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This my story for the guideline:
1. Guidelines U.S. Preventive Services Task Force (USPSTF) Mammogram Guidelines: https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer- screening American Cancer Society (ACS) Mammogram Guidelines: https://www.cancer.org/cancer/breast-cancer/screening-tests-and-early- detection/american-cancer-society-recommendations-for-the-early-detection-of-breast- cancer.html 2. For my scenario I will use 49-year-old Mara as the example in this case. She is visiting the clinic for her yearly physical. has no history of breast cancer in the family. As Mara’s advance practice nurse, I have to determine whether to advise her to begin mammography screening for breast cancer because she has not had one yet. She is seeking direction because she has received conflicting opinions regarding when to start screening. To make this decision, I will use two guidelines: the American Cancer Society (ACS) and one from the U.S. Preventive Services Task Force (USPSTF). For women between the ages of 50 and 74, the USPSTF advises beginning biennial screening mammography; however, starting earlier should be decided upon individually depending on patient preference and risk factors. The American Cancer Society, on the other hand, recommends that women between the ages of 45 – 54 get annual mammograms, switching to biannual screening at 55, or continuing annual screenings if they so choose. Both recommendations place a strong emphasis on patient-specific characteristics, but they differ in how often and at what age to start screening. Given Mara’s lack of significant risk factors and her reluctance to begin screening at a younger age, I would probably go with the USPSTF recommendation. Her low-risk profile seems to be better suited to its biennial strategy, which strikes a compromise between the advantages of screening and reducing needless treatments. I would be willing to follow the ACS advice, though, if Mara indicated that she would prefer more frequent monitoring or if she was concerned about breast cancer.1. Guidelines U.S. Preventive Services Task Force (USPSTF) Mammogram Guidelines: https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer- screening American Cancer Society (ACS) Mammogram Guidelines: https://www.cancer.org/cancer/breast-cancer/screening-tests-and-early- detection/american-cancer-society-recommendations-for-the-early-detection-of-breast- cancer.html 2. For my scenario I will use 49-year-old Mara as the example in this case. She is visiting the clinic for her yearly physical. has no history of breast cancer in the family. As Mara’s advance practice nurse, I have to determine whether to advise her to begin mammography screening for breast cancer because she has not had one yet. She is seeking direction because she has received conflicting opinions regarding when to start screening. To make this decision, I will use two guidelines: the American Cancer Society (ACS) and one from the U.S. Preventive Services Task Force (USPSTF). For women between the ages of 50 and 74, the USPSTF advises beginning biennial screening mammography; however, starting earlier should be decided upon individually depending on patient preference and risk factors. The American Cancer Society, on the other hand, recommends that women between the ages of 45 – 54 get annual mammograms, switching to biannual screening at 55, or continuing annual screenings if they so choose. Both recommendations place a strong emphasis on patient-specific characteristics, but they differ in how often and at what age to start screening. Given Mara’s lack of significant risk factors and her reluctance to begin screening at a younger age, I would probably go with the USPSTF recommendation. Her low-risk profile seems to be better suited to its biennial strategy, which strikes a compromise between the advantages of screening and reducing needless treatments. I would be willing to follow the ACS advice, though, if Mara indicated that she would prefer more frequent monitoring or if she was concerned about breast cancer.
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