(answered) Unfolding Clinical Reasoning Case Study: Breast Cancer I. Data Collection History of Present Problem: Jan Stam is a 50-year-old Caucasian woman who has been healthy with no previous medical history.

nfolding Clinical Reasoning Case Study: Breast Cancer I. Data Collection History of Present Problem: Jan Stam is a 50-year-old Caucasian woman who has been healthy with no previous medical history. One year ago she noted a small palpable lump in her right breast about the size of an almond. Because she has been healthy she assumed it was nothing and ignored it. Over the last month she has noted that this lump has been increasing in size. Her mammogram confirmed a 5 cm. mass. She then had an ultrasound guided biopsy. This biopsy confirmed the presence of cancer cells in the tumor as well as in 3 of her lymph nodes most proximal to the tumor. The MRI scan revealed that she also has a small tumor on her lumbar spine. A central port will be placed later this afternoon so that chemotherapy can be started as soon as possible. Personal/Social History: Jan has 4 children under the age of 17. She has no personal or family history of breast cancer. She has never smoked. She lives with her husband in a suburban community. She works part-time as a substitute teacher. Jan is a Christian who has a strong faith and trust in God who also believes in the power of prayer. She chose to have a mammogram before her husband’s insurance plan expired because he just lost his job. What data from the histories is important & RELEVANT; therefore it has clinical significance to the nurse?