prescribing drug treatments.

As a doctoral-prepared nurse there are always ethical issues that arise when utilizing the genetic material of one ethnicity to conduct research that can expose that specific population to higher scrutiny is a major concern. Historically researchers noted ethical issues related to disclosing the results of genomic research can have negative ramifications for the study participants as well as their families. In an article by Mathaiyan et al., (2013) the authors discussed how disclosing the results can cause the participant anxiety and depression related to the anticipation of developing a genetic disease that was identified, because not everyone in the family line with a genetic susceptibility will develop the disease. The authors go on to state that if the information is not revealed it can be detrimental to the health and well-being of the family, because of a chance that someone will develop the identified genetic disease and not have had the information beforehand, could be considered unethical and an injustice. References

National Institutes of Health. National Human Genome Research Institute. HealthITAnalytics. (2019, June 6). NIH Clinical Trials Apply Genomics to Chronic Disease Management. Retrieved from https://healthitanalytics.com/news/nih-clinical-trials-apply-genomics-to-chronic-disease-management

Mathaiyan, J., Chandrasekaran, A., & Davis, S. (2013). Ethics of genomic research. Perspectives in clinical research4(1), 100–104. doi:10.4103/2229-3485.106405

DNP 810 Full Course Genomic Tech Assignments Topic 8 DQ 2

Describe two issues that undermine the rights of clients in genetic- and genomic-related decision making and action. Discuss a potential solution for each as well as your role in this issue as the patient advocate.

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DNP 810 Full Course Genomic Tech Assignments GCU

DNP 810 Full Course Genomic Tech Assignments Week 1 Individual Success Plan (ISP)

Details:

The Individual Success Plan (ISP) assignment in this course requires your collaboration with the course faculty early on to establish a plan for successful completion of mutually identified and agreed upon specific deliverables for your programmatic requirements. Programmatic requirements are: (1) completion of required practice immersion hours, (2) completion of work associated with program competencies, (3) work associated toward completion of your Direct Practice Improvement Project.

General Requirements:

Use the following information to ensure successful completion of the assignment as it pertains to deliverables due in this course:

  • Locate and download the Individual Success Plan (ISP) document in the DNP Program Documents folder in the DNP Program Materials section of the DC Network.
  • Review the DNP Program Milestones document in the DC Network and identify which milestones apply to this course. Note: Not all courses have milestones.
  • Determine what practice experiences you plan to seek in order to address each competency. Include how many hours you plan to set aside to meet your goals. Learners will apply concepts from each of their core courses to reflect upon, critically examine, and improve current practice, and are required to integrate scholarly readings to develop case reports that demonstrate increasingly complex and proficient practice.
  • Use the ISP to develop a personal plan for completing your practice hours and how competencies will be met. Show all of the major milestones and deliverables.

Within the ISP, ensure you identify specific deliverables which can include the following: Individualized DNP practice immersion contracts; comprehensive clinical log of hours applied to doctoral level learning outcomes; learner evaluations; mentor evaluations; current and updated CV; scholarly activities; GCU DNP competency self-assessment; reflective journal; course goals and plan for how competencies and practice immersion hours will be met; faculty and mentor approvals of course goals and documented practice immersion hours; and DPI project milestones.

  • Identify the specific deliverables you will complete throughout this course from those defined above or others negotiated with your faculty. You must turn in a new ISP in each course.
  • Identify the remaining deliverables you will complete in the upcoming courses.
  • List the challenges you expect to encounter as you continue the practice hour and competency requirements throughout this course? How might you overcome these challenges?
  • You can renegotiate these deliverables with your faculty throughout this course and update your ISP accordingly.
  • This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
  • Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
  • You not are required to submit this assignment to LopesWrite.

Directions:

Complete the Contact Information table at the beginning of the ISP document and type in your signature and the date on which you completed the table.

Read the information in the ISP document including the following:

  1. Learner Expectations
  2. Derivation of the ISP
  3. Instructions for completing the ISP

Follow the instructions and complete the ISP.

DNP 810 Full Course Genomic Tech Assignments Week 1 Reading Check for Understanding

Details:

Complete the questions listed in the “Problems” section of the textbook on pages 23, 39, and 58. Check your answers in the back of the textbook in the “Answers to Problems” appendix.

DNP 810 Full Course Genomic Tech Assignments Week 2 Case Report Part 1

Details:

You will be creating a case report in stages over four course topics. Use an example from your own personal practice, experience, or own personal/family; however, simulated cases are not acceptable for practice hours and therefore not acceptable for this assignment. Examples might include a patient with Duchesne’s muscular dystrophy. Huntington’s disease, Down’s syndrome, sickle cell anemia, BRCA 1 or BRCA 2 mutations, or other genetic disorder that you and/or the organization in which you practice may specialize in treating.

General Requirements:

Use the following information to ensure successful completion of the assignment:

  • This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
  • Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
  • This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.
  • You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Include the following:

  • Guidelines and reasons behind the FDA regulations for introducing new pharmaceutical agents (policy).
  • The role that money and grants play in scientific advances; the economics of health care (capitalism).
  • The role and involvement family plays into the health care decision.

Directions:

For this assignment (Part 1 of the Case Report), write a 1,000-1,250 word paper incorporating genetics information learned from assigned readings in Topics 1 and 2. Include the following:

  1. Describe the disease, its prevalence, and its incidence.
  2. Discuss the laboratory testing that is possible.

Portfolio Practice Hours:

Practice immersion assignments are based on your current course objectives, and are intended to be application-based learning using your real-world practice setting. These assignments earn practice immersion hours, and are indicated in the assignment by a Portfolio Practice Hours statement which reminds you, the student, to enter in a corresponding case log in Typhon. Actual clock hours are entered, but the average hours associated with each practice immersion assignment is 10.

You are required to complete your assignment using real-world application. Real-world application requires the use of evidence-based data, contemporary theories, and concepts presented in the course. The culmination of your assignment must present a viable application in a current practice setting. For more information on parameters for practice immersion hours, please refer to DNP resources in the DC Network.

To earn portfolio practice hours, enter the following after the references section of your paper:

Practice Hours Completion Statement DNP-810

I, (INSERT NAME), verify that I have completed (NUMBER OF) clock hours in association with the goals and objectives for this assignment. I have also tracked said practice hours in the Typhon Student Tracking System for verification purposes and will be sure that all approvals are in place from my faculty and practice mentor.

