SlideShare a Scribd company logo
1 of 2
Scenario 1:
Mrs. Smith is a 50 year old Caucasian woman who has 4
children ages 17, 15, 13, and 10. She was 33 with the birth of
her first child. Her BMI is 25. She has no personal or family
history of breast cancer. She lives with her husband in a
suburban community. She is an elementary school teacher who
is working part-time as a substitute so she can be home with her
children. She has been healthy with no previous medical
history. One year ago she noted a small palpable lump in her
right breast about the size of an almond. Because she has been
healthy she assumed it was nothing and ignored it. Over the last
month she has noted that this lump has been increasing in size.
Her health insurance would be expiring in the next month so she
reluctantly decided to have a mammogram. She called for an
appointment and they were unable to see her for another 2
months.
After waiting 2 months, her mammogram confirmed a 5 cm
mass. She then had an ultrasound guided biopsy. This biopsy
confirmed the presence of cancer cells. An additional biopsy
confirmed the presence of cancer cells in 3 of her lymph nodes
most proximal to the tumor.
What are the primary concerns for the patient right now? Why?
What are some of the expected medical surgical interventions?
What further assessment will be needed?
What pharmaceutical drugs are approved treatments for breast
cancer patients?
Scenario 1Mrs. Smith is a 50 year old Caucasian woman who h.docx

More Related Content

Similar to Scenario 1Mrs. Smith is a 50 year old Caucasian woman who h.docx

Lecture 1 Intro History Research
Lecture 1  Intro History ResearchLecture 1  Intro History Research
Lecture 1 Intro History Research
Canada College
 
Chamberlain University College of NursingHealth Assessment
Chamberlain University College of NursingHealth AssessmentChamberlain University College of NursingHealth Assessment
Chamberlain University College of NursingHealth Assessment
MaximaSheffield592
 
Cancer free libro
Cancer free libroCancer free libro
Cancer free libro
Agacio1 3+4
 

Similar to Scenario 1Mrs. Smith is a 50 year old Caucasian woman who h.docx (10)

Abortionin Canada
Abortionin CanadaAbortionin Canada
Abortionin Canada
 
The role of induced abortion in fertility transitions
The role of induced abortion in fertility transitionsThe role of induced abortion in fertility transitions
The role of induced abortion in fertility transitions
 
Sexual education[1][1]
Sexual education[1][1]Sexual education[1][1]
Sexual education[1][1]
 
Facts about Infertility and Ieproductive Technology
Facts about Infertility and Ieproductive TechnologyFacts about Infertility and Ieproductive Technology
Facts about Infertility and Ieproductive Technology
 
Reproductive education short version
Reproductive education short versionReproductive education short version
Reproductive education short version
 
Lecture 1 Intro History Research
Lecture 1  Intro History ResearchLecture 1  Intro History Research
Lecture 1 Intro History Research
 
Chamberlain University College of NursingHealth Assessment
Chamberlain University College of NursingHealth AssessmentChamberlain University College of NursingHealth Assessment
Chamberlain University College of NursingHealth Assessment
 
The kancer
The kancerThe kancer
The kancer
 
Cancer free libro
Cancer free libroCancer free libro
Cancer free libro
 
VAW: Linkages with Equity and Health (collection of case stories)
VAW: Linkages with Equity and Health (collection of case stories)VAW: Linkages with Equity and Health (collection of case stories)
VAW: Linkages with Equity and Health (collection of case stories)
 

More from todd331

ScanScan 1Sc.docx
ScanScan 1Sc.docxScanScan 1Sc.docx
ScanScan 1Sc.docx
todd331
 
Scanned with CamScannerScanned with CamScannerIN.docx
Scanned with CamScannerScanned with CamScannerIN.docxScanned with CamScannerScanned with CamScannerIN.docx
Scanned with CamScannerScanned with CamScannerIN.docx
todd331
 
Scanned with CamScannerApplication Assignment 2 Part 2 .docx
Scanned with CamScannerApplication Assignment 2 Part 2 .docxScanned with CamScannerApplication Assignment 2 Part 2 .docx
Scanned with CamScannerApplication Assignment 2 Part 2 .docx
todd331
 
