Breast Cancer

Question 1

s/s of invasive ductal carcinoma

Answer 1

lump w irregular edges, skin dimpling/peau d’orange,

Question 2

s/s of inflammatory

Answer 2

erythema, edema, peau d’orange, breast pain, itching, and tenderness, breast enlargement

Question 3

nonmodifiable risk factors

Answer 3

age, fam history, early menarche & late menopause - prolonged estrogen exposure

Question 4

modifiable risk factors

Answer 4

postmenopausal obesity, physical activity, birth control, hormone replacement, alcohol, not breast feeding

Question 5

age to start yearly mammograms

Answer 5

average risk women 40-45
high risk - 30, or 10 years younger than age when family member got it

Question 6

women at high risk

Answer 6

chest radiation, BRCA gene mutation, 1st degree family member w cancer or BRCA

Question 7

day one care of mastectomy

Answer 7

ambulation - support arm first few times
exercises - flex & extend elbow, squeeze
regular diet

Question 8

what to avoid on affected arm & why

Answer 8

BP cuff, blood draws, injections - trauma, infection risk - bad since lymph flow is affected

Question 9

how to prevent lymphedema

Answer 9

keep a pillow under arm/elevate it

Question 10

post op mastectomy exercises

Answer 10

hand wall climb, swing rope in a circle, raise both arms & bend side to side, squeeze shoulder blades together

Question 10

post op pt teaching

Answer 10

exercises, incision care, elevate affected arm & avoid trauma to arm

Question 11

s/s of lymphedema

Answer 11

swelling, feels heavy or ache-y, paresthesia

Question 12

tx of lymphedema

Answer 12

elevate w compression sleeve/glove