Case Report: Part 1 Rubric 

  1
Unsatisfactory
0.00%
2
Less Than Satisfactory
74.00%
3
Satisfactory
79.00%
4
Good
87.00%
5
Excellent
100.00%
70.0 %Content  
10.0 %Discussion of the Guidelines and Reasons Behind the FDA Regulations for Introducing New Pharmaceutical Agents (Policy) Discussion of the guidelines and reasons behind the FDA regulations for introducing new pharmaceutical agents (policy) is not present. Discussion of the guidelines and reasons behind the FDA regulations for introducing new pharmaceutical agents (policy) is present but incomplete. Discussion of the guidelines and reasons behind the FDA regulations for introducing new pharmaceutical agents (policy) is present but done at a perfunctory level. Discussion of the guidelines and reasons behind the FDA regulations for introducing new pharmaceutical agents (policy) is clearly present and convincing. Information presented is from scholarly though dated sources. Discussion of the guidelines and reasons behind the FDA regulations for introducing new pharmaceutical agents (policy) is clearly present and insightful. Information presented is from current scholarly sources.
10.0 %Discussion of the Role That Money and Grants Play In Scientific Advances the Economics of Health Care (Capitalism) Discussion of the role that money and grants play in scientific advances; the economics of health care (capitalism) is not present. Discussion of the role that money and grants play in scientific advances; the economics of health care (capitalism) is present but incomplete. Discussion of the role that money and grants play in scientific advances; the economics of health care (capitalism) is present but done at a perfunctory level. Discussion of the role that money and grants play in scientific advances; the economics of health care (capitalism) is clearly present and convincing. Information presented is from scholarly though dated sources. Discussion of the role that money and grants play in scientific advances; the economics of health care (capitalism) is clearly present and insightful. Information presented is from current scholarly sources.
10.0 %Discussion of the Role and Involvement Family Plays in Health Care Decisions Discussion of the role and involvement family plays in health care decisions is not presented. DNP 810 Full Course Genomic Tech Assignments Discussion of the role and involvement family plays in health care decisions is presented but incomplete. Discussion of the role and involvement family plays in health care decisions is presented but done at a perfunctory level. Discussion of the role and involvement family plays in health care decisions is clearly presented and convincing. Information presented is from mostly current scholarly but some outdated sources are used. Discussion of the role and involvement family plays in health care decisions is clearly presented, insightful and detailed. Information presented is from current scholarly sources.
20.0 %Description of the Disease, Its Prevalence, and Its Incidence The disease, its prevalence, and its incidence are not described. The disease, its prevalence, and its incidence are described. Discussion is incomplete. The disease, its prevalence, and its incidence are described. Discussion is done at a perfunctory level. The disease, its prevalence, and its incidence are clearly described. Discussion is convincing. Information presented is from mostly current scholarly but some outdated sources are used. The disease, its prevalence, and its incidence are clearly described. Discussion is insightful and detailed. Information presented is from current scholarly sources.
20.0 %Discussion of the Possible Laboratory Testing Discussion of the possible laboratory testing is not present. Discussion of the possible laboratory testing is present but incomplete. Discussion of the possible laboratory testing is present but done at a perfunctory level. Discussion of the possible laboratory testing is clearly present and convincing. Information presented is from mostly current scholarly but some outdated sources are used. Discussion of the possible laboratory testing is clearly present and insightful. Information presented is from current scholarly sources.
20.0 %Organization and Effectiveness  
7.0 %Thesis Development and Purpose Paper lacks any discernible overall purpose or organizing claim. Thesis and/or main claim are insufficiently developed and/or vague; purpose is not clear. Thesis and/or main claim are apparent and appropriate to purpose. Thesis and/or main claim are clear and forecast the development of the paper. It is descriptive and reflective of the arguments and appropriate to the purpose. Thesis and/or main claim are comprehensive. The essence of the paper is contained within the thesis. Thesis statement makes the purpose of the paper clear.
8.0 %Argument Logic and Construction Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use) Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, and/or word choice are present. Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used. Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used. Writer is clearly in command of standard, written, academic English. DNP 810 Full Course Genomic Tech Assignments
10.0 %Format  
5.0 %Paper Format (Use of appropriate style for the major and assignment) Template is not used appropriately or documentation format is rarely followed correctly. Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent. Appropriate template is used. Formatting is correct, although some minor errors may be present. Appropriate template is fully used. There are virtually no errors in formatting style. All format elements are correct.
5.0 %Research Citations (In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment and style) No reference page is included. No citations are used. Reference page is present. Citations are inconsistently used. Reference page is included and lists sources used in the paper. Sources are appropriately documented, although some errors may be present. Reference page is present and fully inclusive of all cited sources. Documentation is appropriate and citation style is usually correct. In-text citations and a reference page are complete and correct. The documentation of cited sources is free of error.
100 %Total Weightage DNP 810 Full Course Genomic Tech Assignments
DNP 810 Full Course Genomic Tech Assignments Week 2 Reading Check for Understanding

Details:

Complete the questions listed in the “Problems” section of the textbook on pages 84, 113, 147-149, 174, and 205. Check your answers in the back of the textbook in the “Answers to Problems” appendix.

DNP 810 Full Course Genomic Tech Assignments Week 3 Case Report Part 2

Details:

You will be creating a case report in stages over four course topics. This assignment will add to your previous work in Topic 2. Use an example from your own personal practice, experience, or own personal/family; however, simulated cases are not acceptable for practice hours and therefore not acceptable for this assignment. Examples might include a patient with Duchesne’s muscular dystrophy. Huntington’s disease, Down’s syndrome, sickle cell anemia, BRCA 1 or BRCA 2 mutations, or other genetic disorder that you and/or the organization you practice in may specialize in treating.

General Requirements:

Use the following information to ensure successful completion of the assignment:

  • This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
  • Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
  • This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.
  • You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Directions:

For this assignment (Part 2 of the Case Report), write a 1,000-1,250 word paper incorporating genetics information learned from assigned readings in Topics 1-3. Include the following:

  1. Describe if chromosomal analysis is/was indicated.
  2. Detail the causes of the disorder.
  3. Describe the disorder in terms of its origin as either a single gene inheritance, or as a complex inheritance and considerations for practice and patient education.
  4. Analyze the gene mutation of the disease, as well as whether it is acquired or inherited, and how the mutation occurs.

Portfolio Practice Hours:

Practice immersion assignments are based on your current course objectives, and are intended to be application-based learning using your real-world practice setting. These assignments earn practice immersion hours, and are indicated in the assignment by a Portfolio Practice Hours statement which reminds you, the student, to enter in a corresponding case log in Typhon. Actual clock hours are entered, but the average hours associated with each practice immersion assignment is 10.

You are required to complete your assignment using real-world application. Real-world application requires the use of evidence-based data, contemporary theories, and concepts presented in the course. The culmination of your assignment must present a viable application in a current practice setting. For more information on parameters for practice immersion hours, please refer to DNP resources in the DC Network.

To earn portfolio practice hours, enter the following after the references section of your paper:

Practice Hours Completion Statement DNP-810

I, (INSERT NAME), verify that I have completed (NUMBER OF) clock hours in association with the goals and objectives for this assignment. I have also tracked said practice hours in the Typhon Student Tracking System for verification purposes and will be sure that all approvals are in place from my faculty and practice mentor.

DNP 810 Full Course Genomic Tech Assignments Case Report: Part 2 Rubric

  1
Unsatisfactory
0.00%
2
Less Than Satisfactory
74.00%
3
Satisfactory
79.00%
4
Good
87.00%
5
Excellent
100.00%
70.0 %Content  
10.0 %Description of Whether or Not Chromosomal Analysis Is/Was Indicated Discussion of whether or not chromosomal analysis is/was indicated is not present. Discussion of whether or not chromosomal analysis is/was indicated is present but incomplete. Discussion of whether or not chromosomal analysis is/was indicated is present but done at a perfunctory level. Discussion of whether or not chromosomal analysis is/was indicated is clearly present and convincing. Information presented is from scholarly though dated sources. Discussion of whether or not chromosomal analysis is/was indicated is clearly present and insightful. Information presented is from current scholarly sources.
20.0 %Discussion of the Causes of the Disorder Discussion of the causes of the disorder is not present. Discussion of the causes of the disorder is present but incomplete. Discussion of the causes of the disorder is present but done at a perfunctory level. Discussion of the causes of the disorder is clearly present and convincing. Information presented is from scholarly though dated sources. Discussion of the causes of the disorder is clearly present and insightful. Information presented is from current scholarly sources.
20.0 %Description of the Disorder in Terms of Its Origin as Either a Single Gene Inheritance, or as a Complex Inheritance and Considerations for Practice and Patient Education Description of the disorder in terms of its origin as either a single gene inheritance, or as a complex inheritance and considerations for practice and patient education is not presented. Description of the disorder in terms of its origin as either a single gene inheritance, or as a complex inheritance and considerations for practice and patient education is presented but incomplete. Description of the disorder in terms of its origin as either a single gene inheritance, or as a complex inheritance and considerations for practice and patient education is presented but done at a perfunctory level. Description of the disorder in terms of its origin as either a single gene inheritance, or as a complex inheritance and considerations for practice and patient education is clearly presented and convincing. Information presented is from mostly current scholarly but some outdated sources are used. Description of the disorder in terms of its origin as either a single gene inheritance, or as a complex inheritance and considerations for practice and patient education is clearly presented, insightful and detailed. Information presented is from current scholarly sources.
20.0 %Analysis of the Gene Mutation of the Disease, as Well as Whether It Is Acquired or Inherited, and How the Mutation Occurs Analysis of the gene mutation of the disease, as well as whether it is acquired or inherited, and how the mutation occurs is not presented. Analysis of the gene mutation of the disease, as well as whether it is acquired or inherited, and how the mutation occurs is presented. Discussion is incomplete. Analysis of the gene mutation of the disease, as well as whether it is acquired or inherited, and how the mutation occurs is presented. Discussion is done at a perfunctory level. Analysis of the gene mutation of the disease, as well as whether it is acquired or inherited, and how the mutation occurs is clearly presented. Discussion is convincing. Information presented is from mostly current scholarly but some outdated sources are used. Analysis of the gene mutation of the disease, as well as whether it is acquired or inherited, and how the mutation occurs is clearly presented. Discussion is insightful and detailed. Information presented is from current scholarly sources.
20.0 %Organization and Effectiveness

