breast cancer screening
Volunteering once a month for a mobile clinic, you head out this Saturday morning with two other providers and staff. The mobile RV is a large motorhome retrofitted as a primary care clinic. Headed downtown where there is a large homeless population, everyone is excited to see what the day brings.
Miss Eleanor is a 72-year-old African American female who you have seen many times. Today she is complaining of some breast tenderness due to a fall she took with her grocery cart a couple of weeks ago. While examining Eleanors breast, you took the opportunity to do a manual breast exam. Eleanor said it had been at least 30 years since shed had a breast exam and that she had never had a mammogram.
Finishing up your day on the mobile clinic, Sally, a 48-year-old female, is concerned that she has an STI. During Sallys pelvic exam, you learn that she has been living in a tent under a bridge downtown for about a year. Sally is eager to talk to someone and tells you that she used to work in a medical office as a receptionist but that was a long time ago before she was diagnosed with bipolar disorder. You are concerned that Sally does have an STI and you ask about her medical history. After quite a story, Sally tells you she had a mammogram about two years ago before she left Texas and there was a place the doctor wanted to evaluate further but she never went back for the ultrasound.
1. Discuss the guidelines assigned to your scenario.
2. Will both patients be treated in the same manner? Why or why not?
3. What would your treatment plan be for each of the individuals in your scenario?
Please include at least three scholarly sources within your initial post.
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