...Intervention Professor 07/26/2015 Chromosome Number Four The purpose of this paper is to explore the association of crisis intervention relative to nursing and genetics related to Huntington’s disease (HD). The focus will touch on several different topics associated with pre-emptive testing, pregnancy, educational barriers, strengths, signs and symptoms related to the potential of having an aneuploidy fetus. Also, the importance of time sensitive decisions during pregnancy, social support for potential results, financial resources and hardship related to testing. Additionally, the potential for impaired early on-set compromised cognitive functioning linked to Huntington’s disease. Finally, incorporating the expanded role of the professional nursing scope, practice, and ethical dilemmas associated with Huntington’s disease. Chorea a Brief History Huntington-Chorea was identified in 1872 as a rare inherited disorder secondary to “Chorea” jerky uncontrolled movements (Mandal, 2014). Chorea is Greek in origin and defined as “dancing in unison” (Merck Manual, 2015). 1872 the jerky movements were thought to be divine intervention or demon possession that required a type of exorcism to expel (Jumreornvong, 2015). Additionally, with the evolution of genetics in 1983 according to the US-Venezuela Huntington Disease Collaborative Research Project an approximate location of the gene was identified (Mandal, 2014). Likewise, in 1993 the precise...
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...Running head: ANALYSIS OF ETHICAL DILEMMA Analysis of Ethical Dilemma Deanna Romain Grand Canyon University Ethical Decision Making in Health Care NRS 437V Jennifer Wood August 28, 2011 Analysis of Ethical Dilemma Is gender selection of a fetus ethical? With new advances in reproductive technology, parents can not only find out if their embryo has genetic abnormalities, they can also find out the gender of their embryo. The ethical dilemma is whether or not one should be able to choose their child’s gender before implantation. Some compare this method of gender selection to human cloning. Preimplantation Genetic Diagnosis (PGD) is the testing of the chromosomes of the embryo to determine genetic abnormalities and gender prior to in-vitro fertilization (IVF). In the United States, gender selection by PGD is considered a violation of ethical practices for non-medical purposes (Akchurin, n.d.) CNN.com reported recently that a new blood test has been discovered which can determine the sex of a fetus as early as seven weeks gestation. This achievement was reported in the Journal of American Medical Association in August. This technology is already starting ethical debates fearing parents will use this technology for sex determination and abort healthy fetuses (Ravitsky, 2011). This new technology could also be beneficial in determining gender if their child is at risk for a sex-linked disease such as Duchenne muscular dystrophy or hemophilia. In China and India, there...
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...GENETICS CASE STUDY GENETICS CASE STUDY This case study is based on a high-risk pregnancy due to advanced maternal age, genetic test indicating the fetus to have Tay-Sachs Disease and the coping strategies for this family. Rita Trosack is a 43-year old white female, married for six years to husband, Peter, a 46-year old white male. They both work in the financial district of Chicago and live downtown. They have been trying to conceive for two years. They both work an average of sixty hours a week. Rita and Peter were both raised as Catholics; however, they choose not to practice at this time. Rita missed her menstrual period, began having typical signs and symptoms of pregnancy (nausea, dry heaving, tender breasts, and fatigue). The fatigue was so severe she decreased her hours at the bank. An early pregnancy test performed by Rita tested positive. She then calculated her due date as January 27, 2009, since her last menstrual period (LMP) began on April 20, 2008. Rita met with Dr. Zimmerly an obstetrician in a high-risk obstetric clinic. On this first visit he confirmed the estimated date of delivery (EDD) as late January 2009. Due to Rita’s age, the chorionic villus sampling (CVS) was recommended to screen for fetal genetic defects. Rita had the test in early July, which would place her around eleven weeks into her pregnancy; this is the appropriate time in which to perform the CVS. Amniocentesis could have been performed, but this is usually...