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7.0 %Thesis Development and Purpose Paper lacks any discernible overall purpose or organizing claim. Thesis and/or main claim are insufficiently developed and/or vague; purpose is not clear. Thesis and/or main claim are apparent and appropriate to purpose. Thesis and/or main claim are clear and forecast the development of the paper. It is descriptive and reflective of the arguments and appropriate to the purpose. Thesis and/or main claim are comprehensive. The essence of the paper is contained within the thesis. Thesis statement makes the purpose of the paper clear.
8.0 %Argument Logic and Construction Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use) Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, and/or word choice are present. Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used. Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used. Writer is clearly in command of standard, written, academic English.
10.0 %Format  
5.0 %Paper Format (Use of appropriate style for the major and assignment) Template is not used appropriately or documentation format is rarely followed correctly. Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent. Appropriate template is used. Formatting is correct, although some minor errors may be present. Appropriate template is fully used. There are virtually no errors in formatting style. All format elements are correct.
5.0 %Research Citations (In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment and style) No reference page is included. No citations are used. DNP 810 Full Course Genomic Tech Assignments Reference page is present. Citations are inconsistently used. Reference page is included and lists sources used in the paper. Sources are appropriately documented, although some errors may be present. Reference page is present and fully inclusive of all cited sources. Documentation is appropriate and citation style is usually correct. In-text citations and a reference page are complete and correct. The documentation of cited sources is free of error.
100 %Total Weightage

Week 3 Family History

Details:

Taking a family history is an important step in determining current and future health needs and education. There are many tools available to complete a comprehensive health history. The Surgeon General’s Family Health History tool is part of the larger Family Health History Initiative that encourages people to talk about and write down health issues that seem to run in the family, bringing a larger focus on this important issue. This assignment allows the learner to use the tool and become familiar with this initiative.

General Guidelines:

Use the following information to ensure successful completion of the assignment:

  • This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
  • Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
  • This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.

Directions:

Use the Surgeon General’s Family History Tool (http://www.hhs.gov/familyhistory/portrait/index.html) to document your own family history.

Designate a proband for the pedigree with a disease or condition of interest.

Write a 750-1,000 word summary of your findings. Include the following information:

  1. Discussion of the heredity patterns discovered.
  2. Evaluate the risk of transmission to other/new family members.
  3. Propose the feasibility of using this tool in your own practice.

Portfolio Practice Hours:

Practice immersion assignments are based on your current course objectives, and are intended to be application-based learning using your real-world practice setting. These assignments earn practice immersion hours, and are indicated in the assignment by a Portfolio Practice Hours statement which reminds you, the student, to enter in a corresponding case log in Typhon. Actual clock hours are entered, but the average hours associated with each practice immersion assignment is 10.

You are required to complete your assignment using real-world application. Real-world application requires the use of evidence-based data, contemporary theories, and concepts presented in the course. The culmination of your assignment must present a viable application in a current practice setting. For more information on parameters for practice immersion hours, please refer to DNP resources in the DC Network.

To earn portfolio practice hours, enter the following after the references section of your paper:

Practice Hours Completion Statement DNP-810

I, (INSERT NAME), verify that I have completed (NUMBER OF) clock hours in association with the goals and objectives for this assignment. I have also tracked said practice hours in the Typhon Student Tracking System for verification purposes and will be sure that all approvals are in place from my faculty and practice mentor.

Family History Rubric

  1
Unsatisfactory
0.00%
2
Less Than Satisfactory
74.00%
3
Satisfactory
79.00%
4
Good
87.00%
5
Excellent
100.00%
70.0 %Content  
25.0 %Discussion of the Heredity Patterns Discovered Discussion of the heredity patterns discovered is not present. Discussion of the heredity patterns discovered is present but incomplete. Discussion of the heredity patterns discovered is present but done at a perfunctory level. Discussion of the heredity patterns discovered is clearly present and convincing. Information presented is from scholarly though dated sources. Discussion of the heredity patterns discovered is clearly present and insightful. Information presented is from current scholarly sources.
25.0 %Evaluation of the Risk of Transmission to Other/New Family Members Evaluation of the risk of transmission to other/new family members is not present. Evaluation of the risk of transmission to other/new family members is present but incomplete. Evaluation of the risk of transmission to other/new family members is present but done at a perfunctory level. DNP 810 Full Course Genomic Tech Assignments Evaluation of the risk of transmission to other/new family members is clearly present. Discussion is convincing. Information presented is from scholarly though dated sources. Evaluation of the risk of transmission to other/new family members is clearly present. Discussion is insightful. Information presented is from current scholarly sources.
20.0 %Proposal of the Feasibility of Using This Tool in Your Own Practice Proposal of the feasibility of using this tool in your own practice is not presented. Proposal of the feasibility of using this tool in your own practice is presented but incomplete. Proposal of the feasibility of using this tool in your own practice is presented but done at a perfunctory level. Proposal of the feasibility of using this tool in your own practice is clearly presented. Discussion is convincing. Information presented is from mostly current scholarly but some outdated sources are used. Proposal of the feasibility of using this tool in your own practice is clearly presented. Discussion is insightful and detailed. Information presented is from current scholarly sources.
20.0 %Organization and Effectiveness

DNP 810 Full Course Genomic Tech Assignments

7.0 %Thesis Development and Purpose Paper lacks any discernible overall purpose or organizing claim. Thesis and/or main claim are insufficiently developed and/or vague; purpose is not clear. Thesis and/or main claim are apparent and appropriate to purpose. Thesis and/or main claim are clear and forecast the development of the paper. It is descriptive and reflective of the arguments and appropriate to the purpose. Thesis and/or main claim are comprehensive. The essence of the paper is contained within the thesis. Thesis statement makes the purpose of the paper clear.
8.0 %Argument Logic and Construction Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use) Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, and/or word choice are present. Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used. Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used. Writer is clearly in command of standard, written, academic English.
10.0 %Format  
5.0 %Paper Format (Use of appropriate style for the major and assignment) Template is not used appropriately or documentation format is rarely followed correctly. Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent. Appropriate template is used. Formatting is correct, although some minor errors may be present. Appropriate template is fully used. There are virtually no errors in formatting style. All format elements are correct.
5.0 %Research Citations (In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment and style) No reference page is included. No citations are used. Reference page is present. Citations are inconsistently used. Reference page is included and lists sources used in the paper. Sources are appropriately documented, although some errors may be present. Reference page is present and fully inclusive of all cited sources. Documentation is appropriate and citation style is usually correct. In-text citations and a reference page are complete and correct. The documentation of cited sources is free of error.
100 %Total Weightage DNP 810 Full Course Genomic Tech Assignments

 

Topic Week 4 Genetic Counseling

Details:

With the increase in knowledge around genetic issues, it is important that all health care providers are prepared to have thorough genetic-based discussions now with their patients. In this assignment, you will synthesize your knowledge into a client case with a real or potential genetic health-related illness.

