Genetic counseling is a process to help you understand your risk for hereditary cancer and make informed decisions about your care.
During your appointment, a Genetics APRN may talk with you about:
Your Genetics APRN uses this information to estimate the chance that you have a hereditary condition that causes a higher than usual risk for cancer. This is called a cancer risk assessment.
Your APRN may also talk with you about genetic testing, cancer screening and cancer prevention options. He or she will help you understand your risk and help you make decisions that are best for you. Based on this information, Your Genetics APRN can help you decide whether a genetic test might be right for you or your relative.
Meet Our Genetics APRN
“Genetic counseling educates and empowers patients to make healthcare decisions by utilizing information on how inherited conditions might impact them or their family, and by obtaining a better understanding of what genetic testing is and what genetic testing results mean. One of the favorite parts of my job is providing an opportunity for patients to tell their story. Most patients have lives that have been shaped by their experiences with cancer. Beyond helping them understand and manage their risk, I like to talk about the impact cancer has had on them and their family, which can be extremely helpful for some people.”
This episode: learn more about genetic testing and counseling. Dr. Mary Wells and Michaela Sherbeck, APRN-CNS, AOCNS, AGCNS-BC join us to discuss who should have genetic testing, what to do with the results, and how clinical genetic testing differs from consumer genetic tests.
Click on the question to see the answer.
Genetic counseling may identify an inherited cancer risk in your family. This can help with cancer prevention and/or early detection of cancer. The information may also assist doctors to develop a personalized cancer treatment.
Most insurance plans pay for the genetic counseling consult appointment, including Medicare and Medicaid sponsored health care plans. However, insurance coverage for actual genetic testing is determined based on family history, which is collected at the consult. A family history of certain cancers often qualifies a patient for insurance coverage for genetic testing. In the event that genetic testing is not covered by insurance, some genetic labs offer cash price testing at a reduced cost. The genetic counselor will be able to give further pricing information at the consult appointment.
Speak with your family to identify three-generations of family health history, including your grandparents, parents, aunts and uncles, cousins, and siblings. This should include information such as which family members have had cancer, what type of cancer they had, and their age at diagnosis. Although having this information is very helpful, it is not necessary to complete genetic testing. You should not avoid genetic counseling because you do not know much about your family health history.
The genetic counselor will review your personal and family cancer history and develop a family health tree. This will aid the genetic counselor to evaluate your chance of an inherited cancer risk, identify available genetic testing options to evaluate your risk of cancer, and identify medical management options based on your family history and/or genetic results. This genetic counselor can also explain the benefits and considerations of testing, including insurance coverage and confidentiality.
The genetic counselor will review a consent form for testing, which you will be asked to sign to show you understand genetic testing. A blood sample will be collected by using a needle to take blood from a vein. The blood sample will be sent to a genetics lab. Test results are usually available within a few weeks. The genetic counselor will contact you to review the test results.