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Chronic Dementing Conditions, Genomics, and New Opportunities for Nursing Interventions

Identifieur interne : 000602 ( Main/Corpus ); précédent : 000601; suivant : 000603

Chronic Dementing Conditions, Genomics, and New Opportunities for Nursing Interventions

Auteurs : Debra L. Schutte ; Ezra C. Holston

Source :

RBID : ISTEX:9E2F26D06A1BB162204E0D24EC6A9953A2E4EDDA

English descriptors

Abstract

Purpose: To (a) provide an overview of chronic dementing conditions; (b) discuss the etiologic and clinical characteristics of Alzheimer disease (AD) and Parkinson disease (PD) within the framework of the family systems genetic illness model; and (c) to explore opportunities to enhance outcomes through the integration of genomics information and technologies into nursing practice. Design: An integrated review of the literature, including the organizing construct of the family systems genetic illness model. Findings: AD and PD are both influenced by genetic and environmental factors; in a small percentage of families, gene mutations are the primary etiologic factor. Genetic testing is an option for some families experiencing early‐onset, familial disease. Presymptomatic and diagnostic genetic testing have limited clinical utility for the more common late‐onset AD and PD. Conclusions: The current abilities of healthcare professionals to effectively intervene in people with AD and PD are limited by an incomplete understanding of the biologic basis of these diseases. Advances in genomics research and technology are providing the information and tools necessary to understand the molecular basis of these devastating disorders toward the goal of more specific and effective interventions.

Url:
DOI: 10.1111/j.1547-5069.2006.00123.x

Links to Exploration step

ISTEX:9E2F26D06A1BB162204E0D24EC6A9953A2E4EDDA

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<b>Purpose:</b>
To (a) provide an overview of chronic dementing conditions; (b) discuss the etiologic and clinical characteristics of Alzheimer disease (AD) and Parkinson disease (PD) within the framework of the family systems genetic illness model; and (c) to explore opportunities to enhance outcomes through the integration of genomics information and technologies into nursing practice.</i>
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An integrated review of the literature, including the organizing construct of the family systems genetic illness model.</i>
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AD and PD are both influenced by genetic and environmental factors; in a small percentage of families, gene mutations are the primary etiologic factor. Genetic testing is an option for some families experiencing early‐onset, familial disease. Presymptomatic and diagnostic genetic testing have limited clinical utility for the more common late‐onset AD and PD.</i>
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<title>Chronic Dementing Conditions, Genomics, and New Opportunities for Nursing Interventions</title>
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<title>Chronic Dementing Conditions, Genomics, and New Opportunities for Nursing Interventions</title>
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<name type="personal">
<namePart type="given">Debra L.</namePart>
<namePart type="family">Schutte</namePart>
<affiliation>Debra L. Schutte, RN, PhD, Gamma, Assistant Professor, The University of Iowa College of Nursing, Iowa City, IA; Ezra C. Holston, RN, PhD, Upsilon, Assistant Professor, University of California, Los Angeles, School of Nursing, Los Angeles, CA. During the preparation of this manuscript, Dr. Schutte was supported by a John A. Hartford Foundation Building Academic Capacity Postdoctoral Fellowship. Dr. Holston was supported by the Clinical Genetics Postdoctoral Fellowship at the University of Iowa College of Nursing and was an Iowa Scholar in the Clinical Investigation Program at The University of Iowa College of Medicine. Correspondence to Dr. Schutte, The University of Iowa College of Nursing, Room 484NB, Iowa City, IA 52242. E‐mail: debra‐schutte@uiowa.edu</affiliation>
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<name type="personal">
<namePart type="given">Ezra C.</namePart>
<namePart type="family">Holston</namePart>
<affiliation>Debra L. Schutte, RN, PhD, Gamma, Assistant Professor, The University of Iowa College of Nursing, Iowa City, IA; Ezra C. Holston, RN, PhD, Upsilon, Assistant Professor, University of California, Los Angeles, School of Nursing, Los Angeles, CA. During the preparation of this manuscript, Dr. Schutte was supported by a John A. Hartford Foundation Building Academic Capacity Postdoctoral Fellowship. Dr. Holston was supported by the Clinical Genetics Postdoctoral Fellowship at the University of Iowa College of Nursing and was an Iowa Scholar in the Clinical Investigation Program at The University of Iowa College of Medicine. Correspondence to Dr. Schutte, The University of Iowa College of Nursing, Room 484NB, Iowa City, IA 52242. E‐mail: debra‐schutte@uiowa.edu</affiliation>
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<publisher>Blackwell Publishing Inc</publisher>
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<placeTerm type="text">Malden, USA</placeTerm>
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<dateIssued encoding="w3cdtf">2006-12</dateIssued>
<edition>Accepted for publication July 11, 2006.</edition>
<copyrightDate encoding="w3cdtf">2006</copyrightDate>
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<languageTerm type="code" authority="rfc3066">en</languageTerm>
<languageTerm type="code" authority="iso639-2b">eng</languageTerm>
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<abstract lang="en">Purpose: To (a) provide an overview of chronic dementing conditions; (b) discuss the etiologic and clinical characteristics of Alzheimer disease (AD) and Parkinson disease (PD) within the framework of the family systems genetic illness model; and (c) to explore opportunities to enhance outcomes through the integration of genomics information and technologies into nursing practice. Design: An integrated review of the literature, including the organizing construct of the family systems genetic illness model. Findings: AD and PD are both influenced by genetic and environmental factors; in a small percentage of families, gene mutations are the primary etiologic factor. Genetic testing is an option for some families experiencing early‐onset, familial disease. Presymptomatic and diagnostic genetic testing have limited clinical utility for the more common late‐onset AD and PD. Conclusions: The current abilities of healthcare professionals to effectively intervene in people with AD and PD are limited by an incomplete understanding of the biologic basis of these diseases. Advances in genomics research and technology are providing the information and tools necessary to understand the molecular basis of these devastating disorders toward the goal of more specific and effective interventions.</abstract>
<subject lang="en">
<genre>Keywords</genre>
<topic>dementia</topic>
<topic>Alzheimer disease</topic>
<topic>Parkinson disease</topic>
<topic>genetics</topic>
<topic>gerontology</topic>
</subject>
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<title>Journal of Nursing Scholarship</title>
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<genre type="Journal">journal</genre>
<identifier type="ISSN">1527-6546</identifier>
<identifier type="eISSN">1547-5069</identifier>
<identifier type="DOI">10.1111/(ISSN)1547-5069</identifier>
<identifier type="PublisherID">JNU</identifier>
<part>
<date>2006</date>
<detail type="volume">
<caption>vol.</caption>
<number>38</number>
</detail>
<detail type="issue">
<caption>no.</caption>
<number>4</number>
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<extent unit="pages">
<start>328</start>
<end>334</end>
<total>7</total>
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<identifier type="DOI">10.1111/j.1547-5069.2006.00123.x</identifier>
<identifier type="ArticleID">JNU123</identifier>
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<recordOrigin>Blackwell Publishing Inc</recordOrigin>
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