Get Answer: Pheonix Year Divorced Question Guide

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Original Question

Ms. Pheonix, a 52-year old divorced professional woman was diagnosed with stage T1 N0 infiltrating ductal breast cancer based on a lumpectomy and axillary lymph node dissection over a year ago. After her radiation therapy (daily treatments for 6 weeks) was completed, she was placed on tamoxifen for an indefinite period. She has been coming to the clinic every 3 months for her check up. In addition to working at the clinic, you are a volunteer consultant to the Encore-YWCA support group for women who have had breast cancer that Ms.Pheonix attends regularly. The group invited you to present “Breast Cancer: Prevention Screening, and Detection Guidelines” at the meeting. 1. Describe estrogen replacement therapy (ERT) and the relationship to breast cancer. 2. What is tamoxifen? Why are women placed on long-term tomoxifen therapy as a treatment for breast cancer? 3. What is an axillary lymph node dissection? Why did Ms. Pheonix have an axillary lymph node dissection with her lumpectomy? 4. Ms. Pheonix was diagnosed with stage T1 N0 breast cancer. What does that mean? 5. What risk factors for breast cancer will you include in your group presentation? Risk factors include: 6. What will you teach them about early detection of breast cancer? 7. What educational equipment can help women learn how to correctly perform BSE and how to detect lumps? 8. Describe the technique for performing BSE correctly. 9. One of the women in the group shows you how the arm on the side with breast cancer is more swollen than the other arm. She said she is having a lot of trouble with this. What do you think is happening? How ill you explain this to her? What will you advise her? 10. Ms. Pheonix raises her hand and tells you she heard she should never have her blood pressure taken in her affected arm (the arm on the side of the breastcancer). You remember you told her this in the office but realize she was probably too anxious or tired to remember what you said. What will you advise her and the other women present? 11. What are some other things breast cancer survivors can do to manage or prevent lymphedema? List four (4).

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