NR 505 wk 6 Discussion Part Two (graded)

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NR 505 wk 6 Discussion Part Two (graded) Discuss screening tools that might be an option for this person and why or why you would not recommend them at this time. Remember to provide evidence to su... pport your answer. Topic responses 8 Discussion 8 8 8 8 Sort By:        Brittny Everett 4/2/2017 7:21:18 PM Part 2 Since Susan has a first-degree relative history of breast cancer, that does put her at a higher risk than the average population. Goroll and Mulley (2014) recommend annual mammograms starting at age 40 in women with a history of breast cancer in a first-degree relative. I would recommend that Susan get yearly mammograms but I would not recommend genetic screenings. Heisey and Carroll (2016) recommend against genetic BRCA testing for women with family history that does not suggest a mutation. Families with a BRCA mutation often have the following factors; breast cancer diagnosed before age 50, ovarian cancer, bilateral breast cancer in the same woman, a woman with both breast and ovarian cancer, multiple breast cancers on both sides of the family, family history of male breast cancer, and Jewish ethnicity (Heisey and Carroll, 2016). Since Susan does not have any of the risk factors for the BRCA mutations, I would only recommend yearly mammograms. Updating her family history at each visit can also help healthcare providers decide which screening tools are needed. References Goroll, A., and Mulley, A. (2014). Primary care medicine: Offline evaluation and management of the adult patient (7th ed.). China: Wolters Kluwer. Heisey, R., and Carroll, J. (2016). Identification and management of women with a family history of breast cancer: Practical guide for clinicians. Canadian Family Physicians, 62(10), 799-803. Retrieved from Show Less ................................................................................continued...................................................................... [Show More]

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