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...Abstract Advances in human genetic testing have led to ground-breaking discoveries. However, the field is still in its infancy leading to new discoveries daily. This paper will identify and examine the roles of the multi-disciplinary team to deal with a family’s diagnosis of Tay Sach’s disease in their unborn child. It will also include a teaching plan designed for this family and examine the ethical implications of the availability of personal genetic information. There is also a Reflection piece dealing with how I would feel about the family’s decision ad how I would advocate for their decision. It will also examine the ethical and legal considerations of continuing a pregnancy after a diagnosis of Tay Sach’s. Genetics Case Study Family Ethics and Beliefs guide the Trosack family in the initial decision making process but they will need education and support in order to effectively care for their child and cope with the diagnosis of Tay Sach’s. Many resources are needed to properly care for this family and an interdisciplinary team is required to ensure that as many needs can be met as possible. Interdisciplinary Team Members: 1. Case Manager: The Case Manager is essential to planning and coordinating other disciplines to assist the Trosack family. The Case Manager can provide information on care during pregnancy, and also care and resources available in the community after discharge home. The Case Manager can assist in finding appropriate physicians for the child...
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...Running Head: ETHICAL CONCIDERATIONS FOR GROUP LEADERSHIP Ethical Considerations for Group leadership in Counseling David Cook Liberty University HSER 511-04 Dr. Pinkston July 4, 2014 Abstract Ethics has been in the forefront in the counseling field, especially in the recent cases of PTSD and military and family counseling. This type of family and group counseling presents new ethical considerations for professionals. Group leaders have to be aware of new updates in the code of ethics and legal responsibilities while showing empathy and leadership in the group. The viewpoints in this paper will consider those codes from the perspective of a professional Christian leader. Viewpoints will include techniques for group participation, professional training for the leader, confidentiality considerations, ethnic and cultural awareness and ethical financial practices. There will be a focus on the personal relationships within the group setting and how the leader can effectively control the ethical relationships. This paper will present a personal testimony on Christian qualities that direct leadership and ethical considerations in treatment in family healing. Ethical Considerations for Group leadership in Counseling Professional counseling and group therapy has received more recognition in the past few years and the subject of ethical practices, as a result, has become more important and relevant. Codes for ethical practices have...
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...Genetic and Reproductive Sciences Abstract This paper is based on genetic and reproductive science and their benefits and limitations regarding individuals, families, and society. The paper covers the screening and treatment for diabetes and what methods are used to prevent it development. The paper also contains information regarding In Vitro Fertilization (IVF) and its benefits for individuals and families. The use stems cells and its advantages and disadvantages are also mentioned. Analyze the benefits and limitations of genetic and reproductive sciences for individuals, families, and society. The benefit of genetic science for individuals is that it can determine if the person has a possible genetic disorder and give them a better chance at preventing the disorder from becoming active, monitor the disorder, or treat the disorder. For example, diabetes is a genetic disorder that can be discovered through genetic testing. Lifestyle changes such as exercising and lowering their body mass index (BMI) can prevent someone for developing diabetes, and the testing can monitor diabetes if a person develops it. Diabetes can also be treated by the use of insulin and dieting if monitored correctly. The limitation of genetic science for individuals is the emotional outcome of the test results. Some people may get upset and begin to feel guilty, depressed, or even become anxious once they receive their results (Cho, et al., 2012). The benefits of genetic science...
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...Running head: GENDER SELECTION Is Gender Selection of a Fetus Ethical? Emily Myer Grand Canyon University NRS 437V 08.21.2010 Gender Selection It is a commonly known fact that countries such as China and India prize their male children far above their females. Investigations have also shown that many parents in these countries have been illegally aborting these less desirable female children as a means of gender selection. As a result, it is estimated that there will be nearly 60 million more men of marriageable age in China than women by the year 2050. (The Economist, 2011) A recent technological development published in the Journal of the American Medical Association report that, “a new maternal blood test can determine a fetus’ sex as early as seven weeks into a pregnancy” (Ravitsky, 2011). Is it possible that this technology, in and of itself, can pose an ethical threat to humanity? Some are already saying that it does. One such critic is Vardit Ravitsky, an assistant professor in the bioethics program at the University of Montreal. She is also the editor of “The Penn Center Guide to Bioethics”. In her opinion piece published on CNN’s website, she asserts that this new technology is safer, less invasive, and more accurate than the options that are currently available to the public, making it much easier to use for non-medical purposes such as gender selection (Ravitsky, 2011). For the purpose of this assignment, the ethical implications of gender selection...
