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Asked by MinisterValorHyena6

Please respond to the post below by adding to the discussion or by agreeing to the post. Please do not make a separate post. Couple of paragraph should be good.  Include references within 5 years. 

 

For this rotation I am predominantly in a primary care setting. Here most patients I see are women. Two screenings required to promote health maintenance in this population is colon cancer screenings and breast cancer screenings. According to the USPSTF colon cancer is quickly becoming more prevalent in the United States. The USPSTF recommends all persons 45 and older who are asymptomatic should start screening for colon cancer (USPSFT, 2021). This includes stool samples and colonoscopies. Depending on which test is performed and what findings occur will determine the length of time till another screening is needed. Breast cancer is te second leading cause of cancer related deaths (USPSFT, 2016). The recommendations are to start screenings at age 50, but if a first degree relative has a history of breast cancer, then the screening should begin at 40 years of age (USPSFT, 2016).

At my specific clinic timing of screenings and questionnaires are prompted by the software used. However, this is updated to follow best practice and recommendations per national organizations such as USPSFT. My preceptor’s personal favorite website that she has also directed me to is the USPSFT. I would describe my experience as well organized and fair to all who come into the clinic. The software creates hard stops to ensure these screenings are being ordered and are being discussed with the necessary populations. I have not been exposed to any bias. The only difficulties I have witnessed with screenings is when. The patient does not want to complete these tasks either due to anxiety, resistance, or non-compliance. Screenings are presented to patients as health care gaps or ensuring early treatment to possible diagnoses. Ensuring health literacy in the clinic is difficult with the wide range of patients seen. However, using the teach back method ensures an understanding in the patient’s own words. When addressing Cultural and Literal differences, interpreters are available on the office phone to ensure HIPPA laws are intact and respect for the patient’s culture is ensured. 

Preventative health care is often a missed step in family practice. I have already seen so many people not willing to complete routine screenings related to time consumption, finances or lack of knowledge. As providers, all we can do is bring the information to the patient and find helpful options that can address concerns. Providing knowledge of how the screenings work, if they are covered by insurance and finding options that best suit the patient can enhance compliance. Providing a patient centered plan that is individualized to their needs. 

USPSFT. (2016). Breast cancer: screening.
 

SCIENCE
HEALTH SCIENCE
NURSING
NR 511

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