Part two of genetics and genomics
a) Patient Red Flags:
- A family history of breast cancer
- Your personal history with smoking
- Lifestyle of seclusion
- Environmental toxins, specifically workplace exposure.
b) Teaching Strategy. To combat the issues identified, the teaching strategy will be focused on encouraging healthy lifestyle choices as well as providing support for the emotional side. These health promotion activities will be targeted at:
- Move: The patient should exercise at least 150 minutes each week. This could include walking, cycling or swimming. The patient will be able to lose weight and prevent them from developing chronic disease.
- Health: Give the patient guidance about healthy eating habits such as eating lots of fruits and vegetables, whole grains, lean proteins, and other nutrients. It is important to encourage the patient not to consume processed foods, sugary drinks or saturated or trans fats. The patient will be able to keep a healthy weight, and lessen their chance of getting chronic illnesses.
- Environmental risk: Discuss the patient’s workplace exposure to chemicals and provide guidance on reducing their exposure, such as wearing protective clothing and equipment and ensuring proper ventilation in the workplace. This will help to reduce the patient’s risk of developing health problems related to chemical exposure.
- Support for the emotional well-being: Offer support services and support groups to those who smoke or have had a history of breast disease.
c) Referrals and Testing: Based on the patient’s red flags and family history, referrals for genetic counseling and testing for breast cancer may be appropriate. Referrals may be made for programs to quit smoking.
d. Second Meeting: Schedule a second appointment with the patient in order to discuss the results from the pedigree analysis as well as any testing required. This meeting can be used to offer further support and education, as well as answering any questions that the patient might have.
e) Evaluation: Following the education and support provided, evaluate the patient’s progress in achieving their health goals and monitor for any changes in their health status. Continuously assess the patient’s need for further education and support, and adjust the teaching strategy as necessary.