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Ethics: genetic testing
Ethics: genetic testing
Ethics: genetic testing
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Pharmacogenomics is the study of variation of humans genomes and how they are affected by a response to medications, due to heredity, that would be tailor-made to adapt to a person or population genetic make up to lessen drug caused morbidity. Pharmacogenetics, which is an older term, was constructed from the words pharmacology and genetics, which now indicates the intersections of pharmaceuticals and genetics. The vision of pharmacogenomics offer a safer and more effective drugs, where more persons and populations use drug therapies which will increase he influence of drug-development clinical trials and products used in clinical practice. (Mordini 2004) Patient’s selection must be evidence base in the testing of pharmacogenomics in order to avoid genetic profiling, discrimination, stigmatization or distributive injustice. The testing of pharmacogenomics supplies information that could assist with the decision of treatment options for patients. Physician cannot influence patients decisions based on their own opinions. (Ndegwa 2007) Aside from ethical issues there are also social and legal issues. Social issues form pharmacogenomics testing could possible lead to unfair treatment or undesirable outcome such as health discrepancy, due to medical cover compared to others. Legal issues include how these pharmacogenomics affect is being translated into practice. Genetic Information Nondiscrimination Acted passed in 2008 protects Americans from discrimination on the basis of genetic information for health insurance and employment purposes. Along with these three issues there are also economic issues that compare whether the person would take full responsibility for billing of the pharmacogenomics testing or if the insurance ... ... middle of paper ... ...(2009 Dec): 36-48. 15(12). Mordini, Emilio. Ethical considerations on pharmacogenomics. Vol. 49. El Sevier, 2004. 4 vols. 22 March 2014. . Ndegwa, S. "Pharmacogenomics and warfarin therapy." Issues in Emerging Health Technologies (2007): 1-8. Journal. Paige, Leslie Z. "Obsessive-Compulsive Disorder." Characterized by repeated behaviors intended to control recurring anxieties, obsessive-compulsive disorder probably affects at least on of your students. (September 2011): 12-15. Penzel, Fred. Obsessive-Compulsive Disorders: A guide to getting well and stay well. Oxford University Press, 2000. Swedo SE, Schapiro MB, Grady CL, et al. Cerebral Glucose Metabolism in Childhood-Onset Obsessive-Compulsive Disorder. Arch Gen Psychiatry. 1989;46(6):518-523. doi:10.1001/archpsyc.1989.01810060038007.
...bsessive-compulsive disorder: An examination of outcome and mediators of change. Journal Of Consulting And Clinical Psychology, 81(3), 415-428. doi:10.1037/a0031865
Obsessive-Compulsive disorder (OCD) - is characterized by persistent, uncontrollable and unwanted feelings or thoughts (obsessions) and routines or rituals (compulsions) in which individuals engage to try to prevent or rid themselves of these thoughts. In example of common compulsions include washing hands or cleaning repeatedly for fear of germs.
Obsessive-compulsive disorder has been classified as a type of anxiety disorder under DSM-5, in which there is a presence of obsessions, compulsions or both. Obsessions are defined as “intrusive and mostly nonsensical thoughts, images, or urges that the individual tries to resist or eliminate,” while compulsion are the thought or actions that accompany these obsessions to try to suppress and provide relief. (TEXTBOOK) The obsessions are categorized into four major types, and each is linked with a certain pattern of compulsive behaviors.
Meurer, Michael. “Pharmacogenomics, Genetic Tests, and Patent-Based Incentives”, Boston University School of Law. Pages 1-8.
The ultimate goal of pharmacogenomics, as stated by Henig, “would be for everyone’s genome to be analyzed indi...
Obsessive-Compulsive Disorder is a disease that afflicts up to six million Americans, however all its characteristics are yet to be fully understood. Its causes, triggers, attributes, and variations are still unknown although effective medicines exist to treat the symptoms. OCD is a very peculiar disease as Rapoport discusses it comes in many different forms and have different symptoms yet have many similarities. One sure aspect is that it appears, or at least its symptoms do, out of the blue and is triggered either by stressful experiences or, most of the time, just appears out of nowhere. One example is a boy who's father was hard on him for being affected by the worlds "modern ways", the boy at a high school party tries LSD ( a hallucinatory drug), after that thoughts of whether his mind was dangerously affected by the drug. What seemed like completely appropriate worrying and anxiety turned into attacks of anxiety, he couldn't shake the thoughts that something was wrong with his mind. Essentially he had "his mind on his mind" constantly and that haunted his days his thought were as follows: " did the lsd do anything to my mind? The thought never went away ; instead it got more and more complicated. There must be something wrong with my mind if i am spending so much time worrying about it. Is there something wrong with my mind? Was this from the lsd? Will it ever get better?" (The boy who, J. L. Rapoport 125,126) Dr. Rapoport promptly put him on Anafranil (an anti-depressant, used for OCD, not marketed in the U.
