Bse(Breast Self Examination)

8/6/2019 Bse(Breast Self Examination)

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BSE(BREAST SELF

EXAMINATION)

WYKENIE B. FERNANDEZ, RN, MAN



BREAST AWARENESS AND SELF EXAM

20 Y.O-women-told-benefits/limitations of BSEknow-breast normally look/feel(changes-report)

Any changes-doest not-mean-Ca

Therefore-to be aware-how-breast look/feelnormlly-use-step by step-BSE

Women-breast transplant(seek-help ²surgeon

(identify-edges of implant/to know ²feelingSome thought-implants-push out breast tissue-make it easier-examine



Women-breastfeeding-may choose-examine-breast regularly

If you are pre-menopausal: Set a regular timeto examine your breasts a few days after yourperiod ends, when hormone levels are relativelystable and breasts are less tender. If you arealready menopausal (have not had a period fora year or more): Pick a particular day of themonth to do the exam, and then repeat your BSEon that day each month.



BREAST SELF EXAMINATION(BSE)

A self assessment of the breast byinspection and palpation which is donemonthly just after menstruation

A method of finding abnormalities of thebreastFor early detection of breast

cancer(curable stage, but not effective inpreventing death-cause harm throughneedless biopsies and surgery



Involves ²woman herself-looking at andfeeling each breast -possiblelumps,distortions,swelling



MATERIALS

MIRRORSMALL PILLOW OR FOLDED TOWEL



A CTION : P REPARATORY PHASE

Wash hands thoroughlyEstablish rapport and explain the

procedure(to gain cooperation)Screen the patient and expose onlythe necessary parts.



P ERFORMANCE PHASE

Stand before a mirror in ananatomical

.Inspect both breast for symmetry insize and shape,color and skinchangesNoting any puckering or dimpling of the skin or retraction of the nipple.



S TEP 1



Raise arms above her head and inspectthe sides and underneath portions of thebreast.

Place hands on hips and press downfirmly and bow slightly toward the mirrorwith shoulders and elbows pulled forward.

Again,inspect the shapes and contour of the breast.



Let patient lie flat on supine position. Place asmall pillow or folded towel under the shoulderon the same side of breast to be examined



Raise the arm over head.using the flat part of three fingers,palpate the breast beginning at thebreastbone or the outer edge,rotating the fingerson the chest wall around the breast.

(Use ²finger pads of the 3 middle fingers on yourleft hand-feel for lumps-right breast)

Press firmly enough and feel all parts of thebreast,paying attention to the area between thearmpit and even the armpit itself.Examine each breast for a t least 2 minutes.largebreast take longer time to be examined



Use the same routine or patient to feel every partof the breast tissueany of the three patterns can help you make sure

you have covered the entire breast, circularpattern, the vertical strip and the pie wedge

Do the same procedure on the other breast,compare what you feel in one breast with theother.



Use 3 different levels of pressure to feel all thebreast tissue.Light pressure ²to feel the tissue closest ²skin

M edium pressure ²to feel a little deeper F irm pressure-feel tissue closest ²chest/ribsNormal³to feel a firm ridge in the lower curve of each breast

(but if you feel anything ²not ordinary-report-doctor.if not sure how hard to press-talk-doctor/nurse



The 7 P·s of Breast Self Examination (BSE)Position : Inspect breasts visually and palpate inthe mirror with arms at various positions. Then

perform the examination lying down, first with apillow under one shoulder, then with a pillowunder the other shoulder, and finally lying flat.

Perimeter : Examine the entire breast, includingthe nipple, the axillary tail that extends into thearmpit, and nearby lymph nodes.



.....

Palpation : Palpate with the padsof the fingers, without lifting thefingers as they move across thebreast

Pressure : First palpate with lightpressure, then palpate withmoderate pressure, and finallypalpate with firm pressure



Pattern : There are several examinationpatterns, and each woman should use the onewhich is most comfortable for her.

The vertical strip pattern involves moving thefingers up and down over the breast.The pie-wedge pattern starts at the nipple andmoves outward.The circular pattern involves moving the fingers

in concentric circles from the nipple outward.Don·t forget to palpate into the axilla



.....................Practice : Practice the breast self-exam

and become familiar with the feel of the

breast tissue, so you can recognizechanges. A health care practitioner canprovide feedback on your method.

Plan : Know what to do if you suspect achange in your breast tissue. Know yourfamily history of breast cancer. Havemammography done as often as yourhealth care provider recommends.



For premenopausal women, BSE is best done atthe same stage of their period every month tominimize changes due to the menstrual cycle.

The recommended time is just after the end of the last period when the breasts are least likelyto be swollen and tender. Older, menopausalwomen should do BSE once a month, perhaps onthe first or last day of every month

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