Keywords
office nursing - genetic counseling - neoplastic syndromes
Introduction: 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.
Objective: To show the benefits gathered in a cancer genetics risk assessment clinic after the
implantation of nursing consultation prior to the first medical evaluation.
Methodology: Analysis of the proposed operational procedure to implantation and following up of
procedures carried out over a week to guarantee agreement.
Results: 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.
Conclusion: 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.
Corresponding author: Rita de Cássia Lima (e-mail: ritalimaefoa@hotmail.com).
Bibliographical Record
Rita de Cássia Lima, Fernanda Teresa de Lima, Renan Caetano Braga Pimenta, Elisa Rossi
Conte, Cassia Aparecida da Silva, Eloa Dias de Souza. Implantation of nursing consultation
in cancer genetics risk assessment. Brazilian Journal of Oncology 2025; 21.
DOI: 10.1055/s-0045-1807881