Obsessive Compulsive Disorder or OCD for short, has affected numerous people; one being Jeff Bell, the author of the book Rewind, Replay, Repeat: A memoir of Obsessive-Compulsive Disorder. This book has much insight on OCD and touches many interesting facts that some people would never know prior to reading.
In conclusion, it is important for nurses to have proper training and information in the area of genetics and genomics so that it can be used in daily clinical practice (Thompson & Brooks, 2011). Using this information with clients and conducting a detailed genetic nursing assessment is a valuable component of being an effective health care provider and can help clients recognize, prevent, and/or treat diseases that are unique to their particular
Teutch, S., & Tuckson, R. Department of Health & Human Services, (2008). U.S. system of oversight of genetic testing: A response to the charge of the secretary of health and human services. Retrieved from website: http://osp.od.nih.gov/sites/default/files/SACGHS_oversight_report.pdf
Obsessive compulsive disorder is a psychological disorder with symptoms of obsessive thoughts and compulsive actions, such as cleaning, checking, and counting. OCD is linked to other disorders such as attention deficit hyperactive disorder (ADHD) and experiential avoidance disorder (EA). OCD and ADHD have similar effects in children being that they both lead to procrastination when trying to complete simple tasks. People with OCD and EA both have consistent negative thoughts but the same treatments can be used for both. The neurobiological link between OCD and ADHD says “Obsessive compulsive disorder and attention deficit hyperactivity disorder are two of the most common neuropsychiatric diseases in pediatric populations. Neuropsychological and neuroimaging studies suggest that partly similar executive functions are affected in both disorders” (Brem et al. 175). OCD and ADHD are very common especially in children and they both have similar effects. People with obsessive compulsive disorder put themselves through a lot more ...
Obsessive-compulsive disorder (OCD) is a type of anxiety disorder that can be best characterized by the recurrent or disturbing thoughts that are labeled as obsessions. Sometime these obsessions can take on the form of intrusive images or the unwanted impulses. The compulsions can come from the repetitive or ritualized behaviors that a person feels driven to perform on a daily basis. The majority of people with the diagnosis of OCD can have both obsessions and compulsions, but most of the times about 20% have obsessions alone while 10% may have the compulsions alone (Goodman M.D., 2013) . Common types that have been illustrated in individual’s diagnoses with OCD can be characterized with concerns of contamination, safety or harm to themselves, unwanted acts of aggression, the unacceptable sexual or religious thoughts, and the need for symmetry or exactness. While some of the most common compulsion can be characterized as excessive cleaning, checking, ordering, and arranging rituals or the counting and repeating routines activities that are done sometimes on a daily basis multiple times in a day.
Jakubovski, E., Diniz, J. B., Valerio, C., Fossaluza, V., Belotto-Silva, C., Gorenstein, C., …Shavitt, R. G. (2013). Clinical predictors of long-term outcome in obsessive-compulsive disorder. Depression and Anxiety, 30, 763-772. doi 10.1002/da.22013
First, let's consider the situations in which genetic testing would be beneficial to patients. Genetic testing for diseases that are preventable or treatable could allow individuals to alter their lifestyles so as to treat the disease or reduce their risk of developing the disease. For instance, the E2 version of the APOE gene, which is found on chromosome 19, has been linked to heart disease (Ridley, 1999). Individuals who have two copies of the E2 gene are particularly sensitive to high-fat and high-cholesterol diets. Therefore, a genetic test to determine whether a person has the high-risk version of the APOE gene could inform a person of future health risks, thereby allowing the person to change his diet to help prev...
Anxiety disorder is a type of abnormal behavior characterized by unrealistic, irrational fear. These types of disorders are diagnosed two as often in women as in men. Although these disorders can be very chronic and serious, they are easily treatable. Generalized anxiety disorder is when people experience fear and worry that is not focused on one specific aspect; nevertheless, they suffer greatly with headaches, dizziness, heart palpitations, and insomnia. Obsessive-compulsive disorder, better known as OCD, involves persistent, unwanted, obsessions and irresistible urges to perform compulsions in order to relieve anxiety. Unlike other anxiety disorders, OCD consists more of anxiety and worry rather than fear itself. Many people who experience OCD are aware that there is no motive behind their actions, however their anxiety is heightened when they try to ignore the compulsions. People with such anxiety disorders often experience sensitivity to other people’s views as well as worry over their surroundings.
Genetics & Personalized Medicine. (2013). University of Ottawa Heart Institute. Retrieved on February 3, 2014 from: http://www.ottawaheart.ca/research_discovery/genetics-personalized-medicine.htm