ROLE OF NURSES IN BREAST CANCER AWARENESS, SCREENING, AND PATIENT CARE BREAST CANCER IN ZIMBABWE
Breast cancer is the second most common cancer
among women in Zimbabwe.
Approximately 1 in 10 women will have breast cancer.
Early detection saves lives.
RISK FACTORS Increasing age -risk is increased in those above 40 years. A personal history of breast cancer- history of breast cancer in one breast increases risk in the other breast. A family history of breast cancer in mother, sister or daughter. Inherited genes that increase cancer risk. The most well-known gene mutations are referred to as BRCA1 and BRCA2. These genes can greatly increase risk of breast, ovarian, pancreatic and prostate (in men) cancers, but they don't make cancer inevitable. Radiation exposure especially during adolescence. Obesity - Being obese increases your risk of breast cancer. Early menarche (before 12 years) and late menopause (after 55 years Nulliparity or having first child at an older age( after age 30) Postmenopausal hormone therapy. Drinking alcohol increases the risk of breast cancer. Constantly enduring high stress levels THE VITAL ROLE OF NURSES AWARENESS AND SCREENING PUBLIC EDUCATION AND AWARENESS
Nurses can conduct educational sessions in communities,
churches and workplaces to raise awareness about breast cancer and the importance of early detection.
They can teach self-breast examination techniques so that
women(and men) are aware of how their breasts normally look and feel, and promptly report any new or unusual changes (such as a lump, nipple changes, nipple discharge, change in skin colour, pain in a breast) to their healthcare provider. SCREENING
A number of screening test have been employed including:
clinical and self breast exams, mammography, genetic screening, ultrasound, and magnetic resonance imaging (MRI).
In Zimbabwe Breast Self Examination is encouraged since most
of the lumps are discovered by the woman themselves.
Nurses can help individuals schedule mammograms and
provide information about screening centers. They can assist in reducing barriers to screening, such as financial concerns or transportation issues. Targeting the Right Population:
Nurses can identify high-risk populations, such as women with a
family history of breast cancer or those with certain genetic mutations (e.g., BRCA1/2). About 5 to 10 percent of breast cancers are linked to gene mutations passed through generations of a family. They can work with primary care providers to ensure that at-risk individuals receive appropriate screening recommendations. Mammography is recommended every two years for women aged 50–74 years. Women with family history of breast cancer (mum, sibling, or daughter) may benefit more from beginning mammography screening between 40 and 49 years of age. THE VITAL ROLE OF NURSES IN MANAGING BREAST CANCER PATIENTS GOING THROUGH CHEMOTHERAPY Providing Emotional Support:
Nurses play a crucial role in supporting breast cancer patients
emotionally. They can create a safe and empathetic environment for patients to express their fears and concerns. They can educate patients and families about the emotional challenges of cancer treatment.
Symptom Management:
Nurses monitor and manage chemotherapy-related side
effects, such as nausea, fatigue, and pain. They educate patients on self-care strategies and medication management. Addressing Mental Health Needs:
Nurses can identify signs of distress or mental health issues in
breast cancer patients. They provide referrals to mental health professionals and offer supportive counseling when appropriate.
Survivorship Care Planning:
Nurses assist in outlining post-treatment follow-up care and
monitoring. Nurses can help to connect patients with other breast cancer survivors and support groups. They provide education on long-term side effects and strategies for maintaining overall health.
(2019) ESMO-ESGO Consensus Conference Recommendations On Ovarian Cancer - Pathology and Molecular Biology, Early and Advanced Stages, Borderline Tumours and Recurrent Diseased