Essay om Promoting Positive Health Behavior in women Regarding Breast Cancer

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Promoting positive health behavior
Introduction: Preventive Healthcare among the women
With the advancement in the medical science and invention of better medicines and treatments for different diseases, there is an increasing awareness among the people, especially the women, regarding preventive health care. Preventive Healthcare provides the women with a proper understanding of avoiding the disease and other medical conditions from occurring. Even though there are many steps taken in the preventive health care of the women, there has been a significant increase in the number of cases across the globe in which women are suffering from breast cancer, cervical cancer and colon cancer (Zomorodi & Foley, 2009).
At the same time, there are many new programs which have been developed by the U.S. government to overcome the problems of these diseases among the women which are more prone to contract the disease due to their community, backwardness, living practices as well as their geographical conditions. Few of these programs were successful to influence and bring a change in the society, whereas, the remaining programs were unable to make the desired level of influence on the preventive healthcare and detection of disease among the women. These programs would be discussed and analyzed for obtaining their influence on the dedicated section of the women across the different parts of U.S (Backer, Geske, McIlvain, Dodendorf, & Minier, 2005).

Every Woman Matters program:
Every Woman Matters is a program developed by the U.S. government in Nebraska. It is established for the women who were between the ages of 40 – 64 years and were coming under the poverty levels set for the different sections of the society. It focused on the detection of breast cancer and cervical cancer among these women. It aimed at detecting the cervical and breast cancer among the women in the early stages and also to promote additional preventive health care practices and awareness regarding regular screening of women in Nebraska for various diseases (DHHS.NE.GOV, 2015). It included carrying a wide range of tests like the Pelvic exam, mammogram, Pap test and other such techniques for identifying breast and cervical cancer. It included providing financial help to the women who needed to be treated, but could not afford to get the treatment on their own. There is an inspirational quote on the health of the women by Diana Cohen which says, “Don’t let breast cancer take away the motivation to achieve your dreams” (THE FRESH QUOTES.COM, 2015).
Reasons for ineffectiveness of the program:
There are many reasons for the ineffectiveness of the “Every Woman Matters program” in achieving its desired objectives and goals. There is a very limited consideration of the complexities which are involved in practically applying the concepts which are developed in this program. There are many challenges which the medical practice providers, nurses and other staff are unaware of during the program. There is already a huge amount of pressure on these staff and including any kind of extra or additional work in their schedule is followed by their resistance to work and perform effectively (Backer, Geske, McIlvain, Dodendorf, & Minier, 2005).
Along with this psychology, the major reason for the ineffectiveness is failure to accept and inculcate change. Developing changes is one concept and implementing them and getting them accepted by the population is an altogether different concept. It has to be ensured that there is an appropriate distribution of work among the different people involved in providing health care practices. This largely affects the willingness of the staff and other medical professionals to execute these functions of preventing health care practices on a successful level.
Two successful advocacy programs
Advocacy programs aim at developing an awareness regarding any specific cause. In this case, the advocacy programs revolve around the identification of cancer among the women and its preventive measures. There are few programs which were successful and efficient to inculcate change in the society and create a huge level of impact on the society. Two of such programs have been mentioned and discussed below.
Mammography screening program:
There are many mammography screening programs developed in U.S., but, the one which has gained popularity and has been successful in promoting the advocacy on detection and treatment of breast cancer is through the Sister’s Network, which is an organization founded for increasing the awareness among the women regarding breast cancer. It was initiated in 1994, by an African American lady who was suffering from breast cancer and was diagnosed for the same. There is a quote on early detection and mammography by Cynthia Nixon, “The only thing we have to fear is fear itself. So the only thing to really be afraid of is if you don’t go get your mammograms” (Newman & Jackson, 2009). The screening programs which are developed by this organization inculcate awareness among the women of different ages regarding the identification of breast cancer in its early stages. They have also formed a national tagline or slogan for this cause which states that, “Stop the Silence”. They carry counseling of the females at different places like churches, health fairs and other such locations or venues where they would be getting a large number of women (Newman & Jackson, 2009).
Black Coral program:
It was initiated by a community health center called as “St. James-Santee Family Health Center” in the rural parts of South Carolina. They have identified that after skin cancer, breast cancer is the most common cancer among the women in America. They found that African American were 40% more vulnerable to die with breast cancer as compared to the American women. They empowered the women in the local areas, provided them with counseling and developed screening and other tests for them. They interacted with the culture prevalent in these areas (THE COMMUNITY GUIDE.ORG, 2012).
Reasons for the success of the two programs:
Breast cancer and cervical cancer can be cured and diagnosed easily if they are detected in the early stages of their formation. There are higher chances of survival when these forms of cancer are identified in their early stage and this has been assured in both the advocacy programs which I have considered above.
The success of the first program, that is, the mammography screening program can be obtained by the increasing number of women who are turning up for the tests. It has been estimated that there has been a tremendous increase of about 22% in the number of women who come here for their screening. This has been possible due to the appropriate level of counseling and interaction with the local people carried out by the experts of the Sister’s Network (Newman & Jackson, 2009).
The second program, that is, “The Black Corals program” has been successful in increasing awareness among the women regarding the early detection of cancer and its diagnosis. They have connected with the culture prevailing in the South Carolina region where there are a large number of African American women who are more prone to breast and cervical cancer. It has been successful in reducing the cases of cancer patients and deaths due to these two cancers among the women (THE COMMUNITY GUIDE.ORG, 2012).
Screening
Screening can be termed as a technique to check the occurrence of specific disease in a specific area for a specified population which is more prone to development of this particular disease. It is carried for carrying preventive measures and providing the population with a basic knowledge and awareness regarding the disease. It is very useful for spreading knowledge regarding a specific disease in the regions where there is very limited awareness regarding the same.
Characteristics of screening for cancer
• It helps in identifying an important health oriented problem in a specific area.
• It helps in identification of disease
• It helps in easing the diagnosis and decreasing the number of deaths due to the disease through early detection and proper counseling.
• It helps in curing the disease through adoption of proper medication and treatment for the disease.
• Cancer can be easily diagnosed and cured through effective screening (Tengland, 2010).
Strategies for an effective prevention program
An effective prevention program has to inculcate adequate level of awareness and interest among the people for which it has been developed. It includes developing strategies which includes cultural influence of the region. There is a very well-framed quotation on breast cancer by Ann Jillian which is, ”There can be life after breast cancer. The prerequisite is early detection” (Tengland, 2010). The prevention program should be provided through proper and interactive counseling which would ensure that the program becomes successful. Nurses should be specially trained for imparting knowledge to the people and developing a sense of awareness regarding the disease among them (Zomorodi & Foley, 2009). It involves including a large number of population within its parameter, overcoming the disease in such population and then targeting new population for the prevention program.

