Biology


Competency
Explain principles of care for clients with oncological disorders.

Scenario
Josephine is a 45-year-old female that presented to her physician’s office for her annual check-up. She has a history of diabetes, obesity, and noncompliance with diet and medications to control her diabetes. She a single mother of three teenagers and smokes regularly. During the history review, Anna shares with you that she has not been feeling like herself for the past six months, she has been unusually tired and thought that she felt a lump in her right breast during a self-breast exam around that same time. She stated, “I am very busy with my children; I haven’t had time to get it checked out.” She has recently been experiencing right nipple pain. Josephine has a positive family history of breast cancer; both her mother and grandmother have been treated for breast cancer. she has never had a mammogram. During the breast examination, the practitioner palpated a lump in Josephine right breast. No discharge from the nipple was observed. Josephine’s right breast was tender upon palpation. No abnormalities were found in the left breast. Based on the physical findings Josephine will undergo a diagnostic mammogram.

Instructions
In a 2-page paper, describe the care that Josephine would require and address the questions below.
What risk factors does Josephine have that could predispose her to the development of cancer?
What signs and symptoms could indicate that Josephine has developed cancer?
Based on Josephine’s risk factors and presenting problems, identify three care strategies that you would use to provide quality care to Josephine. Provide rationale to explain why you chose these strategies.

Resources
For assistance with citations, refer to the APA Guide.