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Breast Health Mary Haley-Emery, RN Nurse Navigator  www.SpringfieldClinic.com
Breast Health <ul><li>What is a Nurse Navigator? </li></ul><ul><ul><li>Someone that assists the patient through the health...
Objectives <ul><li>Educate you regarding breast health </li></ul><ul><li>Educate you regarding mammograms </li></ul><ul><l...
Malcolm Knowles <ul><li>What does he have to do with breast health? </li></ul><ul><li>Nothing, really.  He found that effe...
Adult Learning Principles <ul><li>Adult Educators state people retain </li></ul><ul><ul><li>20% of what they  HEAR  </li><...
Adult Learning Principles <ul><li>Adult Educators state people retain </li></ul><ul><ul><li>20% of what they  HEAR  </li><...
Adult Learning Principles <ul><li>Adult Educators state people retain </li></ul><ul><ul><li>20% of what they  HEAR  </li><...
Adult Learning Principles <ul><li>Adult Educators state people retain </li></ul><ul><ul><li>20% of what they  HEAR  </li><...
Adult Learning Principles <ul><li>Adult Educators state people retain </li></ul><ul><ul><li>20% of what they  HEAR  </li><...
<ul><li>Pay close attention tonight… There may be a quiz later!!  </li></ul>
Breast Cancer Statistics <ul><li>According to the American Cancer Society there will be: </li></ul><ul><ul><li>57,650 case...
Ductal Carcinoma in-situ www.breastcancer.org
 
Invasive Ductal Carcinoma   www.Breastcancer.org
<ul><li>National Cancer Institute. www.cancer.gov </li></ul>
Breast Cancer Statistics <ul><li>The American Cancer Society also states that breast cancer is the most common cause of ca...
Breast Cancer Statistics <ul><li>A female’s chance of developing breast cancer are 1 in 8 </li></ul><ul><li>There are curr...
Probability of Developing Breast Cancer <ul><li>Table 5. Age-specific Probabilities of Developing Invasive Female Breast C...
Risk Factors <ul><li>Risk Factors are divided into 2 categories </li></ul><ul><ul><li>Those you cannot change </li></ul></...
Risk Factors <ul><li>Non-changeable </li></ul><ul><ul><li>Gender </li></ul></ul><ul><ul><li>Age </li></ul></ul><ul><ul><li...
Risk Factors <ul><li>Lifestyle Choices/Changeable </li></ul><ul><ul><li>Not having children or having them later in life <...
What can You do? <ul><li>Self Breast Exam – perform monthly – choose a date that is easy for you to remember </li></ul><ul...
What can You do? <ul><li>Clinical Breast Exam </li></ul><ul><ul><li>This should be performed by a clinician at least once ...
What can You do? <ul><li>GET YOUR MAMMOGRAM!! </li></ul><ul><ul><li>This should be a yearly screening beginning at the age...
What can You do? <ul><li>Get out and  EXERCISE ! </li></ul><ul><ul><li>Engaging in at least 30 minutes of exercise per day...
What can You do? <ul><li>The American Institute for Cancer Research recommends changes in dietary consumption of certain f...
What can You do? <ul><li>Simple dietary changes can make a healthy impact </li></ul><ul><ul><li>Consume more fruits, veget...
What is not a Normal finding? <ul><li>A single lump that is soft or hard </li></ul><ul><li>A change in the shape of the br...
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!!  <ul><li>What age should you begin getting mammograms and how often? </li></ul>
<ul><li>How often should you have a clinical breast exam? </li></ul>
<ul><li>What type of drink should be limited to one per day?  </li></ul>
<ul><li>How many minutes of exercise should you get per day? </li></ul>
<ul><li>Name one abnormal finding that would prompt you to seek medical attention? </li></ul>
<ul><li>When are you going to schedule your mammogram? </li></ul>
MAMMOGRAMS DON’T MISS ONE … NOT EVEN ONCE
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Breast Cancer and Breast Health: The Journey from Detection to Survivor

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Breast cancer is one of the most frightening diagnoses a woman can receive. Mary and a panel of survivors discuss the life-saving importance of mammograms, as well as healthy living for survivors and those affected from detection to survivorship.

