Dear Colleague,

Inflammatory breast cancer (IBC) is a rare form of breast cancer that is not usually associated with a lump or mass. It is extremely aggressive and symptoms can worsen quickly. Remind patients to contact their health care provider about any of the following signs or symptoms:

• edema of one or both breasts; usually sudden
• rash or erythema
• skin on the breast that resembles the skin of an orange (peau d’orange)
• ridges or thickened areas of the breast
• breast skin that's warm or hot to the touch
• flat or inverted nipples
• change in the color and texture of the areola
• nipple discharge (may or may not be bloody)
• breast pain or fullness
• pruritus
• lymphadenopathy

Targeting the Red-Hot Danger of Inflammatory Breast Cancer Acclimating to Breast Cancer: A Process of Maintaining Self-integrity in the Pretreatment Period Quality of Life of Breast Cancer Survivors: A Comparative Study of Age Cohorts Post-Breast Cancer Lymphedema: Part 1 Post–Breast Cancer Lymphedema: Part 2 Why Some Women Have an Optimistic or a Pessimistic Bias About Their Breast Cancer Risk Experiences, Heuristics, and Knowledge of Risk Factors Patient Navigation in Breast Cancer: A Systematic Review

Lisa Bonsall, MSN, RN, CRNP
Clinical Editor

We have 2 new Focus On collections to share with you. In Trauma -- Fall 2010, you can review some trauma basics, go over management recommendations, and fine tune your knowledge of specific injuries. In Traumatic Brain Injury -- Fall 2010, brush up on your knowledge of traumatic brain injury, including  how it is diagnosed and managed, and read about potential cognitive and psychiatric issues. Both collections include journal articles, CEs, slide presentations and other resources.

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Hypovolemia is the most common cause of shock. Do you know how to recognize it and intervene? Don’t miss Traumatic Hypovolemic Shock: Halt the Downward Spiral.
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According to the CDC, 5.7 million people with diabetes remain undiagnosed. The American Diabetes Association recently endorsed assessing the level of a patient's glycated hemoglobin A1C (A1C) as a diagnostic method. Read more in Diagnosing Diabetes with A1C.
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Identifying colonization with MRSA or MSSA before surgery is important to help reduce infections. Read about the effectiveness of preoperative surveillance and topical decolonization in Cut Down on SSIs.
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Review our Recommended CE list on children with developmental disorders, stimulating critical thinking in nursing students...