Chapter 26Wellness and Health Promotion Flashcards
Exam 4 (Final)
Cervical Cancer Screening:
What does screening detect?
Cervical cancer screening detects precancerous cells as well as early disease when it can still be managed.
Cervical Cancer Screening:
What is screening associated with?
Cervical cancer screening is associated with the reduction in invasive cancer rates and higher rates of cure.
Cervical Cancer Screening:
How is screening done?
Cervical cancer screening is done primarily with the collection of a small number of cervical cells called the Pap test (Pap smear).
Cervical Cancer Screening:
What is responsible for the majority of cervical cancers?
Two types of HPV are responsible for the majority of cervical cancers.
Cervical Cancer Screening:
What does HPV vaccine do? What does it not do?
HPV vaccination is anticipated to decrease cervical abnormalities, but the vaccine does not protect against all forms of HPV.
Cervical Cancer Screening:
When should people get the HPV vaccine?
Optimally, people should be vaccinated before beginning sexual activity.
Cervical Cancer Screening
Recommendations for screening include:
When should first screening be done?
First screening at the age of 21 regardless of sexual activity.
Cervical Cancer Screening
Recommendations for screening include:
After first screening, when should subsequent screening be done?
Subsequent screening every 3 years until age 30.
Cervical Cancer Screening
Recommendations for screening include:
After age 30, when should females receive a pap test and HPV test?
After the age of 30, females should receive a Pap test and HPV testing every 5 years until the age of 65. Or a Pap test alone every 3 years.
Cervical Cancer Screening
Recommendations for screening include:
When may screening end?
Screening may end at age 65, provided the female is not at increased risk for cervical cancer, has had two negative co-tests or three negative Pap tests, and no history of high-grade abnormalities.
Breast Cancer Risk Factors
Personal or family history of breast, ovarian, or peritoneal cancer
Genetic predisposition (BRCA mutation- positive)
Radiation to the chest from ages 10-30
First birth after 30 years old
Never given birth
Dense breasts
History of breast biopsy
Current use of exogenous estrogen
Breast Cancer Routine Screening
The American College of Obstetricians and Gynecologists (ACOG) recommends the following breast cancer screening guidelines for females of average risk:
When should mammograms be done?
Mammograms every 1 to 2 years based on shared decision making (SDM) between the patient and provider between the ages of 40 and 49.
Breast Cancer Routine Screening
The American College of Obstetricians and Gynecologists (ACOG) recommends the following breast cancer screening guidelines for females of average risk:
When should mammograms be done for patients between 50-75?
All females should have a mammogram every 1 to 2 years between the ages of 50 to 75.
Breast Cancer Routine Screening
The American College of Obstetricians and Gynecologists (ACOG) recommends the following breast cancer screening guidelines for females of average risk:
After age 75, how should females have mammograms?
After age 75, females should have mammograms based on SDM.
Breast Cancer Routine Screening
The American College of Obstetricians and Gynecologists (ACOG) recommends the following breast cancer screening guidelines for females of average risk:
Females between 29-39? and 40?
Females should receive a clinical breast exam screen every 1 to 3 years between the age of 29 and 39 and annually after 40.
Breast Cancer Routine Screening
The American College of Obstetricians and Gynecologists (ACOG) recommends the following breast cancer screening
What should females do on their own?
Females should complete breast self-examinations for breast awareness.
Intimate Partner Violence (IPV) Screening
Who may be victims of IPV?
Victims of IPV may be of any gender identity, age, socioeconomic class, ethnicity, or sexual preference.
Intimate Partner Violence (IPV) Screening
Why would people not share that they are victims of IPV?
Victims are often reluctant to disclose IPV for a variety of reasons including shame, desire to protect their partner, or fear.
Intimate Partner Violence (IPV) Screening
What may be a barrier to IPV screening?
Healthcare providers may be uncomfortable with IPV screening, creating a barrier to implementation.
Intimate Partner Violence (IPV) Screening
What may make IPV screening less invasive?
Normalizing question may make it routine and less invasive.