Philip was treated for a basal cell carcinoma of his upper lip 12 months ago, and he has been a heavy smoker for 40 years. As the nurse about to care for Philip, what things would you consider in this case?

1. Assess Philip’s past medical history and examine his upper lip to determine if the basal cell carcinoma has recurred or spread.
2. Consider any other skin changes he may have due to smoking, such as wrinkles and yellowing of the skin.
3. Assess for signs of respiratory diseases, such as COPD, which are common in smokers over 40 years old.
4. Ask about lifestyle factors that could contribute to the development or progression of cancer, such as diet and exposure to UV rays from sunlight or tanning beds.
5. Discuss strategies for quitting smoking with Philip and provide resources available in his community to help him quit, if necessary.