Essay Instructions: Case Example Written Assignment
Read the "Case Example: Screening for Breast or Ovarian Cancer Risk" as found on pp. 243?244 in Stanhope & Lancaster (2012). Write a paper which completely answers the three questions following the case study (including the secondary questions listed under each numeral). Refer to the screening resources in Course Activities to help you gain a better understanding of issues surrounding screening and other preventative services.
The finished Assignment should be a minimum of a 3-page expository essay, excluding the title page and references. The viewpoint and purpose of this Assignment should be clearly established and sustained.
For this Assignment, specifically:
? use the headings Question 1, Question 2, and Question 3 to organize your material
? include an introductory paragraph that gives a summary of the case example and a concluding paragraph which brings your paper to a reasonable conclusion (with no heading for either)
include Stanhope & Lancaster (2012) as a reference, include Stanhope & Lancaster (2012) as a reference, properly cited within the body of your paper.
APA Citation:
Stanhope, M., & Lancaster, J. (2012). Public health nursing: Population-centered health care in the community (8th ed.). Maryland Heights, Mo: Elsevier Mosby.
Textbook Information Title: Public Health Nursing: Population-Centered Health Care in the Community (8th ed.)Author: Stanhope, M. & Lancaster, J. ISBN: 0019 Publisher: Elsevier
? no more than 10% of the paper should include direct quotations; synthesize the material rather than merely quoting it.
? title page must resemble that found on p. 41 of the Publication Manual of the American Psychological Association (2010).
? No "Author's Note" or "Abstract" is necessary.
Your writing Assignment should:
? follow the conventions of Standard American English (correct grammar, punctuation, etc.);
? be well ordered, logical, and unified, as well as original and insightful;
? display superior content, organization, style, and mechanics; and
? use APA 6th edition format for organization, style, and crediting sources including:
? properly formatted header
? 12-point, double-spaced, Times New Roman font
? use of in-text citations
? title page and reference page
? use of headings
Before finalizing your work, you should:
? be sure to read the Assignment description carefully (as displayed above)
? consult the Grading Rubric (under the Course Home) to make sure you have included everything necessary;
? utilize spelling and grammar check to minimize errors; and
? review APA formatting and citation information found in the online, or elsewhere in the course.
WHAT DO YOU THINK? A Case Example: Screening for Breast
or Ovarian Cancer Risk
During an initial visit to the High Risk Breast and Ovarian Cancer
Clinic, a 37-year-old, Ms. Brown, reports that she had found a mass
during a self-breast examination in 2006. She subsequently had
the mass inspected by a clinician and underwent a mammogram,
which showed a suspicious finding. A breast core-biopsy was performed
and the pathology report indicated that she had atypical
ductal hyperplasia. Ms. Brown then had a breast lumpectomy, and
the lump was benign. In 1996, she had undergone a total abdominal
hysterectomy and bilateral salpingo-oophorectomy for endometriosis.
Ms. Brown briefly took hormone replacement therapy but
stopped in 2006 when the breast mass was identified. She initiated
Evista therapy as a breast cancer reduction measure, but after 6
months she stopped the medication because of the side effects.
Ms. Brown reports that she is not entirely opposed to considering
using Evista again. Her family history indicated that a paternal grandmother
likely had a type of ?female cancer.? This grandmother died
in her middle 30s to early 40s. There were also three cousins on the
paternal side of the family who had unilateral breast cancer when
they were in their 30 and 40s.
On the maternal side of the family, her grandmother was diagnosed
with breast cancer when she was in her 40s. She is alive and
doing well at age 72. One of the grandmother?s sisters had lymphoma
and died in her late 60s. A maternal great-aunt who was a
sister to her maternal grandfather, not maternal grandmother, died
in her 70s of ovarian cancer. A sister to her maternal great-aunt
(another maternal great-aunt) died in her 70s or 80s of a primary brain
cancer.
Reflect on these questions and see what implications they have
for nursing action and for public health concerns:
1. What are some possible issues that could arise if Ms.
Brown has a positive test? What legal and ethical issues
would you consider? What considerations would you take
into account if she has a teenage daughter?
2. What effect would the client?s literacy level have on how
you would handle this case?
3. If you were caring for a family with multiple family members
who obtain genetic testing and some members are
found to be genetic mutation carriers while others are not,
what would you anticipate might occur in relation to family
dynamics? What actions might you take? Consider the referrals you might make.