General Guidelines:

Use the following information to ensure successful completion of the assignment:

  • This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
  • Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
  • This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.

Directions:

Write a 1,000-1,250 word paper addressing a client case that might benefit from the process of genetic counseling.

Describe the reason for the genetic counseling based on the findings from your completion of the history tool.

Discuss the possible reactions the patient may have to your counseling and how to avoid negative reactions.

Imagine this assignment as if you are giving this counseling to a patient. Discuss the following:

  1. Health.
  2. Prevention
  3. Screening
  4. Diagnostics
  5. Prognostics
  6. Selection of treatment
  7. Monitoring of treatment effectiveness

Portfolio Practice Hours:

Practice immersion assignments are based on your current course objectives, and are intended to be application-based learning using your real-world practice setting. These assignments earn practice immersion hours, and are indicated in the assignment by a Portfolio Practice Hours statement which reminds you, the student, to enter in a corresponding case log in Typhon. Actual clock hours are entered, but the average hours associated with each practice immersion assignment is 10.

You are required to complete your assignment using real-world application. Real-world application requires the use of evidence-based data, contemporary theories, and concepts presented in the course. The culmination of your assignment must present a viable application in a current practice setting. For more information on parameters for practice immersion hours, please refer to DNP resources in the DC Network.

To earn portfolio practice hours, enter the following after the references section of your paper:

Practice Hours Completion Statement DNP-810

I, (INSERT NAME), verify that I have completed (NUMBER OF) clock hours in association with the goals and objectives for this assignment. I have also tracked said practice hours in the Typhon Student Tracking System for verification purposes and will be sure that all approvals are in place from my faculty and practice mentor.

ORDER NOW

Genetic Counseling Rubric

  1
Unsatisfactory
0.00%
2
Less Than Satisfactory
74.00%
3
Satisfactory
79.00%
4
Good
87.00%
5
Excellent
100.00%
70.0 %Content  
25.0 %Discussion of the Reason for the Genetic Counseling Based on the Findings From Your Completion of the History Tool Discussion of the reason for the genetic counseling based on the findings from your completion of the history tool is not present. Discussion of the reason for the genetic counseling based on the findings from your completion of the history tool is present but incomplete. Discussion of the reason for the genetic counseling based on the findings from your completion of the history tool is present but done at a perfunctory level. Discussion of the reason for the genetic counseling based on the findings from your completion of the history tool is clearly present and convincing. Information presented is from scholarly though dated sources. Discussion of the reason for the genetic counseling based on the findings from your completion of the history tool is clearly present and insightful. Information presented is from current scholarly sources.
25.0 %Discussion of the Possible Reactions the Patient May Have to Your Counseling and How to Avoid Negative Reactions Discussion of the possible reactions the patient may have to your counseling and how to avoid negative reactions is not present. Discussion of the possible reactions the patient may have to your counseling and how to avoid negative reactions is present but incomplete. Discussion of the possible reactions the patient may have to your counseling and how to avoid negative reactions is present but done at a perfunctory level. DNP 810 Full Course Genomic Tech Assignments Discussion of the possible reactions the patient may have to your counseling and how to avoid negative reactions is clearly present. Discussion is convincing. Information presented is from scholarly though dated sources. Discussion of the possible reactions the patient may have to your counseling and how to avoid negative reactions is clearly present. Discussion is insightful. Information presented is from current scholarly sources.
20.0 %Proposal of What You Will Say to the Patient Including the Many Points Offered in the Assignment Proposal of what you will say to the patient including the many points offered in the assignment is not presented. Proposal of what you will say to the patient including the many points offered in the assignment is presented but incomplete. Proposal of what you will say to the patient including the many points offered in the assignment is presented but done at a perfunctory level. Proposal of what you will say to the patient including the many points offered in the assignment is clearly presented. Discussion is convincing. Information presented is from mostly current scholarly but some outdated sources are used. Proposal of what you will say to the patient including the many points offered in the assignment is clearly presented. Discussion is insightful and detailed. Information presented is from current scholarly sources.
20.0 %Organization and Effectiveness

DNP 810 Full Course Genomic Tech Assignments ORDER NOW

7.0 %Thesis Development and Purpose Paper lacks any discernible overall purpose or organizing claim. DNP 810 Full Course Genomic Tech Assignments Thesis and/or main claim are insufficiently developed and/or vague; purpose is not clear. Thesis and/or main claim are apparent and appropriate to purpose. Thesis and/or main claim are clear and forecast the development of the paper. It is descriptive and reflective of the arguments and appropriate to the purpose. Thesis and/or main claim are comprehensive. The essence of the paper is contained within the thesis. Thesis statement makes the purpose of the paper clear.
8.0 %Argument Logic and Construction Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use) Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, and/or word choice are present. Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used. Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used. Writer is clearly in command of standard, written, academic English. DNP 810 Full Course Genomic Tech Assignments
10.0 %Format  
5.0 %Paper Format (Use of appropriate style for the major and assignment) Template is not used appropriately or documentation format is rarely followed correctly. Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent. Appropriate template is used. Formatting is correct, although some minor errors may be present. Appropriate template is fully used. There are virtually no errors in formatting style. All format elements are correct.
5.0 %Research Citations (In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment and style) No reference page is included. No citations are used. Reference page is present. Citations are inconsistently used. Reference page is included and lists sources used in the paper. Sources are appropriately documented, although some errors may be present. Reference page is present and fully inclusive of all cited sources. Documentation is appropriate and citation style is usually correct. In-text citations and a reference page are complete and correct. The documentation of cited sources is free of error.
100 %Total Weightage DNP 810 Full Course Genomic Tech Assignments

 

DNP 810 Full Course Genomic Tech Assignments Topic Week 5 Case Report Part 3

Details:

You will be creating a case report in stages over four course topics. This assignment will add to your previous work in Topic 3. Use an example from your own personal practice, experience, or own personal/family; however, simulated cases are not acceptable for practice hours and therefore not acceptable for this assignment. Examples might include a patient with Duchesne’s muscular dystrophy. Huntington’s disease, Down’s syndrome, sickle cell anemia, BRCA 1 or BRCA 2 mutations, or other genetic disorder that you and/or the organization you practice in may specialize in treating.

General Requirements:

Use the following information to ensure successful completion of the assignment:

  • This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
  • Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
  • This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.
  • You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Directions:

For this assignment (Part 3 of the Case Report), write a 1,000-1,250 word paper incorporating genetics information learned from assigned readings in Topics 1-5. Include the following:

  1. Examine how genetics can influence policy issues.
  2. Discuss any nutritional influences for the cause of this disease.
  3. Discuss the process of nutritional assessment and counseling as it relates to health, prevention, screening, diagnostics, prognostics, selection of treatment, and monitoring of treatment effectiveness.
  4. Discuss the prevalence rates, testing, treatment, and prognosis as they relate to human nutrition.

Portfolio Practice Hours:

Practice immersion assignments are based on your current course objectives, and are intended to be application-based learning using your real-world practice setting. These assignments earn practice immersion hours, and are indicated in the assignment by a Portfolio Practice Hours statement which reminds you, the student, to enter in a corresponding case log in Typhon. Actual clock hours are entered, but the average hours associated with each practice immersion assignment is 10.