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

  1. 1. Breast Health Mary Haley-Emery, RN Nurse Navigator www.SpringfieldClinic.com
  2. 2. Breast Health <ul><li>What is a Nurse Navigator? </li></ul><ul><ul><li>Someone that assists the patient through the healthcare system from the time of diagnosis to the end of treatment or survivorship </li></ul></ul><ul><li>I am also responsible for community education regarding breast health </li></ul>
  3. 3. Objectives <ul><li>Educate you regarding breast health </li></ul><ul><li>Educate you regarding mammograms </li></ul><ul><li>Make a lasting impression regarding why you should get a mammogram </li></ul>
  4. 4. Malcolm Knowles <ul><li>What does he have to do with breast health? </li></ul><ul><li>Nothing, really. He found that effective adult learning works best when certain principles are followed (U.S. Department of Health and Human Services, 2005). </li></ul>
  5. 5. Adult Learning Principles <ul><li>Adult Educators state people retain </li></ul><ul><ul><li>20% of what they HEAR </li></ul></ul>
  6. 6. Adult Learning Principles <ul><li>Adult Educators state people retain </li></ul><ul><ul><li>20% of what they HEAR </li></ul></ul><ul><ul><li>30% of what they SEE </li></ul></ul>
  7. 7. Adult Learning Principles <ul><li>Adult Educators state people retain </li></ul><ul><ul><li>20% of what they HEAR </li></ul></ul><ul><ul><li>30% of what they SEE </li></ul></ul><ul><ul><li>50% of what they SEE and HEAR </li></ul></ul>
  8. 8. Adult Learning Principles <ul><li>Adult Educators state people retain </li></ul><ul><ul><li>20% of what they HEAR </li></ul></ul><ul><ul><li>30% of what they SEE </li></ul></ul><ul><ul><li>50% of what they SEE and HEAR </li></ul></ul><ul><ul><li>70% of what they SEE, HEAR & SAY </li></ul></ul>
  9. 9. Adult Learning Principles <ul><li>Adult Educators state people retain </li></ul><ul><ul><li>20% of what they HEAR </li></ul></ul><ul><ul><li>30% of what they SEE </li></ul></ul><ul><ul><li>50% of what they SEE and HEAR </li></ul></ul><ul><ul><li>70% of what they SEE, HEAR & SAY </li></ul></ul><ul><ul><li>90% of what they SEE, HEAR, SAY & DO </li></ul></ul>
  10. 10. <ul><li>Pay close attention tonight… There may be a quiz later!! </li></ul>
  11. 11. Breast Cancer Statistics <ul><li>According to the American Cancer Society there will be: </li></ul><ul><ul><li>57,650 cases of in-situ carcinoma and </li></ul></ul><ul><ul><li>230,480 cases of invasive breast cancer diagnosed in 2011 ( www.cancer.org ). </li></ul></ul>
  12. 12. Ductal Carcinoma in-situ www.breastcancer.org
  13. 14. Invasive Ductal Carcinoma www.Breastcancer.org
  14. 15. <ul><li>National Cancer Institute. www.cancer.gov </li></ul>
  15. 16. Breast Cancer Statistics <ul><li>The American Cancer Society also states that breast cancer is the most common cause of cancer in women, other than skin cancer. </li></ul><ul><li>Breast cancer is the 2 nd leading cause of death in women, after lung cancer </li></ul>
  16. 17. Breast Cancer Statistics <ul><li>A female’s chance of developing breast cancer are 1 in 8 </li></ul><ul><li>There are currently more than 2.5 million breast cancer survivors in the United States </li></ul>
  17. 18. Probability of Developing Breast Cancer <ul><li>Table 5. Age-specific Probabilities of Developing Invasive Female Breast Cancer* </li></ul><ul><li>The probability of developing breast cancer in the next 10 years is: </li></ul><ul><li>If current age is … † or 1 in: </li></ul><ul><li>20 0.06% 1,760 </li></ul><ul><li>30 0.44% 229 </li></ul><ul><li>40 1.44% 69 </li></ul><ul><li>50 2.39% 42 </li></ul><ul><li>60 3.40% 29 </li></ul><ul><li>70 3.73% 27 </li></ul><ul><li>Lifetime risk 12.08% 8 </li></ul><ul><li>*Among those free of cancer at beginning of age interval. Based on cases diagnosed 2004-2006. </li></ul><ul><li>Percentages and ”1 in” numbers may not be numerically equivalent due to rounding. </li></ul><ul><li>† Probability derived using NCI DevCan Software, Version 6.4.0. </li></ul><ul><li>(American Cancer Society, Breast Cancer Facts and Figures, 2009-2010) </li></ul>
