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20001549402000200660Breast cancer Toolkit This toolkit offers information, resources, and strategies for outreach and education about breast health among State of Ohio employees. Please check with your agency’s leadership prior to implementing any type of activity in question.6900096000Breast cancer Toolkit This toolkit offers information, resources, and strategies for outreach and education about breast health among State of Ohio employees. Please check with your agency’s leadership prior to implementing any type of activity in question.730005673725centerFor TCLW Wellness Ambassador use2420096000For TCLW Wellness Ambassador useWellness Ambassadors,October is Breast Cancer Awareness month. While the Take Charge! Live Well! program focuses on diabetes each October, we do still want to provide support for this very important cause as well. This Toolkit provides basic information, tools and suggested activities for delivering breast health education to your colleagues. The most common risk factors for breast cancer cannot be controlled — being a woman and getting older. This toolkit primarily focuses on some of the things that can be controlled, such as getting screened, and practicing a healthy lifestyle. You are helping with a very important goal: ensuring that the State of Ohio employees are educated about their own personal health and well-being; specifically, breast cancer. There has been incredible progress made against breast cancer over the past several years, much of it thanks to increased early detection and effective treatment. Yet more than 40,000 women and men will lose their lives to breast cancer in the U.S. this year alone. Early diagnosis and successful treatment begin with education. Access to care is critical. One very important thing to remember is that the State of Ohio medical plan offers preventive care services with no deductible, no copayment and no coinsurance for network providers. Other services are available for the normal copayment, coinsurance and deductible amounts. For additional information regarding preventive care services, including a list of free exams and screenings, please refer to: das.medical.We hope that you find this useful in your own agency. Please reach out should we be able to provide support. Together, we can work toward a future without breast cancer. Thank you for all that you are doing to make this goal a reality.Be well,The Take Charge! Live Well! Outreach TeamColleen Kravetz | Darcie Schultz | Luke Staebelltakechargelivewell@ Suggested ActivitiesContact a community / outside group (Susan G. Komen Foundation, American Cancer Society, local hospitals, Relay for Life, etc.) to see if they can provide any services and/or resourcesPanel Discussion: Ask an internal survivor or professional speaker lead a discussion on breast cancer. The Industrial Commission once hosted a breast cancer survivorship event. A Registered Nurse gave an overview presentation on breast cancer, and three employees shared their stories of diagnosis, treatment, and life after breast cancer. Video conference was used for district offices to participate as well. Health Education Presentations:The Outreach Team has a 30-minute presentation on breast cancer that can be delivered as a brownbag or as a live webinar. Contact the Outreach Team if you would like to schedule a presentation or personal, live webinar for your agency. Cancer answers: understanding and preventing breast cancer: Whether we have had it ourselves, know someone who is battling it or are simply trying to learn more, breast cancer touches us all. This presentation discusses the basics of breast cancer, preventive screenings and what they entail, healthy behaviors to reduce the risk, and ways to spread awareness of breast cancer prevention.Contact an outside organization, such as the American Cancer Society, Susan G. Komen, local hospital or health department to offer a presentationSummit Behavioral Healthcare has hosted events in the past that included the TCLW presentation above, as well as local community and non-profit organizations to provide educational sessions on breast cancer to its staff. Snacks and giveaways were anize a “Wear Pink for Breast Cancer Day”The Bureau of Worker’s Compensation holds an annual Wear Pink Day, and includes photos from it in a yearly calendar for its agency. Talk to your HR department about having a casual pink Friday (or any day) or look into combining activities with your Employee Activities Committee and/or Combined Charitable Campaign. Dress up your door