Now that you have genetics and genomic information about your patient. It is time to plan, implement and evaluate and educational strategy for this patient. a) Use the following chart to identify your patient red flags. 18 b) Develop a specific teaching strategy for this patient. The teaching strategy must address specific health promotion activities (exercise, nutrition, environmental risk) as well as emotional support. c) The education also Includes referrals and testing if necessary. d) Set a second meeting with the selected patient to discuss the results of the pedigree analysis.

a) Patient Red Flags:

• Family history of breast cancer
• Personal history of smoking
• Overweight/obesity
• Sedentary lifestyle
• Exposure to environmental toxins (specifically, workplace exposure to chemicals)

b) Teaching Strategy: To address the red flags identified, the teaching strategy will focus on promoting healthy lifestyle choices and providing emotional support. Specific health promotion activities to be addressed will include:

• Exercise: Encourage the patient to engage in at least 150 minutes of moderate-intensity aerobic exercise per week, such as brisk walking, cycling, or swimming. This will help the patient to maintain a healthy weight, reduce their risk of developing chronic diseases, and improve their emotional well-being.
• Nutrition: Provide the patient with guidance on healthy eating habits, such as consuming a diet that is high in fruits, vegetables, whole grains, and lean protein sources. Encourage the patient to limit their intake of processed foods, sugary drinks, and saturated and trans fats. This will help the patient to maintain a healthy weight and reduce their risk of developing chronic diseases.
• Environmental risk: Discuss the patient’s workplace exposure to chemicals and provide guidance on reducing their exposure, such as wearing protective clothing and equipment and ensuring proper ventilation in the workplace. This will help to reduce the patient’s risk of developing health problems related to chemical exposure.
• Emotional support: Provide the patient with resources for emotional support, such as counseling services or support groups for individuals who have a family history of breast cancer or who are trying to quit smoking.

c) Referrals and Testing: Based on the patient’s red flags and family history, referrals for genetic counseling and testing for breast cancer may be appropriate. Referrals for smoking cessation programs may also be beneficial.

d) Second Meeting: Set a second meeting with the patient to discuss the results of the pedigree analysis and any further testing that may be necessary. Use this meeting as an opportunity to provide further education and support, and to answer any questions the patient may have.

e) Evaluation: Following the education and support provided, evaluate the patient’s progress in achieving their health goals and monitor for any changes in their health status. Continuously assess the patient’s need for further education and support, and adjust the teaching strategy as necessary.