Genetic Testing of the Fetus and the Parents: Ethical Challenges
Initial Discussion Post:
Screening tests for genetic issues can be performed in the first trimester, second trimester or both trimesters. Carrier testing is also an option performed prior to or during pregnancy. Carrier testing provides information as to whether one or both parents are carriers for certain inherited disorders. The results of these tests are used to determine an appropriate plan of care for the patient.
Genetic testing of the fetus and the parents offers both opportunities and ethical challenges. As a Registered Nurse, you need to be aware of your own feelings in order to provide non-biased professional support.
Base your initial post on your readings and research of this topic.
Compose a response to the following:
• Implications of genetic testing and the role of the registered nurse in providing support to a couple seeking guidance. Provide one example of how genetic testing is used in the perinatal setting.
• Consider if the registered nurse has the right to refuse to care for patients who choose termination of pregnancy based on genetic testing when it conflicts with the ethics and values of the nurse.
• Discuss how medical, economic, or psychosocial issues might impact decision making relative to genetic testing.
• Include a reference from the literature to support the information provided.
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Ethical Challenges in Genetic Counselling
Patients of genetic testing must be sufficiently informed of the implications of genetic testing before they freely give their consent to the nurse to carry on. The nurse should, therefore, sufficiently inform the patients about the implication of the results. The nurse should elaborate and explain the results to the patients and offer guidance and counseling to the patients on how to manage the situation should it not favor the expectations of the patients. The nurse should also act according to and within the laws and policies regarding health information confidentiality of the country CITATION Zah13 \l 1033 (Zahedi, et al., 2013). For example, genetic screening can be used to establish the risk of having a child with Downs Syndrome.
If a registered nurse has encountered a patient who has deliberately chosen to terminate a pregnancy, he or she should care for the patient despite her values and ethics. A nurse should set aside personal opinions when on duty and be guided by laws and policies governing nursing as per the country laws. He/she should never judge a patient who has chosen to terminate her pregnancy le...
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