contestOrganize a pink door / office / cubicle decorating contest. Encourage coworkers to decorate a designated door by encouraging donations in exchange for pink items to place on the door.Lead your own “Race for the Cure” with a group walk and/or run around your agency campus to help raise awareness, build comradery, and honor those who have/had battled breast cancer at your site.ODOT District is forming a team to participate in the “Flip Flop for PINK” walk, organized by Pink Ribbon Girls. While this is not an ODOT-sponsored activity, the wellness team is organizing a group to participate on their own (weekend) time to support this cause. Trivia: Host Jeopardy, trivia, BINGO, crossword puzzle, or other type of trivia game, using breast cancer facts. This can be held as a group during lunch or breaks, or digitally via email submissions. Videos: Post an informational video on breast cancer to your agency’s Intranet (as able): Under 2 minutes: minutes: Our Health Is Important: Give each member of the audience a letter or word in the phrase “Our health is important.” Inform participants that the letters that they hold form an important message. Instruct them to move themselves around the room to form the message. You may have to give some ideas about the nature of the message, but allow the participants to arrange themselves in the right order. Ask someone to read the message aloud. NOTE: This activity can be done with other messages, too, like “Know what is normal for you” or “Know your risk” or “Get screened.” You can adjust the phrase based on the size of your group. Movement: At this month’s meetings, mention how including more exercise in daily life may reduce the risk of breast cancer; ask meeting participants to stand, walk in place, raise arms above their heads, stretch or practice other basic movements that they can do while watching television at home. This gives everyone a break from sitting. Breathing Relaxation Exercise: Ask meeting participants to take a deep breath in through the nose, hold it for a few seconds and then slowly exhale through their mouth. You may count out loud to guide participants in their breathing. Repeat a few times. Share with the audience that this can help prepare for mammograms because the technologist will either say, “hold your breath” or “don’t breathe” during a mammogram. If there are men or younger women in the audience, this is good practice for managing and releasing stress at any time.Promote Mothers’ Room and/or agency breastfeeding policies, as breastfeeding can reduce a woman’s risk of breast cancer later in life.Promote healthy eating for prevention: Organize a pink smoothie station, salad bar, or Meatless Monday potluckDon’t stop communicating when October ends! Consider making cancer awareness a permanent part of your Wellness Plan. As your wellness activities typically highlight two major components in cancer prevention, exercise and nutrition, it makes sense to integrate (all types of) cancer awareness into those efforts.Distribute ribbons or stickers (see template provided on next page) for colleagues to wear:8 per sheetFor all versions of Microsoft Word161 KBPortrait Honor of ...00In Honor of ...18161001731645Place name here00Place name here43199058235950052355751075690In Honor of ...00In Honor of ...52451001731645Place name here00Place name here89090531286450018065753380740In Honor of ...00In Honor of ...18161004036695Place name here00Place name here431990531286450052355753380740In Honor of ...00In Honor of ...52451004036695Place name here00Place name here89090554330600018065755685790In Honor of ...00In Honor of ...18161006341110Place name here00Place name here431990554330600052355755685790In Honor of ...00In Honor of ...52451006341110Place name here00Place name here89090577381100018065757990205In Honor of ...00In Honor of ...18161008646160Place name here00Place name here431990577381100052355757990205In Honor of ...00In Honor of ...52451008646160Place name here00Place name hereOhio Health / Mammogram Shuttle Information: In less than one hour, employees are picked up at a pre-arranged time in a transportation shuttle. After arriving at OhioHealth Grant Medical Center, employees are then taken to the Grant Breast Health Center for their screening appointment. Patient Navigators are available onsite to assist with education and follow-up as needed, and snacks and refreshments are provided, before the shuttle returns the participants to their worksite. State of Ohio agencies within a 10-mile radius of Grant Medical Center (111 S. Grand Ave., Columbus) can request the mammogram shuttle