A 46-year-old, 230lb woman with a family history of breast cancer. She is up to

The patient needs lifestyle modification and should come for routine check ups and follow ups.

Explanation:

As given in the context, the patient has high blood pressure or is hypertensive. She also had a typical squamous cells of some undetermined significance. She also had a history of breast cancer in the past.

So the patient need medicines for hypertension and also needs modification in her life styles. She should regularly visit the doctor for health check ups.

I would recommend :

-- regular monitor the B.P of the patient and inform her B.P. level to her.

--   teach her some self health monitoring skills

--  modify the dosage and will change the medications since the patient is suffering from hot flushes and also genitourinary symptoms. These are the effects of medicine amlodipine as well as hydrochlorothiazide that is taken for reducing her BP.

For ASCUS, I recommend :

-- pap smear to be done yearly

-- cytology to be repeatedly done

Yearly mammography is to be recommended for breast cancer history.

Also advice to exercise for thirty minutes daily and reduce the salt content to less than 2.5 g in a day.  

Explanation:

Hello,

First of all, I would be careful of what I am eating.

it is better to limit saturated fat, sugars, and sodium.

Eating fruits, vegetables is really good and we very often do not eat enough

Then, regular exercise is key like running. It improves the blood circulation. It is like the pump you use in the swimming pool to clean the water. Here the heart is a pump that you action when you are running and it cleans the blood.

There are a lot of benefits.

Of course, try to avoid alcohol, do not smoke, limit stress, and sleep enough.

Monitoring your weight is a good practice as well. Avoid obesity, check your IMC.

hope this helps