1. Breast Cancer Awareness: A Business Resource Kit
Train the Trainer
Materials received from Susan G. Komen for the Cure and Johns Hopkins Medicine International

2. Lesson Plan Outline Common Breast Conditions Program Purpose
Risk Factors
Signs & Symptoms
Early Detection
Treatments
Takeaway Lessons
Q&A Session
Program Purpose
Program Goals
Learning Objectives
Course Delivery
Breast Cancer Snapshot
Breast Cancer Statistics
What Is Breast Cancer?

3. Purpose of Program
Increase the number of women who follow recommended guidelines for early detection
Reduce the number of women diagnosed with late stage breast cancer
Increase the number of women surviving breast cancer diagnosis
Adapted from materials created by Johns Hopkins Medicine International.

4. Program Goals
Conduct lunchtime breast health awareness sessions for female employees in a corporate setting
Teach the 3-step approach to early detection during lunchtime session
Teach the steps on how to perform a breast self exam during lunchtime session
After the lunchtime session, disseminate breast health materials and referral information to local clinical resources and services

5. Learning Objectives
Be able to discuss the materials provided in Breast Cancer Awareness: A Business Resource Kit
Be able to discuss the value of:
Annual mammograms
Annual clinical breast exams
Monthly breast self-exams
Adapted from materials created by Johns Hopkins Medicine International.

6. Learning Objectives
Be able to organize and conduct a Breast Health Awareness Program within your own setting
Promote breast cancer awareness to your customers and in your community
Adapted from materials created by Johns Hopkins Medicine International.

7. Course Delivery Be familiar with the content
Target presentations to particular workplace setting and audience
Practice before presenting
Ensure that ample time remains for questions and answers
Adapted from materials created by Johns Hopkins Medicine International.

8. Course Delivery Cultural Sensitivity
Use visual aids and handouts
Attend to logistics—room setup, quiet environment, no distractions, privacy
Provide a list of resources for women to get more information about breast health and breast cancer
Provide resources for getting help with a breast health question or problem
Cultural Sensitivity
Be knowledgeable about your audience
Be sensitive to cultural and religious concerns
Ensure privacy and discretion
Adapted from materials created by Johns Hopkins Medicine International.

9. Breast Cancer Snapshot
Breast cancer is the most common type of cancer among women.
When diagnosed early, the chance of survival is greater. When the cancer is confined to the breast, the 5-year survival rate in the U.S. is more than 95 percent.
Although more common among women over 40, younger women also can develop the disease.
All women are at risk for breast cancer.
Adapted from materials developed by Susan G. Komen for the Cure

10. Breast Cancer Statistics
Worldwide, breast cancer is the leading cause of cancer deaths for women aged 15 to 64.
Worldwide, one person is diagnosed with breast cancer every 30 seconds.
Worldwide, one person dies of breast cancer every 90 seconds.
Adapted from materials developed by Susan G. Komen for the Cure.

11. Adapted from materials developed by Susan G. Komen for the Cure
What Is Breast Cancer?
The light circles represent normal breast cells, while the dark-shaded circles represent cancerous breast cells. As the cancerous cells grow and multiply, they develop into a malignant tumor within the breast.
Adapted from materials developed by Susan G. Komen for the Cure

12. Common Benign (Not Cancer) Breast Conditions
Fibrocystic breasts
Cysts
Fibroadenomas
Intraductal papillomas
Mastitis
Adapted from materials developed by the National Cancer Institute.

13. Adapted from materials developed by Susan G. Komen for the Cure
Risk Factors
Factors that may increase your risk of breast cancer:
Getting older — the older you get, the greater your risk of breast cancer
Having an inherited mutation in the BRCA1 or BRCA2 breast cancer genes
Having a previous biopsy showing hyperplasia or carcinoma in situ
Family history of breast cancer
Having high breast density on a mammogram
Being exposed to large amounts of radiation, such as having very frequent spine X-rays during scoliosis treatment or treatment for Hodgkin’s disease at a young age
Personal history of breast or ovarian cancer
Starting menopause after age 55
Never having children
Having your first child after age 35
High bone density
Being overweight after menopause or gaining weight as an adult
Having more than one drink of alcohol per day
Currently or recently using combined estrogen and progesterone hormone replacement therapy (HRT)
Being younger than 12 at the time of your first period
Current or recent use of birth control pills
Adapted from materials developed by Susan G. Komen for the Cure

14. Adapted from materials developed by Susan G. Komen for the Cure.
Signs & Symptoms
Lump, hard knot or thickening
Swelling, warmth, redness or darkening
Change in the size or shape of nipple or breast
Dimpling or puckering of the skin
Itchy, scaly sore or rash on the nipple
Pulling in of your nipple or other parts
Nipple discharge that starts suddenly
New pain in one spot that does not go away
Pain or tenderness not associated with menstrual cycle
Adapted from materials developed by Susan G. Komen for the Cure.