Scanned with CamScannerGlobal editionGloba.docx
Scanned with CamScannerGlobal editionGloba.docxScanned with CamScannerGlobal editionGloba.docx
Scanned with CamScannerGlobal editionGloba.docx
todd331
 
Scanned by CamScannerScanned by CamScannerChapte.docx
Scanned by CamScannerScanned by CamScannerChapte.docxScanned by CamScannerScanned by CamScannerChapte.docx
Scanned by CamScannerScanned by CamScannerChapte.docx
todd331
 
Scanned by CamScannerScanned by CamScannerTABLE .docx
Scanned by CamScannerScanned by CamScannerTABLE .docxScanned by CamScannerScanned by CamScannerTABLE .docx
Scanned by CamScannerScanned by CamScannerTABLE .docx
todd331
 
Sandro Reyes .docx
Sandro Reyes                                                      .docxSandro Reyes                                                      .docx
Sandro Reyes .docx
todd331
 
Scanned with CamScannerResearch Summary (paper)For thi.docx
Scanned with CamScannerResearch Summary (paper)For thi.docxScanned with CamScannerResearch Summary (paper)For thi.docx
Scanned with CamScannerResearch Summary (paper)For thi.docx
todd331
 
Scanned with CamScannerHACCP Recipe TermsCheck tempe.docx
Scanned with CamScannerHACCP Recipe TermsCheck tempe.docxScanned with CamScannerHACCP Recipe TermsCheck tempe.docx
Scanned with CamScannerHACCP Recipe TermsCheck tempe.docx
todd331
 
Scan by Easy Scanner© 2011 Natur.docx
Scan by Easy Scanner© 2011 Natur.docxScan by Easy Scanner© 2011 Natur.docx
Scan by Easy Scanner© 2011 Natur.docx
todd331
 
Scanned with CamScanner1 STANDARIZATION OF A B.docx
Scanned with CamScanner1 STANDARIZATION OF A B.docxScanned with CamScanner1 STANDARIZATION OF A B.docx
Scanned with CamScanner1 STANDARIZATION OF A B.docx
todd331
 
Scanlon Technologies, Inc. Anne Scanlon founded Scanlon Technol.docx
Scanlon Technologies, Inc. Anne Scanlon founded Scanlon Technol.docxScanlon Technologies, Inc. Anne Scanlon founded Scanlon Technol.docx
Scanlon Technologies, Inc. Anne Scanlon founded Scanlon Technol.docx
todd331
 
SBUX ISIncome Statement - As Reported 10K in millionsIncome Statem.docx
SBUX ISIncome Statement - As Reported 10K in millionsIncome Statem.docxSBUX ISIncome Statement - As Reported 10K in millionsIncome Statem.docx
SBUX ISIncome Statement - As Reported 10K in millionsIncome Statem.docx
todd331
 
Scale Ratio Variable Histograms are useful for presenting qu.docx
Scale Ratio Variable Histograms are useful for presenting qu.docxScale Ratio Variable Histograms are useful for presenting qu.docx
Scale Ratio Variable Histograms are useful for presenting qu.docx
todd331
 
Scan 12Scan 13Scan 14Scan 15Scan 16S.docx
Scan 12Scan 13Scan 14Scan 15Scan 16S.docxScan 12Scan 13Scan 14Scan 15Scan 16S.docx
Scan 12Scan 13Scan 14Scan 15Scan 16S.docx
todd331
 

More from todd331 (20)

ScanScan 1Sc.docx
ScanScan 1Sc.docxScanScan 1Sc.docx
ScanScan 1Sc.docx
 
Scapegoating is a theory of prejudice and discrimination. Societ.docx
Scapegoating is a theory of prejudice and discrimination. Societ.docxScapegoating is a theory of prejudice and discrimination. Societ.docx
Scapegoating is a theory of prejudice and discrimination. Societ.docx
 
Scanned with CamScannerScanned with CamScannerIN.docx
Scanned with CamScannerScanned with CamScannerIN.docxScanned with CamScannerScanned with CamScannerIN.docx
Scanned with CamScannerScanned with CamScannerIN.docx
 