  18. 19. Risk Factors <ul><li>Risk Factors are divided into 2 categories </li></ul><ul><ul><li>Those you cannot change </li></ul></ul><ul><ul><li>Those that are lifestyle choices/changeable </li></ul></ul>
  19. 20. Risk Factors <ul><li>Non-changeable </li></ul><ul><ul><li>Gender </li></ul></ul><ul><ul><li>Age </li></ul></ul><ul><ul><li>Inherited gene mutations </li></ul></ul><ul><ul><li>Family History </li></ul></ul><ul><ul><li>Race </li></ul></ul><ul><ul><li>History of Lobular Carcinoma in-situ </li></ul></ul><ul><ul><li>Menstrual cycle that started before the age of 12 or menopause after the age of 55 (American Cancer Society, 2011) </li></ul></ul>
  20. 21. Risk Factors <ul><li>Lifestyle Choices/Changeable </li></ul><ul><ul><li>Not having children or having them later in life </li></ul></ul><ul><ul><li>Use of hormone therapy after menopause </li></ul></ul><ul><ul><li>Not breast feeding </li></ul></ul><ul><ul><li>Alcohol intake – 2-5 drinks per day may increase the risk 1.5 times compared to women who don’t drink at all </li></ul></ul><ul><ul><li>Overweight/Obese </li></ul></ul><ul><ul><li>Lack of exercise (American Cancer Society, 2011) </li></ul></ul>
  21. 22. What can You do? <ul><li>Self Breast Exam – perform monthly – choose a date that is easy for you to remember </li></ul><ul><li>If you do not perform this on a monthly basis then at least be “Aware” of your own body </li></ul>
  22. 23. What can You do? <ul><li>Clinical Breast Exam </li></ul><ul><ul><li>This should be performed by a clinician at least once per year </li></ul></ul>
  23. 24. What can You do? <ul><li>GET YOUR MAMMOGRAM!! </li></ul><ul><ul><li>This should be a yearly screening beginning at the age of 40 </li></ul></ul><ul><ul><li>You may begin mammography before the age of 40 depending on your medical and family history </li></ul></ul>
  24. 25. What can You do? <ul><li>Get out and EXERCISE ! </li></ul><ul><ul><li>Engaging in at least 30 minutes of exercise per day may help reduce the risk of breast cancer </li></ul></ul><ul><ul><li>Exercise should be moderate in intensity… This means you have to sweat! </li></ul></ul>(Facts for Life/Healthy Living, 2011. Susan G. Komen Foundation. www.komen.org)
  25. 26. What can You do? <ul><li>The American Institute for Cancer Research recommends changes in dietary consumption of certain foods to help reduce your risk of developing breast cancer </li></ul>
  26. 27. What can You do? <ul><li>Simple dietary changes can make a healthy impact </li></ul><ul><ul><li>Consume more fruits, vegetables, whole grains and beans </li></ul></ul><ul><ul><li>Limit red meat </li></ul></ul><ul><ul><li>Limit alcohol to one drink per day </li></ul></ul><ul><ul><li>Don’t use supplements as a substitute for a healthy diet </li></ul></ul><ul><ul><li>(The American Institute for Cancer Research. Stopping Cancer Series. Questions and answers about breast health and breast cancer. Publication #E7B-QC) </li></ul></ul>
  27. 28. What is not a Normal finding? <ul><li>A single lump that is soft or hard </li></ul><ul><li>A change in the shape of the breast </li></ul><ul><li>A change in the color or texture of the breast </li></ul><ul><li>A change in the location or appearance of the nipple </li></ul><ul><li>Bloody or cloudy discharge </li></ul><ul><li>Sores on the breast that do not heal </li></ul>
  28. 29. A single lump in the breast that is hard or soft
  29. 31. A change in the shape, color or texture of the breast
  30. 32. Nipple Retraction
  31. 33. Surprise!! <ul><li>What age should you begin getting mammograms and how often? </li></ul>
  32. 34. <ul><li>How often should you have a clinical breast exam? </li></ul>
  33. 35. <ul><li>What type of drink should be limited to one per day? </li></ul>
  34. 36. <ul><li>How many minutes of exercise should you get per day? </li></ul>
  35. 37. <ul><li>Name one abnormal finding that would prompt you to seek medical attention? </li></ul>
  36. 38. <ul><li>When are you going to schedule your mammogram? </li></ul>
  37. 39. MAMMOGRAMS DON’T MISS ONE … NOT EVEN ONCE
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