1. Topic-
Develop informative handout to assist women who have had breast cancer to self identify the need for interventions for quality of life improvements.
2. Content-
Quality of life, breast cancer, women, lymphedema, swelling, range of motion, pain, fatigue, depression, stiffness, weight gain
3. Goals: Aims/Outcomes-
1.The trifold will demonstrate 100% compliance in utilizing non clinical or scientific words or explanations. (Cognitive)
2. 100 percent of the information will be reformatted in to a bookmark design with information described in bullet points and illustrations/diagrams. (Psychomotor)
3. The trifold will demonstrate 100% compliance in utilizing words under three syllables and short sentences. (Affective)
4. Objectives-
1. The trifold will define the information needed with language common to the general population at or below the 6th grade reading level.
2. The trifold design will reflect a bullet point organization and illustrations/diagrams rather than paragraph organization.
3. The trifold will modify language that is appropriate for the targeted patient population to comprehend, generally below the 6th grade reading level.
5. Materials and Aids-
Computer with "publisher" program, colored ink, printing paper, Flesch-Kincaid Grade Level assessment tool on computer
6. Procedures/Methods-

A. Introduction-

1.Most women are unaware of the side effects from breast cancer treatment.
2. Most women are unaware that physical therapy interventions may improve their quality of life.
3. Most women are not informed as to where to seek treatment.

B. Development-

1. There is a lack of information in the general public regarding the complications resulting from breast cancer treatment.
2. TurningPoint Women's Healthcare offers treatment and programs to assist with recovery from breast cancer.
3. A trifold handout is available for initiating patient awareness and education.

C. Practice-

1. The therapist will explain the bullet points of information in the trifold to a single person in the target audience.
2. The therapist and the single person will discuss the bullet points in the trifold.
3. The single person will paraphrase the bullet points to the therapist.

D. Independent Practice-

1. The single person will determine if she is in need of therapy interventions.
2. The single person will assess if she knows of one other person who may be in need of the interventions.

E. Accommodations (Differentiated Instruction)-

1. The therapist will read the bullet points to the patient is the reading level too low to comprehend.
2. The trifold will be translated into Spanish.
3. The trifold will be printed in larger font (16 or 18) to accommodate visual impairments.

F. Checking for understanding-

1.Prior to leaving the session, the single person will be able to recite 3 bullet points.
2. The patient will respond with 80% accuracy to a simple survey created by the therapist regarding the information in the trifold.
3. The single person may be able to identify several friends that are in need of the service.

G. Closure-

1. The therapist will reinforce the need for women to seek additional assistance during and after breast cancer treatment.
2. The therapist will identify the physical therapy clinics that offer this specialized care.
7. Evaluation-
1. The single person gives 80% return response to information discussed.
2. The single person makes an appointment for an assessment or recommends a friend make an appointment for an assessment.
8. Teacher Reflection-
Time limits need to be in place to stay within the constraints of an appointment hour. Follow up appointment should be offered and available. More diagrams and illustrations need to be added to the trifold.

This Lesson Plan is available at (www.teacherjet.com)