It is very important for nurses to be aware of bioethical issues since they work in many different roles which require them to understand these concerns. This also applies to moral ideals regarding cancer prevention and early detection. Technology plays a critical role in this respect, where an increased understanding of human genetics helps to more efficiently find which people may be at risk. It is also important for nurses to better understand the procedures of genetic testing in order to morally and ethically conduct research.
There are tests available that detect mutations in the BRCA1 and BRCA2 genes. Some mutations in these genes are correlated to a larger chance of developing breast and/or ovarian cancer. There are obvious benefits to being genetically tested for being at risk for cancer. Being aware that you may be predisposed to cancer will lead to increased monitoring. By constant checking, you are more likely to detect the development of cancer early on and can, therefore, treat it easier.
However, there are negative effects to genetic testing of cancer predisposition. For one, it may cause psychological harm to an individual that has been identified as at risk. “Watchful waiting” can lead to paranoia, which can be very damaging. It is also very important to keep genetic information private. Those who are found to be predisposed to cancer through genetic testing may find themselves discriminated against if their predisposition is made public. Insurance companies might charge more for these individuals because they are more likely to develop cancer which is expensive to treat. Employers might not hire a person because they are afraid they might get sick. Nurses are necessary in the role of genetic counseling. They are responsible for explaining the ups and downs of genetic testing to potential participants.
In the past, cancer prevention and screening trials were conducted on only a small part of the population, white males. However, it is important to study all groups of the population in order to better understand how to detect cancer. Therefore, cancer prevention and screening has been introduced to all racial, ethnic, and socioeconomic groups. Nurses are responsible for preparing and realizing these trials for all groups. For that reason, it is extremely important for a nurse to be familiar with many moral and ethical issues, especially cultural and religious beliefs. Nurses must represent these minority populations and make sure all their rights are being respected.
Formerly, funds were dedicated to the treatment of cancer. But it might seem more important to focus the attention on cancer prevention. Cancer prevention treatments are more expensive due to a larger number of participants and to a longer treatment process. Nevertheless, prevention treatment is much easier and painless than cancer treatment, and also has a higher chance of success. Nurses are most involved in setting up these preventive clinical trials. They interact most with the participants, and usually form a relationship where than can better understand the needs, wants, and concerns of the individuals. Nurses are responsible for making sure all individuals are aware of all that’s being done and to explain why it is necessary to comply with the procedures. Nurses need to conduct all their actions in an ethical and morally correct manner, as they are responsible for the well-being of all in their care.
It is very important for nurses to understand the background, culture, beliefs and religions of all of their patients. It is increasingly important for them to do so in the trials for genetically detecting cancer early on, because of the sensitive nature of these tests. They can be extremely helpful, however if not proceeded correctly, may be extremely damaging. A proficient understanding of moral and ethical procedures will help nurses to better do their jobs.
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