Table 3.

Precision nursing care and the cancer trajectory

Trajectory phase	Nursing practice
Prevention	Public education Genetics and cancer risks Behaviors/lifestyle changes to reduce risk Cancer survivor education Ongoing surveillance, especially about 2nd cancer risk Behaviors/lifestyle changes to reduce risk
Diagnosis	Education about the genetic and genomic tests that may be ordered and how they may be used in determining treatment options. Listening and support for patients concerned with how their genetic information could be used
Cancer treatment	Education and differentiation of chemotherapy, targeted therapies, and immunotherapies Update patient education materials
Symptom management	Assess and monitor side effects. Educate patient and family about side effects and actions which can differ depending on the therapy being given even if the side effect is the same