Mdc 3 Exam 1 Blueprint Multidimensional Care

MDC 3 - Exam 1 BlueprintBreast Cancer Patho:- Impaired cellular regulation in the breast tissue. One single cell that grows and multiplies in epithelial cells in one ormore of the mammary ducts or lobulesRisk Factors:- Increased age- family history- early menarche - nulliparity- late menopause- lack of breastfeeding- postmenopausal obesity- smoking / alcohol consumption- positive BRCA 1 or 2Assessment:- Lump in the breast, changes in the size, shape or appearance of a breast, changes to the skin over the breast such as dimpling, a newly inverted nipple, peeling, scaling, crusting, or flaking of areola or breast skin, peau d orange, tender, firm, enlarged or itchy breast.Diagnosis:- Mammogram, tomosynthesis, ultrasound, MRI, chest x-ray, CT scan, liver enzymes, serum calcium, alkaline phosphateTreatment:- Non-surgical: vitamins, diets, and herbal therapy- Surgical: lumpectomy, mastectomy (partial, total, or radical)- Adjuvant: radiation, chemo or combo, drug therapy, stem cell transplant therapySelf-screening and mammogram recommendations:- Self-breast exam MONTHLY for all women 7-10 days after menstruation starts- 45-54 mammograms every year - Screening should continue as long as a woman is in good health - Those with risk factors start screening earlier Fibrocystic Breast DisorderPatho:- Non-cancerous, lumpy breast texture Risk Factors:- Hormone replacement therapy - 20-50 years old Assessment:-