36401 - 1 Page within 4 hrs

36401 Topic: HA19 W7R1 Number of Pages: 1 (Double Spaced) Number of sources: 2 Writing Style: APA Type of document: Essay Academic Level:Master Category: Nursing Language Style: English (U.S.) Order Instructions: ATTACHED Manage Discussion Entry Breast cancer is the second leading cause of death among women, however early detection and prevention has increased the 5-year survival of breast cancer patients above 80% (Sun, at el., 2017). Based on the patient’s presentation, the two questions I would ask her, are: “When did you first notice the lump and have you noticed the lump getting bigger?” and, “Do you have any nipple discharge, if so, how much and what does it look like? And Do you have nipple pain?” These are pertinent questions to ask. I would want to know when the lump developed because that could give you an idea of how long she’s had the lump, and if it’s growing. I would want to ask her about nipple discharge and nipple pain as well. One article I read, discussed breast cancer symptoms and showed that nearly 20% of breast cancer patients experienced other symptoms then a breast lump such as nipple discharge and pain, and those patients delayed seeking help (Koo at el., 2017). Two risk factors I would assess the patient for is a family history of breast cancer as well as a personal history of any breast abnormalities such as lesions, or other breast conditions. Nearly 25% of all breast cancers are related to family history and women with a mother or sister with a diagnosis of breast cancer doubles the risk of breast cancer (Sun at el., 2017). It’s also important to ask about the patients history of breast conditions or abnormalities, that information can determine if she’s at an increased risk for breast cancer as well. Koo, M. M., von Wagner, C., Abel, G. A., McPhail, S., Rubin, G. P., & Lyratzopoulos, G. (2017). Typical and atypical presenting symptoms of breast cancer and their associations with diagnostic intervals: Evidence from a national audit of cancer diagnosis. Cancer epidemiology, 48, 140-146. Sun, Y. S., Zhao, Z., Yang, Z. N., Xu, F., Lu, H. J., Zhu, Z. Y., Shi, W., Jiang, J., Yao, P. P., … Zhu, H. P. (2017). Risk Factors and Preventions of Breast Cancer. International journal of biological sciences, 13(11), 1387-1397. doi:10.7150/ijbs.21635 ** Provide response writing with references. All references must be in APA format and published within the last 5 years