service by contacting OhioHealth Grant Medical Center: Mammogramshuttle@, 614-566-7064 (see coordinating flyer for agencies/employers). There is a minimum of three (3) participants needed to schedule a shuttle, and participants need to provide their insurance card and valid ID at the time of the appointmentFor those that are outside of the 10-minute radius, a mobile mammography unit can be requested but the request needs to be made approximately 1 year in advance and there needs to be a large enough onsite parking space for the mobile unit. Alternative options would be to contact your local cancer center to check on local resources that may provide similar services. A flyer for host locations can be found on the next page. OhioHealth sends this flyer with dates to individual sites.Take Charge! Live Well! Resources Take Charge! Live Well! Breast Cancer flyer?Family Health Tree Worksheet: Talk to both sides of your family about your family health history, including breast cancer, and be sure to talk to your doctor about your own personal risk of breast cancerHealth Coaching: 1-866-556-2288Well-Being Connect: Access healthy goal trackers, challenges, articles, videos, and reports. Use the Library page to find healthy recipes using your favorite ingredients. Visit tclw and select “Well-Being Connect.”Printable Heathy Recipes:Lemon Chicken Stir-fry?Roast Salmon with Salsa?Roasted Zucchini and Pesto?Quick Breakfast Taco?Grilled Steak with Fresh Corn Salsa?Chipotle and Orange Grilled Chicken?Chicken Salad Wrap?Skillet Tomatoes?Pizza Roll-Up?Charred Tomato and Chicken Tacos?Apple Sauerkraut Quesadillas?Curried Chicken Pitas?Curried Squash and Chicken Soup?Broiled Salmon with Miso Glaze?Sausage and Potato Salad?Baked Mac and Cheese?Couscous with Parmesan?Grilled Eggplant Panini?Wake-Up Smoothie?Mixed Greens with Berries and Honey-Glazed Hazelnuts?Tomato, Tuna, and Tarragon Salad?Editable Recipe Page Templates:?to help as you collect and share your own agency recipes?Recipe 1Recipe 2?- with nutrition informationCover Page?Portion Plate / Portion Control HandoutEvent Signage: to help showcase wellness event directions and roomsOption 1Option 2Option 3Option 4Digital Version 1Digital Version 2Digital Version 3External Resources Free Downloads: Misc. educational materials for print / order: View PDFIf Someone You Know Has Breast Cancer: Suggestions on how to help someone who has been diagnosed with breast cancer, as well as questions regarding the emotional and physical effects of breast cancer.Breast Cancer Risk Factors:Risk Assessment Tool: Take risk assessmentThe?Know:BRCA tool?can help you assess your risk of having changes in your BRCA genesBreast Cancer Risk Factors?View PDF?Breast Cancer Risk Factors (tri-fold brochure)?View PDFBreast Density?View PDFGenetics & Breast Cancer?View PDFHow Hormones Affect Breast Cancer?View PDFBreast Cancer Risk Reduction:Healthy Living?View PDFHealthy Living (tri-fold brochure)?View PDFBreast self-awareness messages door hanger: View PDF Detection:Sign up to receive an annual mammogram and/or clinical breast exam reminder: HYPERLINK "" American Cancer Society HYPERLINK "" Susan G. KomenSeven Things to Know About Getting a Mammogram: View ChartFree Breast Self-Exam shower card download: View PDFMisc. Breast Cancer Fact Sheets:State of Ohio Preventive Screenings Chart: Found at medicalEducation / Talking PointsWhile you are not expected to be the medical expert, we have provided some basic talking points / messages that you can consider including in your initiatives.Statistics:Cancer is the disease employees fear most and will affect 1 in 4 Americans in their lifetime.Each year in the United States, more than 200,000 women get breast cancer and more than 40,000 women die from the disease.Men also get breast cancer, but it is not very common. Less than 1% of breast cancers occur in men.Most breast cancers are found in women who are 50 years old or older, but breast cancer also affects?younger women (about 10% of new cases in the US are found in women under 45.) Cancer-related disease accounts for 1 percent of a typical employer’s health care claims, but 10 percent of health care costs.Know Your Risk: All women are at risk of breast cancer. Being a woman and getting older are the two most common risk factors in the general population. It is important to learn about your personal risk of breast cancer and talk with your health care providerGet Screened:Although?breast cancer screening?cannot prevent breast cancer, it can detect a problem early, when it is easier to treat / the chances of survival are the highest.Talk