Facilitating the Genetic Counseling Process Practice-Based Skills, Second Edition

186 Use risk descriptors cautiously (such as high chance, low chance, etc.). When using risk descriptors, include qualifiers re ...

187 Attributions/worldview: for example, individuals may have an external locus of control such that they attribute outcomes to ...

188 ing during a pregnancy caused a child to have Down syndrome. Klitzman ( 2010 ) found individuals who were at risk for or had ...

189 Understand that how you provide risk information has a significant impact on patient interpretations of its meaning. “Infor ...

190 7.2 Decision-Making: Overview Genetic counseling patients are often confronted with a number of decisions (e.g., whether to ...

191 options (e.g., mastectomy as a risk reduction strategy for a patient with a BRCA mutation). In these circumstances, a geneti ...

192 7.2.2 Factors that May Influence Patient Decision-Making Based on an extensive review of literature, Siani and Assaraf ( 201 ...

193 Family values: the nature of family members’ values and the ways in which they express them can either be a support or a st ...

194 (or more) children, while emotional decision-making prioritized having children by extending their preventative surgery time ...

195 genetic counseling (pp. 228–232), and we encourage you to review these models for use in facilitating patient decision-makin ...

196 Decision Proceed with genetic testing (alternative A) or do not have genetic testing (alterna- tive B). First List and Then ...

197 Determine the Most Desirable and the Best Alternatives The patient stated that alternative В is the most desirable option, b ...

198 Convey understanding and acceptance of your patients no matter what deci- sion they make. Patients tend to approach genetic ...

199 that helps her recognize her moral responsibility to a sibling, even if the rela- tionship is poor. Explore differences in ...

200 Huys et al. (1992) and Van Spijker (1992) also suggest the use of scenarios. This can be particularly helpful when patients ...

201 Ask yourself, what is a good decision? McCarthy Veach et al. ( 2001 ) found that most of the genetic counselors they interv ...

202 Process The whole group generates a list that the instructor writes on the board. Estimated time: 45 min. Activity 2: Medica ...

203 Activity 4: Communicating Risk Data (Dyads or Small Group Discussion) Using the risk data for the following genetic conditio ...

204 Instructor Note Students can compare their questions to the content in Table 4 of Roshanai et al. ( 2012 , p. 518) which li ...

205 Activity 9: Rational Decision-Making (Small Group Discussion) Using one of the following patient scenarios, first go through ...