Breast Lump Case Study : Advanced Health Assessment Essay
College of Nursing and Health Professions
Nursing 605: Advanced Health Assessment
Breast Lump Case Study
Jane is a 37 year old woman who presents today after finding multiple, tender breast masses last week. She reports the masses were located on the upper outer quadrant of both breasts, and were very painful. Although the pain seems to have subsided, and she no longer feels the masses, she has kept her appointment for further evaluation. She tearfully shares with you that her best friend died of breast cancer last year, and she is fearful she may now have cancer. Jane has never had a mammogram, and does not perform breast self-examinations on a regular basis.
Demographics: Jane is a 37-year-old woman.
Chief Complain: She has a breast lump.
1. What additional subjective data would you collect from Jane?
• History of present illness
Pain: She has pain. The pain seems to have subsided.
Lumps: She reports the lumps were located on the upper outer guardant of both breasts, and were very painful. After that she no longer feels the masses, but she has breast masses. She also was experience from multiple, tender breast lumps last week.
Discharge: The patient doesn’t experience from this condition.
Rash: She doesn’t experience from this condition.
Swelling: She has this condition.
Trauma: She doesn’t experience from trauma.
• Past medical history
Breast trauma: The patient did not experience from breast trauma.