References
Backer, E., Geske, J., McIlvain, H., Dodendorf, D., & Minier, W. (2005). Improving female preventive health care delivery through practice change: an Every Woman Matters study. Journal of the American Board of Family Medicine, 401-408;.
DHHS.NE.GOV. (2015, May 14). What is Every Woman Matters? Retrieved January 4, 2016, from http://dhhs.ne.gov: http://dhhs.ne.gov/publichealth/EWM/Pages/Home.aspx
Newman, L. A., & Jackson, K. E. (2009). The Sisters Network: A National African American Breast Cancer Survivor Advocacy Organization. J Oncol Pract, 313–314.
Tengland, P. A. (2010). Health promotion and disease prevention: logically different conceptions?. . Health Care Analysis, 323-341.
THE COMMUNITY GUIDE.ORG. (2012). Black Corals: A Gem of a Cancer Screening Program in South Carolina . Retrieved January 4, 2016, from http://www.thecommunityguide.org: http://www.thecommunityguide.org/CG-in-Action/CancerScreening-SC.pdf
THE FRESH QUOTES.COM. (2015). Inspiring Breast Cancer Quotes and Slogans – Pink Day. Retrieved January 4, 2016, from http://www.thefreshquotes.com: http://www.thefreshquotes.com/inspirational-breast-cancer-quotes-and-slogans/
Zomorodi, M., & Foley, B. J. (2009). The nature of advocacy vs. paternalism in nursing: clarifying the ‘thin line’. Journal of Advanced Nursing, 1746–1752.

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March 9, 2018

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