When Is The Ideal Time To Complete A Clinical Breast Exam? What Steps Would You Follow For Concerning Findings On The Clinical Breast Exam? What Age Or Risk Factors Indicate The Need For A Mammogram?

When is the ideal time to complete a clinical breast exam?  What steps would you follow for concerning findings on the clinical breast exam? What age or risk factors indicate the need for a mammogram?

When is the ideal time to complete a clinical breast exam

The ideal time-frame to complete clinical breast exam according to National Breast Cancer Foundation is annually with annual physicals.

What steps would you follow for concerning findings on the clinical breast exam

Concerning findings on the clinical breast exam should be immediately followed up with consulted specialist. The abnormal area should be noted, its size, shape, and texture. Check to see if the lump moves easily. Benign lumps often feel different from cancerous ones, there is a need to be examined with further mammogram, ultrasound, blood work, MRI and biopsy. The two most common lab tests are the hormone receptor test and the HER2/neu test. Results from these tests can provide insight into which cancer treatment options may be most effective for client.

What age or risk factors indicate the need for a mammogram

Age/ risk factors for mammograms are as follows: Women ages 45 to 54 should have a mammogram each year and those 55 years and over should continue getting mammograms every 1 to 2 years. However, the U.S. Preventive Services Task Force (USPSTF) recommends mammograms for women between the ages of 50 and 74 every two years.  the U.S. Preventive Services Task Force mammogram guidelines recommend women begin screening at age 50 and the American Cancer Society recommends women begin screening at age 45. But both of these organizations acknowledge that beginning screening at 40 may make sense for some women after considering the benefits and limitations of the test.

 Journal for Nurse Practitioners assert breast cancer as the second leading cause of death among women; early detection has been shown to reduce morbidity and mortality risk. Nurse practitioners’ roles are to screen patients for early detection to provide safe care Cadet, M. J. 2019). Assess their patients’ risk factors for breast cancer using validated risk assessment tools. Implement shared decision-making during breast cancer screening.

References

Cadet, M. J. (2019). Comparing the Various Breast Cancer Screening Guidelines. Journal for Nurse Practitioners15(8), 574–578. https://doi.org/10.1016/j.nurpra.2019.03.022

https://www.nationalbreastcancer.org  (Links to an external site.)

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