You are required to complete your assignment using real-world application. Real-world application requires the use of evidence-based data, contemporary theories, and concepts presented in the course. The culmination of your assignment must present a viable application in a current practice setting. For more information on parameters for practice immersion hours, please refer to DNP resources in the DC Network.

To earn portfolio practice hours, enter the following after the references section of your paper:

Practice Hours Completion Statement DNP-810

I, (INSERT NAME), verify that I have completed (NUMBER OF) clock hours in association with the goals and objectives for this assignment. I have also tracked said practice hours in the Typhon Student Tracking System for verification purposes and will be sure that all approvals are in place from my faculty and practice mentor.

Case Report: Part 3  

  1
Unsatisfactory
0.00%
2
Less Than Satisfactory
74.00%
3
Satisfactory
79.00%
4
Good
87.00%
5
Excellent
100.00%
70.0 %Content  
25.0 %Examination of How Genetics Can Influence Policy Issues Examination of how genetics can influence policy issues is not present. Examination of how genetics can influence policy issues is present but incomplete. Examination of how genetics can influence policy issues is present but done at a perfunctory level. Examination of how genetics can influence policy issues is clearly presented. Discussion is convincing. Information presented is from scholarly though dated sources. Examination of how genetics can influence policy issues is clearly presented. Discussion is insightful. Information presented is from current scholarly sources.
25.0 %Discussion of Any Nutritional Influences for the Cause of This Disease Discussion of any nutritional influences for the cause of this disease is not present. Discussion of any nutritional influences for the cause of this disease is present but incomplete. Discussion of any nutritional influences for the cause of this disease is present but done at a perfunctory level. Discussion of any nutritional influences for the cause of this disease is clearly present. Discussion is convincing. Information presented is from scholarly though dated sources. Discussion of any nutritional influences for the cause of this disease is clearly present. Discussion is insightful. Information presented is from current scholarly sources.
20.0 %Discussion of the Process of Nutritional Assessment and Counseling as It Relates to Health, Prevention, Screening, Diagnostics, Prognostics, Selection of Treatment, and Monitoring of Treatment Effectiveness The process of nutritional assessment and counseling as it relates to health, prevention, screening, diagnostics, prognostics, selection of treatment, and monitoring of treatment effectiveness is not presented. The process of nutritional assessment and counseling as it relates to health, prevention, screening, diagnostics, prognostics, selection of treatment, and monitoring of treatment effectiveness is presented but incomplete. The process of nutritional assessment and counseling as it relates to health, prevention, screening, diagnostics, prognostics, selection of treatment, and monitoring of treatment effectiveness is presented but done at a perfunctory level. The process of nutritional assessment and counseling as it relates to health, prevention, screening, diagnostics, prognostics, selection of treatment, and monitoring of treatment effectiveness is clearly presented. Discussion is convincing. Information presented is from mostly current scholarly but some outdated sources are used. The process of nutritional assessment and counseling as it relates to health, prevention, screening, diagnostics, prognostics, selection of treatment, and monitoring of treatment effectiveness is clearly presented. Discussion is insightful and detailed. Information presented is from current scholarly sources.
20.0 %Organization and Effectiveness  
7.0 %Thesis Development and Purpose Paper lacks any discernible overall purpose or organizing claim. Thesis and/or main claim are insufficiently developed and/or vague; purpose is not clear. Thesis and/or main claim are apparent and appropriate to purpose. Thesis and/or main claim are clear and forecast the development of the paper. It is descriptive and reflective of the arguments and appropriate to the purpose. Thesis and/or main claim are comprehensive. The essence of the paper is contained within the thesis. Thesis statement makes the purpose of the paper clear.
8.0 %Argument Logic and Construction Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. DNP 810 Full Course Genomic Tech Assignments Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use) Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, and/or word choice are present. Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used. Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used. Writer is clearly in command of standard, written, academic English. DNP 810 Full Course Genomic Tech Assignments
10.0 %Format  
5.0 %Paper Format (Use of appropriate style for the major and assignment) Template is not used appropriately or documentation format is rarely followed correctly. Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent. Appropriate template is used. Formatting is correct, although some minor errors may be present. Appropriate template is fully used. There are virtually no errors in formatting style. All format elements are correct.
5.0 %Research Citations (In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment and style) No reference page is included. No citations are used. DNP 810 Full Course Genomic Tech Assignments Reference page is present. Citations are inconsistently used. Reference page is included and lists sources used in the paper. Sources are appropriately documented, although some errors may be present. Reference page is present and fully inclusive of all cited sources. Documentation is appropriate and citation style is usually correct. In-text citations and a reference page are complete and correct. The documentation of cited sources is free of error.
100 %Total Weightage

DNP 810 Full Course Genomic Tech Assignments

Topic Week 6 Health Issues for the Aging

Details:

As of 2014 health care expenditures in the United States are near 17% of our gross domestic product (GDP), with a major portion of Medicare funding goes towards chronic illness and care at the last 6 months of life. The Patient Protection and Affordable Care Act has made some initial legislative changes in our health system, but not sufficient to address our growing expenditures and caring for our large aging population. In this assignment, learners will synthesize issues in aging with health policy solutions by writing a paper on one health issue for older individuals addressed in the topic and offering a policy solution. Example of issue: In 2014, over 50% of the costs of institutional long-term care for older persons are paid for with public funds from Medicaid.

General Guidelines:

Use the following information to ensure successful completion of the assignment:

  • This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
  • Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
  • This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.
  • You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Directions:

Write a 1,000-1,250 word paper that addresses a health issue for older individuals. Include the following:

  1. Evaluate what the literature suggests as a resolution to your chosen issue.
  2. Discuss any attempts to incorporate the solution into public policy.
  3. Determine the barriers to implementation of the solution.
  4. Analyze the options being discussed for public and/or private funding.
  5. Propose your own recommendation.

Portfolio Practice Hours:

Practice immersion assignments are based on your current course objectives, and are intended to be application-based learning using your real-world practice setting. These assignments earn practice immersion hours, and are indicated in the assignment by a Portfolio Practice Hours statement which reminds you, the student, to enter in a corresponding case log in Typhon. Actual clock hours are entered, but the average hours associated with each practice immersion assignment is 10.

You are required to complete your assignment using real-world application. Real-world application requires the use of evidence-based data, contemporary theories, and concepts presented in the course. The culmination of your assignment must present a viable application in a current practice setting. For more information on parameters for practice immersion hours, please refer to DNP resources in the DC Network.

To earn portfolio practice hours, enter the following after the references section of your paper:

Practice Hours Completion Statement DNP-810

I, (INSERT NAME), verify that I have completed (NUMBER OF) clock hours in association with the goals and objectives for this assignment. I have also tracked said practice hours in the Typhon Student Tracking System for verification purposes and will be sure that all approvals are in place from my faculty and practice mentor.

