Read the following case study and answer the question associated. Please use references that are between 2019-2022.
R M. is a 68-year-old woman who went to her health care provider with a complaint of “feeling tightness” around a lump in her right breast. She has a history of hypertension and smoking (25 pack-year history). She has a family history of breast cancer—one sister recently underwent a lumpectomy and radiation therapy. Mother and aunt died from breast cancer when they were in their 60s. She has a history of “lumpy” breasts, but this lump feels “different”. She has a palpable mass in right breast in the upper outer quadrant. She goes to her follow-up visit and is told that the mammogram and ultrasound show a 4-cm mass. She undergoes a core needle biopsy. The results indicate that the mass is infiltrating lobular carcinoma. She undergoes a lumpectomy and axillary lymph node dissection. Six of 15 axillary lymph nodes are positive for cancer. Two weeks after surgery, she is being seen to discuss further treatment options.
What are some factors that you should assess for that may influence coping with this new diagnosis of cancer?