to your doctor about which breast cancer screening tests are right for you, and when you should have them. It is important for all women to get the recommended breast cancer screenings.If you are at average risk, have a clinical breast exam at least every 3 years starting at age 20, and every year starting at age 40. If you are at average risk, have a mammogram every year starting at age 40. Practice a Healthy Lifestyle to Reduce Your Risk Most women who get breast cancer have no known risk factors and no history of the disease in their families. There are things you can do to can help?lower your breast cancer risk.?Healthy lifestyle choices may help lower your risk of different types of cancer, including breast cancer. Living a healthy lifestyle does not have to be difficult, time-consuming or expensive. Small changes DO help. Maintaining a healthy weight, especially during and after menopause, may help to reduce your risk of breast cancer. Exercise helps maintain your weight; it can develop lean muscle, which burns calories. Being physically active can reduce the risk of breast cancer both before and after menopause.The American Cancer Society recommends 150 minutes (2.5 hours) of physical activity a week to lower overall cancer risk. This does not have to be a strenuous exercise routine in order to get some risk reduction benefit. Activity equal to walking 30 minutes a day may lower risk by about 3%.Look for ways in your everyday life to get more physical activity. Park further away. Substitute one 30-minute sitcom each night for a walk in the neighborhood with your pet. Use your breaks at work to take a walk with co-workers. Do something you enjoy doing! Exercise does not have to be a chore - you can make it fun! Eat a healthy diet.Limit red meat, sugary foods and fried / processed foods. When checking an Ingredients Label, remember: if you can’t pronounce it, think twice about eating it.Limit sweet drinks, including sodas, sports drinks and sweetened teas. Try to drink more unsweetened tea and plain water or seltzer water with fresh fruit cubes. Fill half of your plate with fruits and vegetables, one-quarter with lean protein, and one-quarter with whole grains (see Portion Plate handout link, above.)When using oil, opt for trans-fat-free oils (palm, almond, and olive) instead of lard or shortening. Eat more fish, poultry or beans as an alternative to red meat. If you eat red meat, go for leaner cuts and smaller portions.Stay away from tobacco products, and cut back on alcohol. Having one or more alcoholic drinks per day is shown to increase both premenopausal and postmenopausal breast cancer. One drink is defined as 5 ounces of wine, 12 ounces of beer, or 1.5 ounces of 80-proof liquor. WEBSITE RESOURCES, per susan g. komen foundationRisk Factors and Risk Reduction?– General ?Search for clinical trials on risk reduction for healthy women and women at high risk of breast cancer.?Centers for Disease Control and Prevention (CDC)?Find information on risk factors for breast cancer.?Calculate your body mass index (BMI).?healthyweight/assessing/bmi/index.html????Department of Agriculture – ?Offers free, online tools to help plan and track weight and exercise goals for healthy living, including?Supertracker.???Food and Drug Administration (FDA)?Find information on product safety (in terms of breast cancer risk) and information on drugs used to lower the risk of breast cancer.?International Agency for Research on Cancer (IARC)Find information on risk factors for breast cancer.? Academies of Sciences, Engineering, and Medicine?– Breast Cancer and the Environment, a Life Course Approach?Find a report sponsored by Komen on the role of the environment in breast cancer.???National Cancer Institute - Breast Cancer Risk Assessment ToolFind information on breast cancer risk and the Breast Cancer Risk Assessment Tool.bcrisktool/National Library of Medicine - Pubmed?Search for summaries of scientific journal articles.???National Toxicology Program?Find information on risk factors for breast cancer.?ntp.niehs.Office of the Surgeon General – My Family Health Portrait??Create a chart of your family's health history for discussions with your health care provider. for People at Higher Risk of Breast CancerAmerican Cancer Society?Find guidelines for breast cancer screening for people at higher risk of breast cancer due to family history or inherited gene mutations.?American Society for Clinical Oncology (ASCO)?Find information on risk-lowering options for people at higher risk of breast cancer.????Search for clinical trials recruiting people with?BRCA1/2?or