BREAST SELF EXA-WPS Office

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Presentation

On
Breast Self Examination
Presented by,
Senjuti Mondal
4th yr B.Sc Nursing
C.O.N.R.G.K.M.C.H
Introduction
. It has an important role in modern culture.
. Often viewed as modern sexuality, feminity and
attractiveness because it is visible for its size and
shape
. However, it is a secondary sex characteristics.
. Its physiologic function is milk secretion to feed
infants
RECOMMENDATION
1. All women age 20 years and older perform BSE a
monthly basis.
2. All women ages 29 to 39 should have clinical
examinations every 3 years preferably be part of a periodic
health examination.
3. All women ages 4o years and older have regular ( every
1 to 2 years) mammograms.
4. Asymptomatic women ages 40 and older should
continue to receive clinical breast examination preferably
be part of a periodic health examination annually
ADVANTAGES OF BSE
1. Women can use BSE to assess their breasts when
they perform BSE properly and regularly, they can't
change in their breasts and seek further evaluation.
2. Examination should be done every month and at
the end of menses in all menstruating women.
PHYSICAL ASSESSME
NT

1. By Inspection
2. By Palpation
BY INSPECTION the bre
ast should be
. Symmetrical, full,rounded, smooth in all
portions without dumping, retractions or
masses
. Faint, even vascular pattern and striae are
noted.
. Nipples everted , areola even.
. Axillae even colour, without masses or rash.
IN PALPATION the b
reast should be
. Firm and without masses, lumps, local
areas with warmth, or tenderness.
. Nipples should have no discharges.
. Axillae should be smooth and node are
non palpable
IDENTIFYING CLIENTS A
T RISK
1. Altered body structure or function due to trauma,
pregnancy, recent child birth, anatomic abnormalities of
genitalis or disease.
2. Disfiguring conditions, such as burn, skin conditions,
birth marks, scars
3. Specific medications therapy that causes sexual
problems.
4. Temporary or long term impaired physical ability to
perform grooming and maintain sexual attractiveness.
5. Lack of knowledge or misinformation about sexual
functioning and expression.
STEPS IN BREAST SEL
F EXAMINATION
1. INSPECTION BEFORE MIRROR
2.PALPATION : LYING POSITION
3. PALPATION: STANDING POSITION
INSPECTION BEFORE MIR
ROR
. Stand and face a mirror with your arms related at
your sides or arms resting on your hips; then turn to
right and left for a side view look.
. Bend forward from the waist with arms rsised
overhead.
. Stand straight with arms raised over the head and
move the arms slowly up and down at the sides ( look
for free movement of the breasts over the chest
wall).
. Press your arm firmly together at the chin level
while the elbows are raised to shoulder level.
PALPATION : LYING P
OSITION
. Place a pillow under your right shoulder and place the hand behind your
head.this position distributes breast tissues more evenly on the chest.
. Use the finger pads (tips) of three middle fingers ( hold together) on
your left hands to feel the lumps
. Press your breast tissue against the chest wall firmly enough to know
how your breast feels. A ridge of firm tissue in the lower curve of each
breast is normal.
. Use circular motion systematically all the way around the breasts as
many times as necessary until the entire breast in covered.
. Bring your arm down to your side and feel under your armpit.where
breast tissues are also located.
. Repeat the exam on your left breast using the right finger pads of your
right hand.
PALPATION: STANDING
POSITION
. Repeat the examination of both breasts
while upright withone arm behind your
head . This position makes it easier to
check the upper part of the breasts and
toward the armpit.
. Report any changes to your health care
provider.
CONCLUSION
Awareness regarding breast self
examination young generation is useful and
it is the most important viable tool for early
detection. Cancer is the leading cause of
mortality and morbidity in both developed
and developing countries.

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