Breast Health Assessment, Prevention, Diseases, and Clinical Pearls

Credit

Handouts/Brochure

Speaker

Heather Losee, DNP, AGPCNP-BC, CGRA Related seminars and products

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Heather Losee, DNP, AGPCNP-BC, CGRA, holds the title of Clinical Lecturer at the at the University of Massachusetts, Boston. She is seasoned nurse practitioner with over 14 years of teaching nurse practitioner students. She completed an intensive post-doctoral course in Cancer Risk Assessment at the City of Hope in California. She clinically practices as a high-risk breast nurse practitioner, at the Women & Infants Hospital in Providence, RI. She is an affiliate member of the American Society of Breast Surgeons.

 

Speaker Disclosures:
Financial: Heather Losee maintains a private practice and has employment relationships with Women & Infants and the University of Massachusetts. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Heather Losee is a member of the American Academy of Nurse Practitioners, the Oncology Nursing Society, and the American Society of Breast Surgeons.

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Objectives

1. Demonstrate basic health assessment and physical examination of the breasts, incorporating basic breast anatomy.
2. Evaluate various breast imaging modalities.
3. Discuss the benign breast disease signs, symptoms, and management.
4. Differentiate the appropriate evaluation and management of a patient’s concerns for a breast lump.
5. Recognize concerning symptoms of breast cancer.
6. Identify modifiable risk factors for breast cancer.
7. Demonstrate knowledge of radiological screenings for breast concerns.
8. Recommend the appropriate screenings for breast cancer in average and high-risk women.
9. Analyze family history to assess need for cancer genetic referrals.
10. Analyze health disparities in breast cancer.

Outline

Overview

• Breast A&P
• Breast structure
• Breast Development – Tanner’s stages
• Breast exam

Common Physiological Changes

• Breast during pregnancy and Lactation
• Breast changes during menstruation

Screening and Guidelines Review

• ACOG
• USPSTF
• American College of Radiology
• NCCN

Mammograms

• BIRADS classification density
• MRI – high risk

Common Breast Complaints

• Cyclic vs non-cyclic
• Benign Breast disease
• Non-proliferative and nonatypical fibrocystic changes
• Others….Fibroadenoma, PASH, Phyllodes Tumor, Cysts, Mastitis

Breast Cancer

• Risk Factors – Calculating Risks
• Genes – Heredity Cancer Testing
• Disparities

Target Audience

• Nurses
• Advanced Practice Nurses
• Nurse Practitioners
• Midwives
• Clinical Nurse Specialists
• Physician Assistants
• Physicians