Breast Cancer and Breast Health: The Journey from Detection to Survivor

Breast Health Mary Haley-Emery, RN Nurse Navigator www.SpringfieldClinic.com

Breast Health
What is a Nurse Navigator?
Someone that assists the patient through the healthcare system from the time of diagnosis to the end of treatment or survivorship
I am also responsible for community education regarding breast health

Objectives
Educate you regarding breast health
Educate you regarding mammograms
Make a lasting impression regarding why you should get a mammogram

Malcolm Knowles
What does he have to do with breast health?
Nothing, really. He found that effective adult learning works best when certain principles are followed (U.S. Department of Health and Human Services, 2005).

Adult Learning Principles
Adult Educators state people retain
20% of what they HEAR

30% of what they SEE

50% of what they SEE and HEAR

70% of what they SEE, HEAR & SAY

70% of what they SEE, HEAR & SAY
90% of what they SEE, HEAR, SAY & DO

Pay close attention tonight… There may be a quiz later!!

Breast Cancer Statistics
According to the American Cancer Society there will be:
57,650 cases of in-situ carcinoma and
230,480 cases of invasive breast cancer diagnosed in 2011 ( www.cancer.org ).

Ductal Carcinoma in-situ www.breastcancer.org

Invasive Ductal Carcinoma www.Breastcancer.org

National Cancer Institute. www.cancer.gov

The American Cancer Society also states that breast cancer is the most common cause of cancer in women, other than skin cancer.
Breast cancer is the 2 nd leading cause of death in women, after lung cancer

A female’s chance of developing breast cancer are 1 in 8
There are currently more than 2.5 million breast cancer survivors in the United States

Probability of Developing Breast Cancer
Table 5. Age-specific Probabilities of Developing Invasive Female Breast Cancer*
The probability of developing breast cancer in the next 10 years is:
If current age is … † or 1 in:
20 0.06% 1,760
30 0.44% 229
40 1.44% 69
50 2.39% 42
60 3.40% 29
70 3.73% 27
Lifetime risk 12.08% 8
*Among those free of cancer at beginning of age interval. Based on cases diagnosed 2004-2006.
Percentages and ”1 in” numbers may not be numerically equivalent due to rounding.
† Probability derived using NCI DevCan Software, Version 6.4.0.
(American Cancer Society, Breast Cancer Facts and Figures, 2009-2010)

Risk Factors
Risk Factors are divided into 2 categories
Those you cannot change
Those that are lifestyle choices/changeable

Risk Factors
Non-changeable
Gender
Age
Inherited gene mutations
Family History
Race
History of Lobular Carcinoma in-situ
Menstrual cycle that started before the age of 12 or menopause after the age of 55 (American Cancer Society, 2011)

Risk Factors
Lifestyle Choices/Changeable
Not having children or having them later in life
Use of hormone therapy after menopause
Not breast feeding
Alcohol intake – 2-5 drinks per day may increase the risk 1.5 times compared to women who don’t drink at all
Overweight/Obese
Lack of exercise (American Cancer Society, 2011)

What can You do?
Self Breast Exam – perform monthly – choose a date that is easy for you to remember
If you do not perform this on a monthly basis then at least be “Aware” of your own body

What can You do?
Clinical Breast Exam
This should be performed by a clinician at least once per year

What can You do?
GET YOUR MAMMOGRAM!!
This should be a yearly screening beginning at the age of 40
You may begin mammography before the age of 40 depending on your medical and family history

What can You do?
Get out and EXERCISE !
Engaging in at least 30 minutes of exercise per day may help reduce the risk of breast cancer
Exercise should be moderate in intensity… This means you have to sweat!
(Facts for Life/Healthy Living, 2011. Susan G. Komen Foundation. www.komen.org)

What can You do?
The American Institute for Cancer Research recommends changes in dietary consumption of certain foods to help reduce your risk of developing breast cancer

What can You do?
Simple dietary changes can make a healthy impact
Consume more fruits, vegetables, whole grains and beans
Limit red meat
Limit alcohol to one drink per day
Don’t use supplements as a substitute for a healthy diet
(The American Institute for Cancer Research. Stopping Cancer Series. Questions and answers about breast health and breast cancer. Publication #E7B-QC)

What is not a Normal finding?
A single lump that is soft or hard
A change in the shape of the breast
A change in the color or texture of the breast
A change in the location or appearance of the nipple
Bloody or cloudy discharge
Sores on the breast that do not heal

A single lump in the breast that is hard or soft

A change in the shape, color or texture of the breast

Nipple Retraction

Surprise!!
What age should you begin getting mammograms and how often?

How often should you have a clinical breast exam?

What type of drink should be limited to one per day?

How many minutes of exercise should you get per day?

Name one abnormal finding that would prompt you to seek medical attention?

When are you going to schedule your mammogram?

MAMMOGRAMS DON’T MISS ONE … NOT EVEN ONCE

Breast Cancer and Breast Health: The Journey from Detection to Survivor

by Springfield Clinic on Oct 06, 2011

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Breast Cancer and Breast Health: The Journey from Detection to Survivor Presentation Transcript