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To 1 INTRODUCTION: Narra Write Students
introduce min In females on of the leading cause of death with cancer is tion the were able to
self & the breast cancer. Early detection is the key to cure. A topic identify the
objective major responsibility for the nurses is to teach clients on topic
s health behavior such as breast self examination. Studies the
suggest that a minority of women actually perform BSE. board

To 5Anatomy & physiology overview- Lectu Trans Write What is the

overview min
In males & females breast are same until puberty, when re paren the anatomy &
about estrogen & other hormones initiate breast development cy key physiology
anatomy in females. word
& The development usually occurs at about age 10yrs & s on
physiolog continues until age 16 yrs (may vary 9-18 yrs) the
y of Stages of breast development called as “TANNER board
breast STAGES” 1-5-
Stage 1-prepubertal breast
Stage 2- breast budding
Stage 3- enlargement of breast tissue & areola
Stage 4- formation of secondary mound from nipple &
areola on top of breast tissue
Stage 5- continued development of breast with a single
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contour Lectu Trans Write
The breast contains glandular & ductal tissue along with re paren the
fibrous tissue that binds the lobes together & fatty tissue cum cy key
in & between the lobes. discu word
These paired mammary glands are located between the ssion s on
second & the
Sixth ribs over the pectoralis major muscle from the board
sternum to the midaxillary line.
An area of breast tissue, called the tail of Spence,
extends into axillae. Coopers ligament which are fascial
bands, support the breast on the chest wall.
Each breast consists of 12-20 cone shaped lobes that are
made up of lobules containing clusters of acini, small
structures ending in a duct. All of the ducts in each
lobule empty into an ampulla, which then opens onto the
nipple after narrowing.
To list Guidelines for the early detection of breast cancer- Lectu Trans Tell me the
down the 1  BSE should be performed monthly by women re paren guidelines
guideline min 20 years of age & older cum cy for detection
s for  An examination by health care provider should discu of breast c
detection be performed every 3 years from ages 20 to 40, ssion
of breast & yearly for women over age 40
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 Women with a family history of breast cancer
should have a yearly examination by health
care professional
 Asymptomatic women should have a screening
mammography by age 40; women age 40 &
over should have a mammogram annually
For women with a history of breast cancer, a yearly
examination is recommended
To 1 lectur trans Write To recall the
understan min When to perform the BSE- e paren the period for
d the cy key performance
exact  The best time to perform BSE is 2-3 days after word of BSE
timings menstrual period ends s on
for  If women has achieved menopause, she should the
performa check her breast the same time each month board
nce of  A pregnant women can also check her breast
BSE
To 3 Nursing history for breast assessment- Lectu F Write Tell about the
describe min  Assess risk factors- determine if women are over re L the factors to be
various age 40; has a personal or family history of breast cum A key included in
factors in cancer, early onset menarche (before age 12), or discu S word collection of
collection late-age menopause (after age 50): has never had ssion H s on history
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of history  Children or gave birth to first child after age 30: or Lectu C Write Tell about the
has not breast fed. re A the factors to be
 Assess potential signs & symptoms- Ask if client cum R key included in
has noticed lump, thickening, pain or tenderness of discu D word collection of
breast: discharge, distortion, retraction or scaling ssion S s on history
of nipple; or change in size of breast. the
 Assess for intake of medications- Determine if board
client is taking oral contraceptives, digitalis,
diuretics, steroids, or estrogen hormones.
 Assess the dietary pattern- determine clients
caffeine intake & intake of foods high in fat
 Assess the knowledge about performing BSE-
when, how?
To 5 Techniques- lectur trans Write Recollect the
enumerat min  Inspection e paren the techniques
e the  Palpation cy key used in BSE
technique Inspect & palpate- contour, symmetry, color, size, word
s for BSE shape, inflammation, scars, masses, venous s on
pattern, Pain, dimpling swelling the
 Nipples-color, discharge, ulceration, bleeding, board
inversion, pain
Axillae- nodes, enlargement, tenderness, rash, inflamma
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Palpation is performed systematically in one of three

ways-
 Clockwise or counterclockwise, forming small
circles with the fingers along each quadrant & the
tail.
 A back-&-forth technique with the fingers moving
up & down each quadrant
Palpating from the centre of the breast in a radial
fashion, returning to the areola to begin each spoke

To 5 discu trans Tell the

discuss min Nurses Role- ssion paren nurses role in
the Preparation of self- cy brief
nurses  She should be knowledgeable about the procedure.
role in  Should collect the relevant history
BSE  Wash hands & warm before the procedure
 All the articles should be within hand
Preparation of client-
 Inform the procedure & ask for any queries
 Provide privacy to the patient

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Preparation of articles-
Enamel tray containing-
A pair of Gloves
Drape
Gauze pieces

To 8 Procedure- demo Redemonstra

demonstrmin 1. Make the client stand & inspect both breasts for nstrat te the
ate the anything unusual, such as any discharge from the ion procedure
procedur nipples, puckering, dimpling or scaling of the skin.
e of BSE The next two steps are designed to emphasize any
change to emphasize any change in the shape or
contour of your breasts. As you do them, you
should be able to feel your chest muscles tighten.
2. Watching closely, clasp hands behind your head &
press hands forward.
3. Next, press hands firmly on hips & bow slightly as
you pull your shoulders & elbows forward.
while facing the client & standing on the side being
examined, the nurse supports the clients arm in a slightly
flexed position & abducts the arm away from the chest
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wall
4. nurse places the free hand against the clients chest
wall & high in the axillary hollow
5. Raise your left arm. Use three or four fingers of
your right thoroughly. Beginning at the outer edge,
press the flat part of your fingers in small circles,
moving the circles slowly around breast.
Gradually work towards the nipple. Be sure to
cover the entire breast. Pay special attention to the
area between the breast & the armpit, including
the armpit itself. Feel for any unusual lump or
mass under the skin.
6. Gently squeeze the nipple & look for a discharge.
Repeat the exam on your right breast
7. Steps 4 & 5 should be repeated lying down. Lie
flat on your back, left arm over your head & a
pillow or folded towel under your left shoulder.
This position flattens the breast & makes it easier
to examine. Use the same circular motion
described earlier. Repeat on the next breast

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To Summarization & conclusion-
summariz
e& ASSIGNMENT: Redemonstration
conclude
the topic

Bibliography-
1. Potter & Perry, “Fundamentals of nursing” 6ht edition, Mosby publications New Delhi, PP 734-741
2. Brunner & suddarth’s, “Textbook of Medical Surgical Nursing” 10th edition, Lippincott Williams & Wilkins.
Philadelphia, PP 1445-1452