15. Early Detection Three Steps
Annual screening mammogram beginning at age 40
Clinical breast exams at least every 3 years at age 20 and every year at age 40
Monthly breast self-exams by age 20

16. Mammography
Mammography is the best method available for diagnosing breast cancer at a stage when it can be most effectively treated.
Mammography can identify breast cancer several years before it can be felt during a physical examination.

17. Preparing for a Mammogram
Schedule several days after your menstrual period ends
Wear no perfume, powder, or deodorant
Bring previous mammograms if they were performed at another mammography facility
Adapted from materials created by Johns Hopkins Medicine International.

18. Screening Mammography
Mammography will detect about 90 percent of breast cancers in women who have no outwardly visible symptoms.
Mammography is highly accurate, but like most medical tests, it is not perfect.
Adapted from materials created by Johns Hopkins Medicine International.

19. Screening Mammography
Have a mammogram every year starting at age 40
If under 40 and have family history of breast cancer or other concerns, talk to your doctor
Adapted from materials developed by Susan G. Komen for the Cure

20. Screening Mammogram Includes two sets of low dose x-rays
Detects breast cancer while still at an early stage when most treatable
Used for annual screening
Used to look at structure of breast tissue when no symptoms present
Adapted from materials created by Johns Hopkins Medicine International.

21. Diagnostic Mammogram
Used to evaluate a woman with a breast problem or symptom of an abnormality found on a screening mammogram
Usually includes additional x-rays of one or both breasts
Focuses on a particular area
Adapted from materials created by Johns Hopkins Medicine International.

22. Clinical Exam
Doctor or nurse will look and feel breasts and under arms for changes.
Sometimes breast cancer will not show up on a mammogram but can be felt.

23. Clinical Exam Have breast exam at age 20
Have breast exams at least every 3 years between age 20 and 39
Have breast exams every year at age 40 and over

24. Performing Breast Self-Exam
Be sure to completely examine all the breast tissue
Apply firm pressure
Know what your breasts normally feel like– remember you are looking for a change

25. What to look for when performing Breast Self-Exam
A change from last month
A lump or thickening
A change in the size or shape of breast
Nipple discharge
Dimpling, puckering, or severe dryness of skin or nipple
Localized breast pain

26. Adapted from materials developed by Susan G. Komen for the Cure
Step One: Lying Down
Lie down on your back with a pillow under your right shoulder
Use the pads of the three middle fingers on your left hand to check your right breast
Press using light, medium and firm pressure in a circle without lifting your fingers off the skin
Follow an up and down pattern
Feel for changes in your breast, above and below your collarbone and in your armpit
Repeat on your left breast using your right hand
Adapted from materials developed by Susan G. Komen for the Cure

27. Step Two: In Front of Mirror
Hold arms at your side
Hold arms over your head
Press your hands on your hips and tighten your chest muscles
Bend forward with your hands on your hips
Adapted from materials developed by Susan G. Komen for the Cure

28. If something is found…
Most signs and symptoms are harmless but still need to be checked
Don’t ignore them
The doctor needs to determine if a problem exists

29. Treatments
Surgery—mastectomy, lumpectomy, sentinel lymph node, lymph node removal, breast reconstruction
Chemotherapy
Radiation
Hormonal therapy
Targeted biologic therapy
Adapted from materials created by Johns Hopkins Medicine International.

30. Takeaway Lessons
Feel less fearful and more hopeful about breast cancer
Incorporate breast health habits into a total wellness program
Perform a breast self-exams competently and with confidence
Be assertive about reporting a breast change to health care provider, promoting early detection
Adapted from materials created by Johns Hopkins Medicine International.

31. Q&A Session