GOVERNMENT COLLEGE OF NURSING JODHPUR

Health talk
On
Breast Self Examination

Submitted to: Submitted by:

Mrs. Jyoti bala Jangid Priyanka Gehlot
Nursing Lecturer M.Sc. Nursing Final Year
s

INRODUCTION
 Student Teacher Name - Priyanka Gehlot

 Subject - Obstetric And Gynaecological Nursing- II

 Topic - Breast Self Examination

 Group -

 Venue -

 Date And Time -

 Duration - 30 Minute

 Method Of Teaching - Lecture Cum Discussion

 A.V. Aids - Flash card

 Name Of Supervisor - Mrs. Jyoti Bala Jangid

 Previous Knowledge Of The Group-Some Of The Is Less Aware About breast self examination
SPECIFIC OBJECTIVE: After the completion of health education, women will be able to gain the knowledge regarding breast self
examination.

GENERAL OBJECTIVE:
At the end of the health education:

 Define breast self examination

 Illustrate indication and contraindication of breast self examination
 Enumerate the steps of breast self examination
 Discuss the importance of breast self examination
 Explain complication of breast self examination
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Self introduction:
Good morning all
of you myself
Priyanka Gehlot
from M.Sc. nursing
final year student.
Today I will
discuss about
breast self
examination.

1. 2 To introduce Introduction:
min. the topic
Breast self examination is a screening method
used in an attempt to detect early breast cancer. Student teacher
The method involves the women herself looking introduces about
at and feeling each breast for possible lumps, the topic.
distortions or swelling. Breast awareness is an
informal alternative to structured breast self
examination.
Regularly exercises her own breast allows a
women to become familiar with how her breast
normally looks and feel and help her more
readily detect any changes that may occur.
Many women naturally have some lumpiness
and asymmetry at difference between right and
left breast). The key to the breast self exam is to
learn how to find changes in the breasts that
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persist over time.

2. 2 To define Definition:
min. breast self Student teacher Lecture cum discussion What is breast
examination Breast self examination is a method used in an define the breast self examination
attempt to detect early breast cancer. The self examination
method involves the women herself looking at
and feeling each breast for possible lumps,
distortions or swelling.

3. 2 Illustrate
Indications :
min. indication and Student teacher Lecture cum discussion What are
Although evidence of benefit is sufficient to
contraindication illustrate indication indication and
recommended clinical breast self examination,
of breast self and contraindication
it is typically incorporated into annual physical
examination contraindication of of breast self
examinations. The American cancer society
breast self examination
recommends clinical breast self examination
examination
every 3 years in women aged 20-39 years.

Contraindications :
Because evidence of benefit is lacking, if a
women is excessively anxious about the breast
examination, it can be forgone.
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Steps of breast self examination:

Step 1-
Stand before a mirror and look at both breasts. Student teacher
Check for anything unusual, such as nipple enumerate the steps
4. 15 Enumerate the
retraction, redness, puckering, dimpling or of breast self List out the steps
min. steps of breast examination of breast self
scaling of the skin.
self examination
examination
Look for nipple discharge. Some discharge can
be normal, due to hormones or medications.
However all discharge should be reported to
doctor.
Note the colour of the discharge, whether it
came from both breasts whether it come from
one or more openings.

Step 2-
Next, press hands firmly on hips and lean
slightly toward mirror as full shoulders and
elbows forward with a squeezing or hugging
motion.
Look for any change in the normal shape of
breasts. Now , bend forward at the waist, hold
head up and look in the mirror.
May notice that one breast is larger than the
other and this is normal.
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Step 3-
Looking in the mirror, raise arms and rest hands
behind head.
This allows to see the underside of breasts.

Step 4-
Place left hand on waist, roll shoulder forward
and reach into underarm area and check for
enlarged lymph nodes ( small glands that fill
with fluid when have an infection).
An enlarged node would feel like a corn kernel
or a bean.
Also check the area above and below the collar
bone. Repeat on the right side.
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Step 5-
Raise left arm. Use the pads of three or four
fingers of right hand to examine left breast. Use
three levels of pressure
(Light, medium and firm) while moving in a
circular motion.
Check breast area using a set pattern. Can
choose (1) lines, (2) circles (3) wedges.
(1) Lines- beginning at the outer edge of
breast move fingers downward using a
circular motion until they are below the
breast. Then move fingers slightly
toward the middle and slowly move
back up. Go up and down until go over
the entire breast area.
(2) Circles- beginning at the outer edge of
breast use the flat part of fingers,
moving in circles slowly around the
breast. Gradually make smaller circles
toward the nipple. Be sure to cover the
entire breast and check behind the
nipple.
(3) Wedges – starting at the outer edge of
the breast, move fingers toward the
nipple and back to the edge. Check
entire breast, covering one wedge-
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shaped area at a time. Should not lift
fingers while feeling the breast to make
sure no area is missed. Whatever
method choose, ,make sure to cover the
entire area including the breastbone,
collarbone, upper chest area and bra
line. Pay special attention to the area
between the breast and armpit itself.
Feel for any unusual lump. Mass or
thickening under the skin. Repeat on the
right side.

Step 6-
Lie flat on back, left arm overhead and a
pillow or folded towel under left
shoulder. This position flattens the
breast and makes it easier to examine.
Use the same motion described in step 5.
Some women like to use body lotion,
cream or bath powder in this step.

Importance of breast self examination:

2 Student teacher What is the
5. min.  To early detection of breast discuss the importance of
cancer importance of breast self
Discuss the  To reduce incidence of breast breast self examination
importance of cancer. examination
breast self  To maintain body posture.
examination
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Complications of breast self
examination: Student teacher
6. 2 explain What is
min. complication of complication of
The harms of undergoing clinical breast
breast self breast self
examination include the risks of false
Explain examination Lecture cum discussion examination
reassurance or referral for unnecessary
complication
procedures. Women can who were
of breast self
diagnosed with breast cancer had
examination
undergone a screening clinical breast
examination with negative findings.

Lecture cum discussion

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Summary:

Breast self examination is a screening

method used in an attempt to detect
early breast cancer. The methods
involve the women herself looking at
and feeling each breast for possible
lumps, distortions or swelling. The best
time to practice breast self examination
is a few days after menstrual period or
the day begin hormone replacement
therapy each month. At that time breast
will be less tender and swollen. Choose
a day each month that will be easy to
remember and make breast self
examination a regular part of good
health routine. After completion of
health talk people will be able to know
how to do early detection of breast
cancer and how to performed breast self
examination every month.

Conclusion :
Breast self examination is important but
it should not substituted for screening
tests. Maintain a healthy weight, add
exercise into our routine.
Bibliography

o Annamma Jacob, A comprehensive textbook of midwifery and gynecological nursing ,Fourth edition. New Delhi. Jaypee Brother
medical publisher (P) Ltd; 2015, Page no. 156-157.
o BT Basavanthappa, Essential of midwifery and obstetrical nursing, First edition New Delhi. Jaypee brothers medical publisher
(P) Ltd; 2011, Page no. 206-207.
o D.C. Dutta’s, Text book of obstetrics. Seventh edition New Delhi: new central book agency (P) Ltd; 2010, Page no. 153-154.
o Myles, text book for midwives, Fifth edition. Uk: chuchill Livingstone Elsevier; 1964, Page no. 176-177.
o Nima baskar, Midwifery and obstetrical nursing, Seventh edition Bangalore: EMMESS medical publisher; 2015, Page no. 252-
254.