Sara Mohammed1991 Washington St.Indiana, PA 15701(571) 550-3.docx
Sara Mohammed1991 Washington St.Indiana, PA 15701(571) 550-3.docxSara Mohammed1991 Washington St.Indiana, PA 15701(571) 550-3.docx
Sara Mohammed1991 Washington St.Indiana, PA 15701(571) 550-3.docx
 
Scanned with CamScannerApplication Assignment 2 Part 2 .docx
Scanned with CamScannerApplication Assignment 2 Part 2 .docxScanned with CamScannerApplication Assignment 2 Part 2 .docx
Scanned with CamScannerApplication Assignment 2 Part 2 .docx
 
Scanned with CamScannerGlobal editionGloba.docx
Scanned with CamScannerGlobal editionGloba.docxScanned with CamScannerGlobal editionGloba.docx
Scanned with CamScannerGlobal editionGloba.docx
 
Scanned by CamScannerScanned by CamScannerChapte.docx
Scanned by CamScannerScanned by CamScannerChapte.docxScanned by CamScannerScanned by CamScannerChapte.docx
Scanned by CamScannerScanned by CamScannerChapte.docx
 
SANS SIFT tool             Final project , related to (digital foren.docx
SANS SIFT tool             Final project , related to (digital foren.docxSANS SIFT tool             Final project , related to (digital foren.docx
SANS SIFT tool             Final project , related to (digital foren.docx
 
Scanned by CamScannerScanned by CamScannerTABLE .docx
Scanned by CamScannerScanned by CamScannerTABLE .docxScanned by CamScannerScanned by CamScannerTABLE .docx
Scanned by CamScannerScanned by CamScannerTABLE .docx
 
Sandro Reyes .docx
Sandro Reyes                                                      .docxSandro Reyes                                                      .docx
Sandro Reyes .docx
 
Scanned with CamScannerResearch Summary (paper)For thi.docx
Scanned with CamScannerResearch Summary (paper)For thi.docxScanned with CamScannerResearch Summary (paper)For thi.docx
Scanned with CamScannerResearch Summary (paper)For thi.docx
 
Scanned with CamScannerHACCP Recipe TermsCheck tempe.docx
Scanned with CamScannerHACCP Recipe TermsCheck tempe.docxScanned with CamScannerHACCP Recipe TermsCheck tempe.docx
Scanned with CamScannerHACCP Recipe TermsCheck tempe.docx
 
Scan by Easy Scanner© 2011 Natur.docx
Scan by Easy Scanner© 2011 Natur.docxScan by Easy Scanner© 2011 Natur.docx
Scan by Easy Scanner© 2011 Natur.docx
 
Scanned with CamScanner1 STANDARIZATION OF A B.docx
Scanned with CamScanner1 STANDARIZATION OF A B.docxScanned with CamScanner1 STANDARIZATION OF A B.docx
Scanned with CamScanner1 STANDARIZATION OF A B.docx
 
Scanlon Technologies, Inc. Anne Scanlon founded Scanlon Technol.docx
Scanlon Technologies, Inc. Anne Scanlon founded Scanlon Technol.docxScanlon Technologies, Inc. Anne Scanlon founded Scanlon Technol.docx
Scanlon Technologies, Inc. Anne Scanlon founded Scanlon Technol.docx
 
scan the following 2 poems by Robert Herrick. analyze each poems rhy.docx
scan the following 2 poems by Robert Herrick. analyze each poems rhy.docxscan the following 2 poems by Robert Herrick. analyze each poems rhy.docx
scan the following 2 poems by Robert Herrick. analyze each poems rhy.docx
 
SBUX ISIncome Statement - As Reported 10K in millionsIncome Statem.docx
SBUX ISIncome Statement - As Reported 10K in millionsIncome Statem.docxSBUX ISIncome Statement - As Reported 10K in millionsIncome Statem.docx
SBUX ISIncome Statement - As Reported 10K in millionsIncome Statem.docx
 
