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Create a response to this discussion post by Elizabet BU631. APA style, Minumum 2 REFERNCES , minimum 250 words/1 PAGE 


Question 1- Routine Health

Women are able to receive a gynecological and clinical breast exam yearly. At their annual appointment. The provider will ask the patient questions based on the patient's history, if there are any concerns, family history, current medications, and any abnormal gynecological testing. According to The American Cancer Society (2019), women should receive a mammogram every year ages 50-54 years, and then every 2 years. If the woman has a family history of breast cancer, they may get screened sooner and/ or more frequent. 

Important things to note when taking a patient's history is any family history of breast, cervical, or ovarian cancer. This may flag as an increased risk of developing cancer in the future. In addition, other health factors include if the patient has had abnormal pap smears in the past, sexually active with more than one partner, and participates in risk sexual behavior. Even though many sexually transmitted diseases (STD) can be tested without the use of a pap smear, the American College of Obstetrics and Gynecology recommends an external and internal exam for every annual routine check (Hackley, 2016). 

According to the U.S. Preventive Services Task Force (2012), women ages between 21 and 65 years old should have a Pap Smear every 3 years. In addition, HPV testing should be included if the patient is between the ages of 30 and 65 years old every 5 years. Women should continue with this routine screening as long as they have a clear history of no abnormal results. Women greater than 65 years of age do not require cervical cancer screening if they have never had an abnormal result or have had a negative result 2 times in a row in the past 10 years (ACOG, 2017). 

References

Breast Cancer Screening Recommendations for Women at Average Risk. (2019). 

Final Update Summary: Cervical Cancer: Screening - US Preventive Services Task Force. (2012). 

Hackley, B. K.  (20160801). Primary Care of Women,  2nd Edition [VitalSource Bookshelf version].  Retrieved from vbk://9781284139990

Women's Health Care Physicians. (2017). 



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