Dados do Resumo

Título

Implantation of nursing consultation in cancer genetics risk assessment

Introdução

To an effective evaluation of hereditary predisposition to cancer, it’s necessary to have a detailed personal and family history, of at least three generations from maternal and paternal sides, to be able to suspect the diagnosis of one or more syndrome of hereditary cancer even before of molecular tests, in addition to understanding the biopsychosocial needs of each patient

Objetivo

Show the benefits gathered in a cancer genetics risk assessment clinics after the implantation of nursing consultation prior to the first medical evaluation

Métodos

Analysis of the proposed operational procedure to implantation and following up of procedures carried out over a week to guarantee agreement

Resultados

All patients scheduled to the first evaluation of cancer genetics risk assessment received a link to answer questions about personal and family history, followed by orientation to go through an online appointment with the nurse navigator before the first evaluation with a clinical geneticist. Prior to the nursing appointment, the nurse prepares the patient's pedigree with the information received. During the consultation he validates the information, in addition to seeking further details about the history and evaluating the patient in his biopsychosocial aspects. The main gain was an increased precision of the pedigree for consultation with the geneticist. With the guidance of the nurse, patients sought the information necessary for medical consultation. During the nursing appointment, it was also possible to identify patients who needed help obtaining health insurance coverage and the urgency of each case, facilitating patient flow. Another indirect gain was the patient's bond with their care team

Conclusões

The specialist nurse is an essential component for cancer genetics risk assessment. The nursing consultation prior to the first medical evaluation is one moment in which this professional can contribute to counseling, within their responsibilities, participating in data collection and patient education process, promoting gains in the quality of care.

Palavras Chave

Office Nursing; Genetic Counseling; Neoplastic Syndromes