Scan the articles in the attached course text.  Write a discussi.docx
Scan the articles in the attached course text.  Write a discussi.docxScan the articles in the attached course text.  Write a discussi.docx
Scan the articles in the attached course text.  Write a discussi.docx
 
Scale Ratio Variable Histograms are useful for presenting qu.docx
Scale Ratio Variable Histograms are useful for presenting qu.docxScale Ratio Variable Histograms are useful for presenting qu.docx
Scale Ratio Variable Histograms are useful for presenting qu.docx
 
Scan 12Scan 13Scan 14Scan 15Scan 16S.docx
Scan 12Scan 13Scan 14Scan 15Scan 16S.docxScan 12Scan 13Scan 14Scan 15Scan 16S.docx
Scan 12Scan 13Scan 14Scan 15Scan 16S.docx
 

Recently uploaded

Gardella_PRCampaignConclusion Pitch Letter
Gardella_PRCampaignConclusion Pitch LetterGardella_PRCampaignConclusion Pitch Letter
Gardella_PRCampaignConclusion Pitch Letter
MateoGardella
 
Gardella_Mateo_IntellectualProperty.pdf.
Gardella_Mateo_IntellectualProperty.pdf.Gardella_Mateo_IntellectualProperty.pdf.
Gardella_Mateo_IntellectualProperty.pdf.
MateoGardella
 
Making and Justifying Mathematical Decisions.pdf
Making and Justifying Mathematical Decisions.pdfMaking and Justifying Mathematical Decisions.pdf
Making and Justifying Mathematical Decisions.pdf
Chris Hunter
 
An Overview of Mutual Funds Bcom Project.pdf
An Overview of Mutual Funds Bcom Project.pdfAn Overview of Mutual Funds Bcom Project.pdf
An Overview of Mutual Funds Bcom Project.pdf
SanaAli374401
 

Recently uploaded (20)

Basic Civil Engineering first year Notes- Chapter 4 Building.pptx
Basic Civil Engineering first year Notes- Chapter 4 Building.pptxBasic Civil Engineering first year Notes- Chapter 4 Building.pptx
Basic Civil Engineering first year Notes- Chapter 4 Building.pptx
 
Código Creativo y Arte de Software | Unidad 1
Código Creativo y Arte de Software | Unidad 1Código Creativo y Arte de Software | Unidad 1
Código Creativo y Arte de Software | Unidad 1
 
This PowerPoint helps students to consider the concept of infinity.
This PowerPoint helps students to consider the concept of infinity.This PowerPoint helps students to consider the concept of infinity.
This PowerPoint helps students to consider the concept of infinity.
 
ICT Role in 21st Century Education & its Challenges.pptx
ICT Role in 21st Century Education & its Challenges.pptxICT Role in 21st Century Education & its Challenges.pptx
ICT Role in 21st Century Education & its Challenges.pptx
 
Measures of Dispersion and Variability: Range, QD, AD and SD
Measures of Dispersion and Variability: Range, QD, AD and SDMeasures of Dispersion and Variability: Range, QD, AD and SD
Measures of Dispersion and Variability: Range, QD, AD and SD
 
SECOND SEMESTER TOPIC COVERAGE SY 2023-2024 Trends, Networks, and Critical Th...
SECOND SEMESTER TOPIC COVERAGE SY 2023-2024 Trends, Networks, and Critical Th...SECOND SEMESTER TOPIC COVERAGE SY 2023-2024 Trends, Networks, and Critical Th...
SECOND SEMESTER TOPIC COVERAGE SY 2023-2024 Trends, Networks, and Critical Th...
 
Gardella_PRCampaignConclusion Pitch Letter
Gardella_PRCampaignConclusion Pitch LetterGardella_PRCampaignConclusion Pitch Letter
Gardella_PRCampaignConclusion Pitch Letter
 
Z Score,T Score, Percential Rank and Box Plot Graph
Z Score,T Score, Percential Rank and Box Plot GraphZ Score,T Score, Percential Rank and Box Plot Graph
Z Score,T Score, Percential Rank and Box Plot Graph
 
Gardella_Mateo_IntellectualProperty.pdf.
Gardella_Mateo_IntellectualProperty.pdf.Gardella_Mateo_IntellectualProperty.pdf.
Gardella_Mateo_IntellectualProperty.pdf.
 
