What other information would you like to have or ask the patient/family that may be helpful in your assessment of the patient situation/needs?

ELSI Discussion Question
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Rachel comes from a family with a history of breast cancer on her mother’s side. Rachel’s mother died of breast cancer when she was very young. Rachel has two sisters, Lisa and Kristin. Rachel has remained close to Lisa, but she no longer has a relationship with Kristin. At a routine check-up, Rachel is told about the availability of genetic testing for identifying a predisposition to breast cancer. Her doctor recommends the test to Rachel, given her family history. Rachel has the genetic testing done and finds that she has a mutated BRCA1 gene. Her doctor tells her she is at high risk for developing breast and ovarian cancer. Rachel’s doctor suggests she ask her sisters to be tested also, so they can take the proper preventative measures. Rachel feels comfortable sharing this information with Lisa, but she has not spoken to Kristin in many years. Rachel tells her doctor that she is not in contact with Kristin and will not make an effort to tell her about BRCA1 and genetic testing. Rachel’s doctor feels confident that she can locate Kristin but worries about breaching patient confidentiality if she goes against Rachel’s wishes.

What other information would you like to have or ask the patient/family that may be helpful in your assessment of the patient situation/needs?
Identify the issues in this case study related to each of the following:
Financial/Socioeconomics, Cultural, Religious, and Lifestyle
Describe strategies you would use to address the issues in Question #2.
Prioritize your nursing care management of this patient situation.
Identify ethical/legal concepts related to this case study. Include concepts from the ANA Scope & Standards of Genetics/Genomics Nursing Practice. (You can use this article regarding the standards for this question Genetics Scope and Standards.pdfActions )

Describe how these ethical concepts influenced your approach to the case.
Identify two (2) challenges your team had with this case. Describe the reasons why you feel those items were challenging. How did this assignment help you recognize the challenges and to identify strategies to overcome those challenges?
HOW Does GINA law play a role?

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