other gene mutations.?Bright Pink?Offers online social support for people considering?BRCA1/2?genetic testing.?Cancer Resource Foundation?Provides financial assistance for?BRCA1/2?genetic testing for people who qualify.?genetic-testing-programsDepartment of Health and Human Services – Affordable Care Act?Find information on health coverage for genetic testing and counseling under the Affordable Care Act.?healthcare/facts/bystate/statebystate.htmlFacing Our Risk of Cancer Empowered (FORCE)?Find information and online social support for people at higher risk of breast cancer due to family history or inherited gene mutations.???Myriad Financial Assistance Program?Provides financial assistance for?BRCA1/2?genetic testing for people who qualify.?myriad-cares-2/financial-assistance-program/National Cancer Institute - Genetics of Breast and Ovarian Cancer?Find information on genetic testing and genetic risk factors for breast cancer.?cancerinfo/pdq/genetics/breast-and-ovarianNational Cancer Institute - Genetic Testing?Find information on genetic testing.?cancertopics/factsheet/Risk/BRCANational Comprehensive Cancer Network (NCCN)?Find information on risk-lowering options and breast cancer screening guidelines for people at higher risk of breast cancer.?National Institutes of Health?Search for clinical trials recruiting people with?BRCA1,?BRCA2?or other gene mutations.?National Society of Genetic Counselors?Find a genetic counselor or information on genetic counseling.???Office of the Surgeon General – My Family Health Portrait?Create a chart of your family's health history for discussions with your health care provider.? information and online social support for people at higher risk of breast cancer due to family history or inherited gene mutations. Detection and Screening?– General informationAmerican Cancer Society?Find guidelines for breast cancer early detection and screening.??? – Early Detection and Screening?Search for clinical trials on breast cancer early detection and screening.?Food and Drug Administration (FDA)?Find a list of FDA-approved mammography centers.???Food and Drug Administration (FDA) - Mammography Facility Adverse Event Report?Check for reports of poor quality for mammography centers and any corrective actions.?Radiation-EmittingProducts/MammographyQualityStandardsActandProgramNational Cancer Institute?Find information on breast cancer screening and the Breast Cancer Risk Assessment Tool.???National Comprehensive Cancer Network (NCCN)?Find guidelines for breast cancer early detection and screening.???U.S. Preventive Services Task Force?Find recommendations for breast cancer early detection and screening.?Early Detection and Screening?–?Breast cancer screening servicesAmerican Association on Health and DisabilityWorks to improve access to mammography screening for women with disabilities.?aahd.us/National Breast and Cervical Cancer Early Detection ProgramFind information on free?and low-cost mammograms.cancer/nbccedp/Planned Parenthood?Provides clinical breast exams and referrals for mammography.?YWCA?Some local chapters provide breast cancer education and screening to women without access to health services.???Diagnosis?American Society of Clinical Oncology (ASCO)?Find clinical guidelines and information on diagnosis.???College of American Pathologists?Find information on the contents of a pathology report.?Inflammatory Breast Cancer Research Foundation?Find information on inflammatory breast cancer diagnosis and care.???National Cancer Institute??Find information on different types of breast cancers as well as other types of cancer that can occur in the breast.???National Cancer Institute - Surveillance, Epidemiology and End Results (SEER) Program?Find statistics on breast cancer in the U.S.?seer.statistics/National Comprehensive Cancer Network (NCCN)Find physician guidelines on breast cancer diagnosis. (Treatment guidelines for patients?are also available.)Society of Nuclear Medicine?Find information on positron emission tomography (PET) scans and other types of nuclear medicine imaging of the breast (molecular breast imaging).??Triple Negative Breast Cancer Foundation?Find information on?triple negative breast cancer.????Survivorship Topics?