Web & Social Media Analytics Previous Year Question Paper.pdf
Web & Social Media Analytics Previous Year Question Paper.pdfWeb & Social Media Analytics Previous Year Question Paper.pdf
Web & Social Media Analytics Previous Year Question Paper.pdf
 
Advance Mobile Application Development class 07
Advance Mobile Application Development class 07Advance Mobile Application Development class 07
Advance Mobile Application Development class 07
 
Mixin Classes in Odoo 17 How to Extend Models Using Mixin Classes
Mixin Classes in Odoo 17  How to Extend Models Using Mixin ClassesMixin Classes in Odoo 17  How to Extend Models Using Mixin Classes
Mixin Classes in Odoo 17 How to Extend Models Using Mixin Classes
 
SOCIAL AND HISTORICAL CONTEXT - LFTVD.pptx
SOCIAL AND HISTORICAL CONTEXT - LFTVD.pptxSOCIAL AND HISTORICAL CONTEXT - LFTVD.pptx
SOCIAL AND HISTORICAL CONTEXT - LFTVD.pptx
 
Making and Justifying Mathematical Decisions.pdf
Making and Justifying Mathematical Decisions.pdfMaking and Justifying Mathematical Decisions.pdf
Making and Justifying Mathematical Decisions.pdf
 
An Overview of Mutual Funds Bcom Project.pdf
An Overview of Mutual Funds Bcom Project.pdfAn Overview of Mutual Funds Bcom Project.pdf
An Overview of Mutual Funds Bcom Project.pdf
 
Unit-V; Pricing (Pharma Marketing Management).pptx
Unit-V; Pricing (Pharma Marketing Management).pptxUnit-V; Pricing (Pharma Marketing Management).pptx
Unit-V; Pricing (Pharma Marketing Management).pptx
 
Sports & Fitness Value Added Course FY..
Sports & Fitness Value Added Course FY..Sports & Fitness Value Added Course FY..
Sports & Fitness Value Added Course FY..
 
Key note speaker Neum_Admir Softic_ENG.pdf
Key note speaker Neum_Admir Softic_ENG.pdfKey note speaker Neum_Admir Softic_ENG.pdf
Key note speaker Neum_Admir Softic_ENG.pdf
 
APM Welcome, APM North West Network Conference, Synergies Across Sectors
APM Welcome, APM North West Network Conference, Synergies Across SectorsAPM Welcome, APM North West Network Conference, Synergies Across Sectors
APM Welcome, APM North West Network Conference, Synergies Across Sectors
 
psychiatric nursing HISTORY COLLECTION .docx
psychiatric  nursing HISTORY  COLLECTION  .docxpsychiatric  nursing HISTORY  COLLECTION  .docx
psychiatric nursing HISTORY COLLECTION .docx
 

Scenario 1Mrs. Smith is a 50 year old Caucasian woman who h.docx

  • 1. Scenario 1: Mrs. Smith is a 50 year old Caucasian woman who has 4 children ages 17, 15, 13, and 10. She was 33 with the birth of her first child. Her BMI is 25. She has no personal or family history of breast cancer. She lives with her husband in a suburban community. She is an elementary school teacher who is working part-time as a substitute so she can be home with her children. She has been healthy with no previous medical history. One year ago she noted a small palpable lump in her right breast about the size of an almond. Because she has been healthy she assumed it was nothing and ignored it. Over the last month she has noted that this lump has been increasing in size. Her health insurance would be expiring in the next month so she reluctantly decided to have a mammogram. She called for an appointment and they were unable to see her for another 2 months. After waiting 2 months, her mammogram confirmed a 5 cm mass. She then had an ultrasound guided biopsy. This biopsy confirmed the presence of cancer cells. An additional biopsy confirmed the presence of cancer cells in 3 of her lymph nodes most proximal to the tumor. What are the primary concerns for the patient right now? Why? What are some of the expected medical surgical interventions? What further assessment will be needed? What pharmaceutical drugs are approved treatments for breast cancer patients?