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Write a paper which completely answers the three questions following the case study (including the secondary questions listed under each numeral). Refer to the screening resources in Course Activities to help you gain a better understanding of issues surrounding screening and other preventative services.

The finished Assignment should be a minimum of a 3-page expository essay, excluding the title page and references. The viewpoint and purpose of this Assignment should be clearly established and sustained.
use the headings Question 1, Question 2, and Question 3 to organize your material

include an introductory paragraph that gives a summary of the case example and a concluding paragraph which brings your paper to a reasonable conclusion (with no heading for either)

include Stanhope & Lancaster (2012) as a reference, include Stanhope & Lancaster (2012) as a reference, properly cited within the body of your paper.

no more than 10% of the paper should include direct quotations; synthesize the material rather than merely quoting it.

HERE IS THE CASE STUDY:

WHAT DO YOU THINK?: A Case Example: Screening for Breast or Ovarian Cancer Risk

During an initial visit to the High Risk Breast and Ovarian Cancer Clinic, a 37-year-old, Ms. Brown, reports that she had found a mass during a self-breast examination in 2006. She subsequently had the mass inspected by a clinician and underwent a mammogram, which showed a suspicious finding. A breast core-biopsy was performed and the pathology report indicated that she had atypical ductal hyperplasia. Ms. Brown then had a breast lumpectomy, and the lump was benign. In 1996, she had undergone a total abdominal hysterectomy and bilateral salpingo-oophorectomy for endometriosis. Ms. Brown briefly took hormone replacement therapy but stopped in 2006 when the breast mass was identified. She initiated Evista therapy as a breast cancer reduction measure, but after 6 months she stopped the medication because of the side effects. Ms. Brown reports that she is not entirely opposed to considering using Evista again. Her family history indicated that a paternal grandmother likely had a type of “female cancer.” This grandmother died in her middle 30s to early 40s. There were also three cousins on the paternal side of the family who had unilateral breast cancer when they were in their 30 and 40s.

On the maternal side of the family, her grandmother was diagnosed with breast cancer when she was in her 40s. She is alive and doing well at age 72. One of the grandmother’s sisters had lymphoma and died in her late 60s. A maternal great-aunt who was a sister to her maternal grandfather, not maternal grandmother, died in her 70s of ovarian cancer. A sister to her maternal great-aunt (another maternal great-aunt) died in her 70s or 80s of a primary brain cancer.

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