– General health and other informationAmerican Association of Sexuality Educators, Counselors and TherapistsFind a specialist trained in sexual health problems for people with cancer.??American Society of Clinical Oncology (ASCO)?Find guidelines and information on medical care after treatment for breast cancer.???Cancer and Careers?Find tips on going back to work after breast cancer treatment.?Centers for Disease Control and Prevention (CDC)?Find information on the seasonal flu shot and other topics for breast cancer survivors.?cancer/flu/??Department of Agriculture – ?Offers free, online tools to help plan and track weight and exercise goals for healthy living, including?Supertracker.???Food and Drug Administration (FDA)?Find information on hormone therapies to treat menopausal symptoms.?ForConsumers/ByAudience/ForWomen/ucm118624.htm??International Society for the Study of Women’s Sexual Health?Find a specialist trained in sexual health problems for people with cancer.???My Journey Forward?Helps you make a plan for care after breast cancer treatment.?planning-tools/my-care-plan?National Cancer Institute – Office of Cancer Survivorship?Find resources and information on medical care and other issues after treatment for breast cancer.?cancercontrol.ocs/National Comprehensive Cancer Network (NCCN)?Find guidelines on medical care after treatment for breast cancer.?National Heart, Lung, and Blood InstituteFind information on weight control and physical activity.nhlbi.National Coalition for Cancer Survivorship (NCCS)?Find the “Cancer Survival Toolbox,” a program that helps people with cancer navigate diagnosis, treatment and other care.?toolbox/Survivorship Topics – Social support4th Angel - Patient and Caregiver Mentoring Program?Offers telephone?support programs?for women living with breast cancer and their caregivers.?Advanced Breast Cancer CommunityOffers online support groups for?women with metastatic (stage IV, advanced) breast cancer as well as information on metastatic breast cancer.American Cancer Society -?Cancer Survivors NetworkOnline community for?women and men living with breast cancer and their co-survivors. Cancer Society - Reach to RecoveryOffers support programs (in-person and telephone) for?women and men?living with cancer.American Cancer Society - I Can CopeOffers support programs (in-person, online and telephone) for women and men living with cancer and their co-survivors.Association of Cancer Online Resources?Find an online support group.? – Clinical Trials on Quality of Life IssuesSearch for clinical trials on quality of life issues related to breast cancer.????Camp Kesem?Offers summer camps for children with parents who have or have had cancer.?Cancer and Careers?Find information for working women with cancer.?Cancer Support Community (formerly Gilda’s Club Worldwide and The Wellness Community)?Offers support programs (in-person, online and telephone) for women and men living with cancer and their co-survivors.????CancerCareFind an online support group.?CancerConnect?Find an online support group (for patients, survivors, caregivers and co-survivors).?CaringBridgeOffers?personal, protected sites with multiple privacy settings where people can stay connected during any type of health event. An online planner can help family and friends coordinate care and helpful tasks.Facing Our Risk of Cancer Empowered (FORCE)?Offers online support for women at higher risk of breast cancer due to family history or inherited gene mutations.?Imerman Angels?Offers online support programs for women and men living with cancer and their caregivers.???Living Beyond Breast Cancer?Find information on breast cancer support and care.???Mautner Project of Whitman-Walker Health?Offers support programs (online and telephone) for lesbian, bisexual and transgender individuals living with cancer, and their partners.?mautnerprojectMen Against Breast Cancer?Offers online support?programs for?men who are caregivers of women with breast cancer.????My Cancer CircleOffers an online tool for co-survivors to coordinate support activities (such as preparing meals and giving rides to treatment).National Coalition for Cancer Survivorship (NCCS)Find the publication "Teamwork: The Cancer Patient's Guide to Talking with Your Doctor."National Hospice and Palliative Care OrganizationFind local hospice care.Pink-LinkOffers online support groups.pink-Sharsheret?Find information and online social support for people at higher risk of breast cancer due to family history or inherited gene mutations.???Well Spouse FoundationProvides?support programs (in-person, online and telephone)?to spouses and partners.Young Survival Coalition?Provides support programs (online and telephone) for young breast cancer survivors and a resource kit for young women newly diagnosed with breast cancer.???Find a resource kit for young women living with metastatic breast cancer.?metastatic-navigator ................
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