Health Issues for the Aging Rubric 

  1
Unsatisfactory
0.00%
2
Less Than Satisfactory
74.00%
3
Satisfactory
79.00%
4
Good
87.00%
5
Excellent
100.00%
70.0 %Content  
15.0 %Evaluation of What the Literature Suggests as a Resolution to the Selected Issue Evaluation of what the literature suggests as a resolution to the selected issue is not present. Evaluation of what the literature suggests as a resolution to the selected issue is present but incomplete. Evaluation of what the literature suggests as a resolution to the selected issue is present but done at a perfunctory level. Evaluation of what the literature suggests as a resolution to the selected issue is clearly presented. Discussion is convincing. Information presented is from scholarly though dated sources. Evaluation of what the literature suggests as a resolution to the selected issue is clearly present. Discussion is insightful. Information presented is from current scholarly sources.
15.0 %Discussion of Any Attempts to Incorporate the Solution Into Public Policy Discussion of any attempts to incorporate the solution into public policy is not present. Discussion of any attempts to incorporate the solution into public policy is present but incomplete. Discussion of any attempts to incorporate the solution into public policy is present but done at a perfunctory level. Discussion of any attempts to incorporate the solution into public policy is clearly present. Discussion is convincing. Information presented is from scholarly though dated sources. Discussion of any attempts to incorporate the solution into public policy is clearly present. Discussion is insightful. Information presented is from current scholarly sources.
15.0 %Determination of the Barriers to Implementation of the Solution Determination of the barriers to implementation of the solution is not presented. Determination of the barriers to implementation of the solution is presented but incomplete. Determination of the barriers to implementation of the solution is presented but done at a perfunctory level. Determination of the barriers to implementation of the solution is clearly presented. Discussion is convincing. Information presented is from mostly current scholarly, but some outdated sources are used. Determination of the barriers to implementation of the solution is clearly presented. Discussion is insightful and detailed. Information presented is from current scholarly sources.
15.0 %Analysis of the Options Being Discussed for Public and/or Private Funding Analysis of the options being discussed for public and/or private funding is not presented. Analysis of the options being discussed for public and/or private funding is presented but incomplete. Analysis of the options being discussed for public and/or private funding is presented but done at a perfunctory level. Analysis of the options being discussed for public and/or private funding is clearly presented. Discussion is convincing. Information presented is from mostly current scholarly but some outdated sources are used. Analysis of the options being discussed for public and/or private funding is clearly presented. Discussion is insightful and detailed. Information presented is from current scholarly sources.
10.0 %Recommended Solution A recommended solution has not presented. A recommended solution is presented but incomplete. A recommended solution is presented but done at a perfunctory level. A recommended solution is clearly presented. Sources used are mostly current and scholarly but some outdated. A recommended solution is clearly presented. Sources used as support are from current scholarly sources.
20.0 %Organization and Effectiveness  
7.0 %Thesis Development and Purpose Paper lacks any discernible overall purpose or organizing claim. DNP 810 Full Course Genomic Tech Assignments Thesis and/or main claim are insufficiently developed and/or vague; purpose is not clear. Thesis and/or main claim are apparent and appropriate to purpose. Thesis and/or main claim are clear and forecast the development of the paper. It is descriptive and reflective of the arguments and appropriate to the purpose. Thesis and/or main claim are comprehensive. The essence of the paper is contained within the thesis. Thesis statement makes the purpose of the paper clear.
8.0 %Argument Logic and Construction Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use) Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, and/or word choice are present. Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used. Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used. Writer is clearly in command of standard, written, academic English.
10.0 %Format DNP 810 Full Course Genomic Tech Assignments
5.0 %Paper Format (Use of appropriate style for the major and assignment) Template is not used appropriately or documentation format is rarely followed correctly. Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent. Appropriate template is used. Formatting is correct, although some minor errors may be present. Appropriate template is fully used. There are virtually no errors in formatting style. All format elements are correct.
5.0 %Research Citations (In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment and style) No reference page is included. No citations are used. DNP 810 Full Course Genomic Tech Assignments Reference page is present. Citations are inconsistently used. Reference page is included and lists sources used in the paper. Sources are appropriately documented, although some errors may be present. Reference page is present and fully inclusive of all cited sources. Documentation is appropriate and citation style is usually correct. In-text citations and a reference page are complete and correct. The documentation of cited sources is free of error.
100 %Total Weightage

DNP 810 Topic Week 8 Case Report Cumulative

Details:

You will be creating a case report in stages over four course topics. This assignment will add to your previous work in Topic 5. Use an example from your own personal practice, experience, or own personal/family; however, simulated cases are not acceptable for practice hours and therefore not acceptable for this assignment. Examples might include a patient with Duchesne’s muscular dystrophy. Huntington’s disease, Down’s syndrome, sickle cell anemia, BRCA 1 or BRCA 2 mutations, or other genetic disorder that you and/or the organization you practice in may specialize in treating.

General Requirements:

Use the following information to ensure successful completion of the assignment:

  • This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
  • Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
  • This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.
  • You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Include the following:

  • Guidelines and reasons behind the FDA regulations for introducing new pharmaceutical agents (policy).
  • The role that money and grants play in scientific advances/the economics of health care (capitalism).
  • The role and involvement family plays into the health care decision.

Directions:

For this assignment (Conclusion of the Case Report), include previous Parts 1, 2, and 3 of the Case Report in one document, combined with additional genetics information learned from the assigned readings from all course topics. This final Case Report document should include the following:

  1. Describe the disease, its prevalence, its incidence and general knowledge of the disease.
  2. Discuss the laboratory testing that can be done.
  3. Describe if chromosomal analysis is/was indicated, and detail the chromosomal change that caused the disease if it is a chromosomal disorder.
  4. Describe the disorder in terms of its origin as either a single gene inheritance, or as a complex inheritance and considerations for practice and patient education.
  5. Describe the gene mutation of the disease, as well as whether it is acquired or inherited, and how the mutation occurs.
  6. Examine how genetics can influence policy issues.
  7. Discuss any nutritional influences for this disease.
  8. Process of nutritional assessment and counseling as it relates to health, prevention, screening, diagnostics, prognostics, selection of treatment, and monitoring of treatment effectiveness.

Continue your paper with 1,000-1,250 words which include the following:

  1. Discuss any ethical considerations for this disease.
  2. Compare how genetics can improve care and health outcomes while reducing cost to usual practices.
  3. Discuss the changes in approaches to care when new evidence warrants evaluation of other options for improving outcomes or decreasing adverse events.
  4. Create a plan for how you might educate colleagues and/or patients on this genetic disorder.

Portfolio Practice Hours:

Practice immersion assignments are based on your current course objectives, and are intended to be application-based learning using your real-world practice setting. These assignments earn practice immersion hours, and are indicated in the assignment by a Portfolio Practice Hours statement which reminds you, the student, to enter in a corresponding case log in Typhon. Actual clock hours are entered, but the average hours associated with each practice immersion assignment is 10.

You are required to complete your assignment using real-world application. Real-world application requires the use of evidence-based data, contemporary theories, and concepts presented in the course. The culmination of your assignment must present a viable application in a current practice setting. For more information on parameters for practice immersion hours, please refer to DNP resources in the DC Network.

To earn portfolio practice hours, enter the following after the references section of your paper:

Practice Hours Completion Statement DNP-810

I, (INSERT NAME), verify that I have completed (NUMBER OF) clock hours in association with the goals and objectives for this assignment. I have also tracked said practice hours in the Typhon Student Tracking System for verification purposes and will be sure that all approvals are in place from my faculty and practice mentor.

Atypical growth patterns of the brain have been previously reported in autism spectrum disorder (ASD) but these alterations are heterogeneous across individuals, which may be associated with the variable effects of genetic and environmental influences on brain development. Monozygotic (MZ) and dizygotic (DZ) twin pairs with and without ASD (aged 6–15 years) were recruited to participate in this study. T1-weighted MRIs (n = 164) were processed with FreeSurfer to evaluate structural brain measures. Intra-class correlations were examined within twin pairs and compared across diagnostic groups. ACE modeling was also completed. Structural brain measures, including cerebral and cerebellar gray matter (GM) and white matter (WM) volume, surface area, and cortical thickness, were primarily influenced by genetic factors in TD twins; however, mean curvature appeared to be primarily influenced by environmental factors. Similarly, genetic factors accounted for the majority of variation in brain size in twins with ASD, potentially to a larger extent regarding curvature and subcortical GM; however, there were also more environmental contributions in twins with ASD on some structural brain measures, such that cortical thickness and cerebellar WM volume were primarily influenced by environmental factors. These findings indicate potential neurobiological outcomes of the genetic and environmental risk factors that have been previously associated with ASD and, although preliminary, may help account for some of the previously outlined neurobiological heterogeneity across affected individuals. This is especially relevant regarding the role of genetic and environmental factors in the development of ASD, in which certain brain structures may be more sensitive to specific influences.

