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Legal and Ethical Considerations in Cellular Regulation Carita Bird RANC NUR112 Genetic Testing Associated with development of cancer, specifically breast cancer Gene mutations linked to the development of breast and ovarian CA Genetic Testing Ethical issues Employment discrimination Bias on insurance Bias on insurance rates Effect on children, siblings, family concerns Right to Die Do not resuscitate Done if patient is competent to make the choice Choice should be honored Should continue to receive appropriate nursing interventions regardless of DNR status Allocation of Scarce Resources Hospice How do the bills for services get paid Pain Control Pain is the most feared consequence of cancer 70% of patients with advanced cancer experience pain Pain Control Inability to communicate pain should not = no pain (need appropriate pain scale) Other medication routes such as rectal or sublingual can be used toward the end of life Teach family about pain assessment and administration of pain meds via other routes Pain Control Family needs to understand that administration of pain med will not CAUSE death Fertility Inform patients that testicular and ovarian function can be affected by chemo Normal ovulation, early menopause, or sterility may be the result of chemo Fertility Sperm may be absent during chemo Sperm banking is recommended prior to chemo Advised to continue to use birth control during chemo