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...Epidemiology Paper – HIV/AIDS Epidemiology is defined as “the study of the distribution and determinants of health-related states or events in specified populations, and the application of this study to control of health problems” (Stanhope & Lancaster, 2008, p. 243). According to Medscape’s (2011) website, sexually transmitted infections (STIs) are prevalent among homeless girls and women (both sheltered and unsheltered) and is attributed to lack of access to condoms, survival sex, prostitution, intravenous drug use, language barriers, and citizenship status. HIV (human immunodeficiency virus) is a virus that attacks the immune system, the body's natural defense system. Not having a good immune system means the body will have trouble getting rid of disease. The infection it creates and the virus is called HIV. One of the most important pieces of the immune system is the White Blood cells. The HIV virus targets and destroy a specific white blood cell called CD4+ cells. The human body can’t defend itself from infection if way too many CD4+ cells are neutralized. AIDS (acquired immunodeficiency syndrome) is the last phase of HIV infection. People get rare Cancer or infections that healthy people almost never get if they have low amount of CD4+ with AIDS. This could be fatal. Although just because you have HIV, doesn’t mean you also have AIDS. It usually takes 10-12 years for HIV to become aids even without any treatment. If the HIV virus is diagnosed before AIDS develop, then medicines...
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...Technology, decision-making processes, and data accessibility have changed dramatically in recent years. This paper will discuss systems and informatics theories. The paper will confer on the Data, Information, and Knowledge (DIK) Model. The role of expert system in nursing care and medicine will be provided. Decision aids and decision support systems are used everyday providing focus, leadership and direction within technology and will be examined. The use of technology for patient and client management will be explored. An analysis of the impact of technology on healthcare and health status will be investigated. Systems and Informatics Theories Systems are “a group of interacting, interrelated, or interdependent elements forming a complex whole” (Systems, n.d., Definition). Systems describe healthcare, schools, computers, and a person. The systems are either open or closed. Closed systems are inoperable to function with others third party products and open systems are designed to allow third party products to plug in or interoperate with the system. Neither system interacts with the environment. Open systems consist of three characteristics; purpose, functions, and structure (Englebardt and Nelson, 2002). Systems can have more than one purpose based on the needs of the user. Functions that the system will need to carry out need to be identified for the system to achieve its purpose. The “systems are structured in ways that allow them to perform their functions” (Englebardt...
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...Schizophrenia Stephanie Renee Huston PSY 326 Research Methods Instructor: Keisha Keith 11/23/2015 Schizophrenia Introduction Schizophrenia is a serious brain disorder that gives a misleading or false account of the way a person thinks, behave, communicate their feelings, realize or understand, and relates to others. Schizophrenia has been considered as one of many chronic and disabling conditions for people that suffers with a major mental illness. People with schizophrenia often have problems fulfilling a task in the general population, at work, at school, and in relationships leaving an individual not wanting to communicate with other people and frightened. Schizophrenia suffers will live with it the rest of their life, it cannot be cured but treatments are available and controllable with proper and advance treatments. Contrary to popular belief, schizophrenia is not a split or multiple personality. Schizophrenia is a psychosis, a type of mental illness in which a person cannot tell what is real from what is imagined. In writing this paper on Schizophrenia I will show how popular belief, has an antithesis of what is really Schizophrenia? Is it really a split...
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...Tay-Sachs Disease Foreword: Before beginning to read this review of the case study, please note that current events of today pertain more to preconception screening for genetic anomalies and genetic studies. Today due to preconception genetic screening many parents opt to terminate a fetus with fatal or painful anomalies; therefore a large portion of the research for parents who are expecting a child with Tay Sachs Disease was noted to be during an approximate 30 year span from the mid-1950’s to the early-mid 1980’s, thus older citings will be noted. “Tay-Sachs parents say that their child dies three times—when the disease is diagnosed, when the child enters the hospital, and the final time.” (Atwater, 1964) “How do you parent without a net, without a future, knowing that you will lose your child, bit by torturous bit?” (Rapp, 2011) Will it be a boy or a girl? What color will the eyes, the hair be? Whose smile will the baby have? These are just a few of the many questions that begin when parents find out they have conceived a child, and most of the time the questions only grow as the pregnancy progresses too; what will they want to be when they grow up? Who will they look like? Will they be strong, graceful, independent, or determined? Should we look at preschools and colleges now? It may not seem to occur very often that parents will say to themselves; we never thought about how we might parent a child without a future. Now instead of questions that may focus on the...