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DNP 810 Full Course Genomic Tech Assignments Case Report: Cumulative Rubric 

  1
Unsatisfactory
0.00%
2
Less Than Satisfactory
74.00%
3
Satisfactory
79.00%
4
Good
87.00%
5
Excellent
100.00%
70.0 %Content DNP 810 Full Course Genomic Tech Assignments
20.0 %Discussion of Ethical Considerations for This Disease Discussion of ethical considerations for this disease is not present. Discussion of ethical considerations for this disease is present but incomplete. Discussion of ethical considerations for this disease is present but done at a perfunctory level. Discussion of ethical considerations for this disease is clearly presented. Discussion is convincing. Information presented is from scholarly though dated sources. Discussion of ethical considerations for this disease is clearly present. Discussion is insightful. Information presented is from current scholarly sources.
20.0 %Comparison of How Genetics Can Improve Care and Health Outcomes While Reducing Cost to Usual Practices Comparison of how genetics can improve care and health outcomes while reducing cost to usual practices is not present. Comparison of how genetics can improve care and health outcomes while reducing cost to usual practices is present but incomplete. Comparison of how genetics can improve care and health outcomes while reducing cost to usual practices is present but done at a perfunctory level. Comparison of how genetics can improve care and health outcomes while reducing cost to usual practices is clearly present. Discussion is convincing. Information presented is from scholarly though dated sources. Comparison of how genetics can improve care and health outcomes while reducing cost to usual practices is clearly present. Discussion is insightful. Information presented is from current scholarly sources.
15.0 %Discussion of the Changes in Approaches to Care When New Evidence Warrants Evaluation of Other Options for Improving Outcomes or Decreasing Adverse Events Discussion of the changes in approaches to care when new evidence warrants evaluation of other options for improving outcomes or decreasing adverse events is not presented. Discussion of the changes in approaches to care when new evidence warrants evaluation of other options for improving outcomes or decreasing adverse events is presented but incomplete. DNP 810 Full Course Genomic Tech Assignments Discussion of the changes in approaches to care when new evidence warrants evaluation of other options for improving outcomes or decreasing adverse events is presented but done at a perfunctory level. Discussion of the changes in approaches to care when new evidence warrants evaluation of other options for improving outcomes or decreasing adverse events is clearly presented. Discussion is convincing. Information presented is from mostly current scholarly but some outdated sources are used. Discussion of the changes in approaches to care when new evidence warrants evaluation of other options for improving outcomes or decreasing adverse events is clearly presented. Discussion is insightful and detailed. Information presented is from current scholarly sources.
10.0 %Plan for How You Might Educate Colleagues and/or Patients on This Genetic Disorder A plan for how you might educate colleagues and/or patients on this genetic disorder is not presented. A plan for how you might educate colleagues and/or patients on this genetic disorder is presented but incomplete. A plan for how you might educate colleagues and/or patients on this genetic disorder is presented but done at a perfunctory level. A plan for how you might educate colleagues and/or patients on this genetic disorder is clearly presented. Discussion is convincing. A plan for how you might educate colleagues and/or patients on this genetic disorder is clearly presented. Discussion is insightful and detailed.
5.0 %Previous Case Reports are Included as the Beginning of this Paper Previous case reports are included as the beginning of this paper is not present. DNP 810 Full Course Genomic Tech Assignments Previous case reports are included as the beginning of this paper but missing two areas. Previous case reports are included as the beginning of this paper but missing one area. Previous case reports are included as the beginning of this Paper is completely present.
20.0 %Organization and Effectiveness

DNP 810 Full Course Genomic Tech Assignments

7.0 %Thesis Development and Purpose Paper lacks any discernible overall purpose or organizing claim. Thesis and/or main claim are insufficiently developed and/or vague; purpose is not clear. Thesis and/or main claim are apparent and appropriate to purpose. Thesis and/or main claim are clear and forecast the development of the paper. It is descriptive and reflective of the arguments and appropriate to the purpose. Thesis and/or main claim are comprehensive. The essence of the paper is contained within the thesis. Thesis statement makes the purpose of the paper clear.
8.0 %Argument Logic and Construction Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use) Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, and/or word choice are present. Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used. Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used. Writer is clearly in command of standard, written, academic English.
10.0 %Format  
5.0 %Paper Format (Use of appropriate style for the major and assignment) Template is not used appropriately or documentation format is rarely followed correctly. Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent. Appropriate template is used. Formatting is correct, although some minor errors may be present. Appropriate template is fully used. There are virtually no errors in formatting style. All format elements are correct.
5.0 %Research Citations (In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment and style) No reference page is included. No citations are used. Reference page is present. Citations are inconsistently used. Reference page is included and lists sources used in the paper. Sources are appropriately documented, although some errors may be present. Reference page is present and fully inclusive of all cited sources. Documentation is appropriate and citation style is usually correct. In-text citations and a reference page are complete and correct. The documentation of cited sources is free of error.
100 %Total Weightage DNP 810 Full Course Genomic Tech Assignments

DNP 810 Topic Week 8 Final Evaluation by Mentor

Details:

The mentor will perform a final clinical evaluation via the Typhon system. The mentor will receive an e-mail link at the beginning of Topic 6 to access the evaluation through Typhon.

Students will access the completed mentor evaluations in Typhon under the tab for “EASI: Evaluation and Survey Instrument” and print out the completed evaluation, sign it, and upload the signed evaluation into LoudCloud.

The course faculty will review the evaluation in LoudCloud and confirm in Typhon.

It is the student’s responsibility to ensure that the mentor has completed evaluation. If the mentor does not receive the evaluation via the e-mail address on file with GCU, the student should contact the course faculty immediately.

DNP 810 Full Course Genomic Tech Assignments Topic Week 8 Reflective Journal

Details:

Learners are required to maintain a Reflective Journal integrating leadership and inquiry into current practice.

In your journal, you will reflect on the personal knowledge and skills gained in the current course addressing a variable combination of the following: new practice approaches, intraprofessional collaboration, health care delivery and clinical systems, ethical considerations in health care, population health concerns, the role of technology in improving health care outcomes, health policy, leadership and economic models, and/or health disparities. Outline what you discovered about your professional practice, personal strengths and weaknesses that surfaced, what additional resources and abilities could be introduced to a given situation to influence optimal outcomes, and finally how you met the competencies aligned to this course.

Submit your Reflective Journal to both the instructor and the Typhon Tracking System under the corresponding course section. Learners must submit this deliverable in Typhon and LoudCloud. Failure to submit in both locations can result in an Incomplete for the course.

DNP 810 Full Course Genomic Tech Assignments Topic Week 8 Scholarly Activities

Details:

Throughout the DNP Program, learners are required to provide a report documenting participation in a minimum of four scholarly activities outside of clinical or professional practice. These reports will be due in specific courses throughout the program (listed below) and must be documented in your Practice Portfolio by the end of each course in which an activity report is due.

Examples of scholarly activities include attending conferences, seminars, grand rounds, participating in policy and quality improvement committees, writing scholarly publications, participating in community planning, serving as a guest lecturer, etc. Involvement and contribution to interdisciplinary initiatives are also acceptable scholarly activities.

Documentation of these activities is required in DNP-810, DNP-820, DNP-830, and DNP-840.

