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Ethical issues related to genetic testing
Genetic testing vs privacy
Ethical issues related to genetic testing
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The healthcare industry has come a long way in terms of technological advances. These advances have had significant benefits in diagnosis, treatment, and the way medicine is practiced today. Unfortunately, these technological advances also come with ethical issues and dilemmas the healthcare professionals must face. Genetic testing is an area that has had significant advancement over the past few years. Genetic testing can provide important information regarding diagnosis, treatment, and prevention of illness or disease (Mayo Clinic, 2015). There has been progress recently with genetic testing within oncology and it has become an accepted standard of oncologic care (Robson, Storm, Weitzel, Wollins, & Offit, 2010 February 10). While genetic testing can provide valuable information, many of the tests are not regulated. This means that the tests go to market without an independent analysis of the validity (National Human Genome Research Institute, 2015). Genetic test kits are readily available on the internet for home testing. However, the Food and Drug Administration, as well as the Centers …show more content…
These patients are desperate and are vulnerable, often consenting to research studies without fully understanding the potential outcome. Therefore, it is imperative to educate the patients, public, and regulatory agencies regarding the pros and cons of these therapies. Tan & Payton (2010) describe the electronic health record (EHR), which dates back to the 1950s. These computer-based patient records have evolved into complex systems with many capabilities. They were designed to provide healthcare professionals with a comprehensive picture of a patient’s health status at any time and are meant to automate and streamline the workflow of the healthcare professional (Tan & Payton,
For years now, the healthcare system in the United States have managed patient’s health records through paper charting, this has since changed for the better with the introduction of an electronic medical record (EMR) system. This type of system has helped healthcare providers, hospitals and other ambulatory institutions extract data from a patient’s chart to help expedite clinical diagnosis and providing necessary care. Although this form of technology shows great promise, studies have shown that this system is just a foundation to the next evolution of health technology. The transformation of EMR to electronic heath record system (EHR) is the ultimate goal of the federal government.
Historically, physicians and nurses documented patients’ health information using paper and pencil. This documentation created numerous errors in patients’ medical records. Patient information became lost or destroyed, medication errors occur daily because of illegible handwriting, and patients had to wait long periods to have access to their medical records. Since then technology has changed the way nurses and health care providers care for their patients. Documentation of patient care has moved to an electronic heath care system in which facilities around the world implement electronic health care systems. Electronic health records (EHR) is defined as a longitudinal electronic record of
Unfortunately, the quality of health care in America is flawed. Information technology (IT) offers the potential to address the industry’s most pressing dilemmas: care fragmentation, medical errors, and rising costs. The leading example of this is the electronic health record (EHR). An EHR, as explained by HealthIT.gov (n.d.), is a digital version of a patient’s paper chart. It includes, but is not limited to, medical history, diagnoses, medications, and treatment plans. The EHR, then, serves as a resource that aids clinicians in decision-making by providing comprehensive patient information.
By using identified gene mutations that are known to cause diseases, asymptomatic individuals are able to discover if they are at risk for specific genetic conditions; this is known as genetic testing. Unfortunately, genetic testing can vary in its predictive ability. For example, Huntington disease, Duchenne Muscular Dystrophy, Fragile X syndrome and multiple endocrine neoplasia type 2 are conditions that can be determined by genetic testing (Samen, 1996). In contrast, for multifaceted diseases like Alzheimer’s, breast and ovarian cancer and colorectal cancer, predisposition can be determined with genetic testing. However, an absolute diagnosis of those diseases cannot be made (Heshka et al., 2008).
Genetic Screening is a medical test that examines ones DNA. It can find mutations in chromosomes, genes, and proteins. These tests can confirm or refute a suspected genetic condition that could become a serious problem for one in the future. They can also help figure out a persons probability of getting certain diseases or sicknesses like cancer or diabetes. ( What is Genetic Testing?, para 1) There is also carrier testing which can be used to see what diseases couples may carry before having children. (What are the benefits of genetic testing? Para 1)
This paper will identify the use of Electronic Health Records and how nursing plays an important role. Emerging in the early 2000’s, utilizing Electronic Health Records have quickly become a part of normal practice. An EHR could help prevent dangerous medical mistakes, decrease in medical costs, and an overall improvement in medical care. Patients are often taking multiple medications, forget to mention important procedures/diagnoses to providers, and at times fail to follow up with providers. Maintaining an EHR could help tack data, identify patients who are due for preventative screenings and visits, monitor VS, & improve overall quality of care in a practice. Nurse informaticists play an important role in the adaptation, utilization, and functionality of an EHR. The impact the EHR could have on a general population is invaluable; therefore, it needs special attention from a trained professional.