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...African American Health Care Analysis Cheryl Robinson Capella University CST5500 Multi-Cultural Issues in Health Care Crobinson82@capellauniversity.edu Dr. C Vaugh Abstract It is a cliché of health education that programs and interventions will be more effective when they are culturally appropriate for the populations they serve. In practice, however, the strategies used to achieve cultural appropriateness vary widely. This paper briefly describes African American history and how it relates to health care services. It explains the culture, value and belief of African American when it involves health promotion and disease prevention. Some major health concerns and barriers are noted within the black communities and population as well as way to promote health and disease prevention throughout the African American communities. History of African American population African Americans first arrived to the United States as a crew on a pirate ship in the year 1619. The American population saw these new immigrants as an opportunity and captured many of the six million African immigrants and sold them as slaves (Bennett, 1992 as cited in Edelman & Mandle, 2002). The African American community suffered through a history of slavery and discrimination which has led to their current health and wellness problems. Many of their current problems have been linked to the segregation and cruel treatment that they were subjected to in the past, but African Americans have...
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...Event and Ethical Implications The dilemma of D-generation in the Sunday mail describes about the different identity issues of the children who are born from unknown fathers. The method of in vitro fertilization (IVF) became a blessing of many families who have weakened or no reproductive strength. The mystery of creating a new life in a women’s womb become more common in the global community, and the donation generation of sperms becomes more of business today. The promise of IVF has its critics of social pressure, physical and mental struggles, but the desire of the couple for the parenthood proceeds over all the struggles. For many new parents holding a newborn baby for the first time switches on a light, a new generation born, a genetic baton...
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...Description: A survey of the major areas in human development with an equal emphasis placed on child, adolescent, and adult development. The course examines developmental changes over the entire life-span and the processes underlying these changes. All major areas are reviewed including biological, cognitive, language, personality, emotional, moral, social, and career development. This course is an upper level elective course in the major. It is a course that is highly desirable for students in Social Work, Education, Human Services, Pre-Med, and Pre-Nursing. The sub-discipline of Developmental Psychology also draws heavily upon almost every other field in psychology. Prerequisite: PSY121 Textbooks: Berk, L. E. (2014). Exploring lifespan development (3rd ed.). Boston: Pearson Education, Inc. ISBN-13: 978-0-205-95738-5 Course Objectives: Developmental Psychology is perhaps the most interdisciplinary field within psychology. It encompasses genetics, learning, physiological psychology, perception, cognitive psychology, intelligence, personality, gender issues, social influences, and psychological disorders. It uses a similar methodology as other fields but also utilizes some innovations specific to human development research. This course is a lifespan development course. That is, it will examine in detail how we develop physically, mentally, morally, and socially from the moment of conception through adulthood and old age. Our objective is to explore the interrelations listed above and to...
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...Health Advocacy Campaign Childhood obesity is considered one of the major pressing health issues of our century. The rate of childhood obesity has increased alarmingly, with the number of obese children under five globally standing at over 42 million today. Approximately 35 million of obese children are living in the developing countries. According to the World Health Organization (WHO) children who are obese and overweight are very likely to stay obese into their adulthood; further, they stand a high chance of developing non communicable diseases such as diabetes and cardiovascular disease while they are still young (Cheng, 2013). The purpose of this paper is to highlight the gravity of childhood obesity based on statistics and the health effects that the issue has on the children and impacts in the society. Further, the study will develop a health advocacy plan for the problem. Review laws, regulations, and ethical issues that could impact health advocacy plan in regards to childhood obesity. Population Health Issue and Population Affected Childhood obesity has spread to global dimensions and is progressively affecting many low- and middle-income countries, and particularly those that are domiciled in urban settings. In the US alone, one in every five children is obese or overweight; this number is on the rise. Although weight problems can be traced back to the family genealogy, however, this is not all children who come from families that have a known...
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