A summary report of the scholarly activity including who, what, where, when, and take home points will be submitted as the assignment. Include the appropriate program competencies associated with the scholarly activity and the future professional goals related to this activity. You may use the attached template to help guide this assignment.

Scholarly_ Activity_Summary_Template.doc

DNP 810 Full Course Genomic Tech Assignments Topic Week 8 Practice Hours Portfolio

Details:

The Typhon Tracking System will be used to document and follow the status of your practice immersion hours throughout this and every subsequent course. Learners must be able to document a minimum of 50 concurrently or previously logged practice hours in association with this course, which will contribute to fulfillment of the total required 1,000 post-baccalaureate practice hours by the conclusion of the program. Please review the Practice Hours Portfolio Required Elements below, then review the Guidelines for Graduate Field Experience Manual document in the DC Network for details on what may/may not qualify as practice hours.

Practice Hours Portfolio Required Elements

The Practice Hours Portfolio (using the Typhon Student Tracking System) will include all of the following elements:

  1. Individual Success Plan signed off by mentor.
  2. Comprehensive clinical log of hours applied to doctoral level learning outcomes.
  3. Learner evaluations (final).
  4. Practice mentor evaluations (final).
  5. Current and updated CV (update each course as necessary).
  6. Faculty approvals of the Individual Success Plan and documented practice immersion hours. (Learner is responsible for obtaining approvals.)
  7. Practice mentor’s approval of the Individual Success Plan and documented practice immersion hours. (Learner is responsible for obtaining approvals.)

Practice Hours Completion Statement

Learners will track their practice hours within the Typhon Tracking System throughout each course and via the Practice Hours Completion Statement assignment provided in this assignment.

Complete the following statement in a Word documen, submit to the instructor, and complete the Typhon Tracking System entries appropriate for this course.

Create a Word document with the following text:

Practice Hours Completion Statement DNP-810

I, (INSERT NAME), verify that I have completed (NUMBER OF) practice hours in association with the goals and objectives for this course. I have also tracked said practice hours in the Typhon Student Tracking System for verification purposes and will be sure that all approvals are in place from my faculty and practice mentor.DNP 810 Full Course Genomic Tech Assignments

The role of genetic counsellors in genomic healthcare in the United Kingdom: a statement by the Association of Genetic Nurses and Counsellors

Abstract

In the United Kingdom, genetic counsellors work together with clinical geneticists and clinical scientist colleagues within specialist genetics services, but they also often work in multidisciplinary teams (MDTs) outside of such services. There, they contribute genetic knowledge together with expert understanding of how to communicate genetic information effectively. They can offer education and support to the MDT, while providing management advice for both affected patients and the extended at-risk family members. As genomic technologies are implemented across many disciplines within healthcare, genetic counsellors are playing a key role in enabling non-genetic health professionals learn, understand and integrate genomic data into their practice. They are also involved in curriculum development, workforce planning, research, regulation and policy creation – all with the aim of ensuring a robust evidence base from which to practise, together with clear guidelines on what constitutes competence and good practice. The Association of Genetic Nurses and Counsellors (AGNC) in The United Kingdom (UK) and Republic of Ireland is committed to supporting genetic counsellors, across all sectors of healthcare and research, as they help deliver genomic medicine for the patient, family and world-class health services.

Main

Genetic diagnosis, testing and counselling has occurred traditionally in a tertiary care setting within regional genetics centres (RGCs) comprising a MDT of clinical geneticists, genetic counsellors, and nurses and clinical scientists.1 Historically, clinical genetics focused on disorders showing Mendelian inheritance and on the wider implications of genetic diagnoses for the individual patient and their extended family.1 While this will continue to be important, RGCs are now responding to the unprecedented changes in genetic technology and the inevitable impact of genomic medicine across the whole of healthcare.1 Specialist genomic services are now available through RGCs in partnership with Genomic Medicine Centres (GMCs), hubs responsible for the delivery of the 100 000 Genomes Project in England. Health services in Scotland, Wales and Northern Ireland are also developing and implementing analogous genomics projects.1

Advances in technology promise to deliver the genomic data to inform healthcare on a mass scale and in a cost-effective manner. In the future, broad genomic testing in mainstream medicine settings, could enable more effective prediction of risk, management of disease and personalisation of treatment for both common and rare conditions. Developing this new technology with the required data handling, bioinformatics, interpretation, information, consent and clinical management of patients presents a significant challenge for the National Health Service (NHS). It is envisioned that genomic testing will increasingly be initiated outside the sphere of RGCs and will instead be integrated into a wide range of medical specialties. Realisation of the potential benefits will require a breadth of healthcare professionals to develop knowledge and proficiency in managing and communicating genomic information within their speciality.

Partnerships between RGCs and GMCs, and all other providers in healthcare will be critical in realising this vision of genomic medicine. Genetic healthcare professionals currently interpret and communicate complex genomic information while providing the support and counselling required for ‘whole person’ and ‘whole family’ care. As identified by the Human Genomics Strategy Group (2012), maintenance of this specialist workforce, both as a clinical service and as a resource to support integration of genomic technology and expertise within mainstream medicine, will be essential elements of the future genomics strategy.2 Historically, the delivery of genetics and genomics outside of specialist clinical genetics services has been variable.3 A combination of formal education programmes and continual reinforcement through clinical support will be required to deliver successful and sustainable training.1 Embedding the specialist expertise of the genetic counsellor in external MDTs is essential for achieving the enhanced, responsive education and training required for true integration of genomics in mainstream medicine.

The role of the genetic counsellor

Genetic counsellors are internationally established as healthcare professionals with specialist education, training and assessed competence in genetics and genomics, combined with counselling skills.45 Genetic counsellors are essential members of MDTs, enabling the genetic information generated to be appropriately relayed, to provide information and support to individuals and families attempting to comprehend and adjust to a genetic condition.1 Genetic counsellors have distinct skills, qualifications, experience and expertise to support individuals and families with genetic conditions by:1

  • Applying genomic information to overall future healthcare for an individual and family.
  • Providing practical and psychosocial support for those with, and at risk from, genetic disease.
  • Navigating the ethical challenges surrounding the disclosure and sharing of genetic information.
  • Interpreting and explaining complex, incidental or uncertain genomic information.
  • Providing education for the wider healthcare workforce on the clinical application of genomics. See Figure 1 for details.
    Figure 1

    DNP 810 Full Course Genomic Tech Assignments

    Figure 1

    Genetic counsellor’s role in the implementation of genomics.

The United Kingdom has been at the forefront of developing the profession and has established the gold standard for genetic counselling, which has been emulated across Europe and worldwide.56 It is also highly valued by patients.7 In 2016, the Genetic Counsellor Registration Board (GCRB); see Figure 2 became accredited by the Professional Standards Authority (PSA); the PSA are an independent organisation, accountable to the UK Parliament, that offers voluntary registration for people working in health and social care.

Figure 2

DNP 810 Full Course Genomic Tech Assignments

Figure 2

Governance structure for the Genetic Counsellor Registration Board (GCRB) UK and ROI.

Also in 2016, the first NHS Scientist Training Programme in genomic counselling began via the National School of Healthcare Science in England. Furthermore, it is anticipated that genetic counsellors will, for the first time, be included in UK national healthcare workforce planning with the aim of ensuring there are enough genetic counsellors being trained in the UK to meet the increasing demands of genomic healthcare.

Genetic counsellors in the United Kingdom and Republic of Ireland are embracing genomic technology and adapting their practice accordingly. They are a highly qualified and skilled workforce in a very strong position to make great contributions to the mainstreaming of genomics. The model of practice for genetic counsellors in the UK should be evaluated so that conclusions can be drawn about the relevance and reproducibility of this in mainland Europe and the rest of the world. DNP 810 Full Course Genomic Tech Assignments


 

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