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...
In today’s world, people are learning a great deal in the rapidly growing and developing fields of science and technology. Almost each day, an individual can see or hear about new discoveries and advances in these fields of study. One science that is rapidly progressing is genetic testing; a valuable science that promotes prevention efforts for genetically susceptible people and provides new strategies for disease management. Unnaturally, and morally wrong, genetic testing is a controversial science that manipulates human ethics. Although genetic testing has enormous advantages, the uncertainties of genetic testing will depreciate our quality of life, and thereby result in psychological burden, discrimination, and abortion.
The second concerning issue began after the completion of the thirteen-year long Human Genome Project (Schleckser). This project lead people to become curious about what genetic codes their DNA entails. Curiosity leads to the introduction of Direct-to-Consumer genetic testing, which involves a consumer, to perform their test from home and receive results at home. The concerning issue involves pure DTC genetic testing which eliminates a physician completely from testing and involves consumers to decide where and when they want to get tested, send their samples off and receive their results all from home (Schleckser). One of the only pure DTC tests that can be used without the discretion of a physician is 23andMe. 23andMe was labeled the “invention of the year” in 2008
Genetic testing has become very popular as technology has improved, and has opened many doors in the scientific community. Genetic testing first started in 1866 by a scientist known as, Gregor Mendel, when he published his work on pea plants. The rest was history after his eyes opening experiments on pea plants. However, like any other scientific discovery, it bought conflicts which caused major controversies and a large population disagreed with the concept of playing with the genetic codes of human beings. Playing God was the main argument that people argument that people had against genetics. genetic testing became one of the major conflicts conflicts to talk about, due to the fact that parents could now have the option of deciding if they
The act of genetic screening itself does not count as eugenics. The screening process prepares potential parents and shows them what to expect. It enters into a fuzzy area if the fetus does have some kind of genetic disorder and the question of aborting it is brought up. eugenics is largely defined as the process of purifying the gene pool through the selection of ideal candidates. That is most likely not the thought process of parents making a private decision on whether or not to keep a disabled child. Rather, it is how a child born with a disability will affect their lives and if they have the means to take care of one. There is also the matter of the extent of a child’s disorder. If it is life threatening, the child may be born, live and soon die, all in constant pain. Thus, many would view it as a kindness to not subject a child to that.
Don’t do commercial genetic testing, it’s $1,000 and a big waste of your time and money. Not only are you wasting your time and money on something that isn’t ethical, you’re giving the companies the right to your past. How would you know if they’re trustworthy as well? I feel there needs to be more transparency when it comes to commercial DNA testing. Commercial genetic testing is unethical because you don’t know what they’re going to do with your DNA and also you’ll be losing a big part of your privacy.
Genetic screening, also known as genetic or genomic testing, has become a controversial method of discovering genetic mutations, anomalies, or differences that are pathological. According to a study conducted by Virginia Commonwealth University, 77 percent of Americans believe that genetic testing should be made accessible to the general public (Funk, Huff). Genetic testing, while a popular option for predicting the outcomes of genetics, has ethical implications related to prenatal diagnosis, predictive testing, and carrier testing.
These modifications might be undetectable by standard tests, however, genetic testing could potentially shed some light in this area. At the present, genetic testing (DNA analysis) is used to diagnose genetic diseases and alert people who may be at risk for various ailments. A couple of possible benefits of genetic testing include early treatment for a disease and more informed reproductive choices. This kind of testing, however, also presents itself with new issues. For instance, a medical insurance company might consider someone who possesses a gene associated with disease to have a preexisting condition. Employers can potentially use genetic information to discriminate against their employees. The Genetic Information Nondiscrimination Act (GINA) is a law passed in 2008 that ensures genetic tests cannot be used to deny coverage or set higher insurance
In this day and age where technology seems to be moving faster than the human mind at times, there is a constant need to keep up with the ever-changing technology innovations and just technology in general. We live in a world where we rely on technology to do a lot of things that makes our lives so much easier to get through. Over the past 20 years digital records have been an invaluable tool for doing research and managing massive amounts of data. Banks and airline companies have managed to completely go electronic and now healthcare institutions are moving in the same direction with Electronic Health record (EHR) systems. In healthcare, EHR systems have transformed a predominantly paper-based industry to one that utilizes technology on many