Katrina Wells, a 54-year-old African American female,

Katrina Wells, a 54-year-old African American female, works a sedentary job in telecommunications. She has been overweight most of her life and has never engaged in physical activity on a regular basis. Because of limited finances and limited healthcare coverage, Katrina seeks health care only when she is ill. Through a community outreach program, Katrina met Lydia Robinson, a nurse who helped her gain access to basic preventive healthcare services. Acting on the advice of Lydia, Katrina agreed to have a screening mammogram. The radiologist who reviewed the mammography films discovered a small mass in the upper outer quadrant of Katrina’s left breast. She was contacted by the radiologist and told she had an abnormal mammography result and that she needed to return to the imaging center for further workup. Katrina, not knowing what this meant, asked if she had cancer. She was told that cancer was a possibility but that further testing was needed to determine if this was the case. Katrina was upset by this information, and she was not sure she wanted any additional tests. Her mother had breast cancer, and Katrina watched her lose her breast and hair, in addition to becoming very sick from the SCIENCE HEALTH SCIENCE NURSING

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