HEALTH TALKS ON BREAST SELF EXAMINATION:

Name : Miss Ravina Patel

Subject : Midwifery and obstetric nursing
Topic : A health talks on breast self examination.
Group of participants : women who are above 20 year age.
Date : 15/04/2019
Time : 10:00 AM
Venue : OPD
Method of teaching : lecture cum discussion.
Av aids : flash card and chart

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  GENERAL OBJECTIVES:

After attending health talk on breast self examination participants are

able to know about the meaning of breast self examination, steps, methods
and it’s important. They can also know about the how to performed breast
self examination.

 SPECIFIC OBJECTIVES:

After completion of the health talk the participants will be able to know:
 Introduction to the topic.
 Define breast self examination
 Steps of breast self examination
 Importance of breast self examination

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SR TIME SPECIFIC CONTENT TEACHING AV. AIDS EVALUATION
NO OBJECTIVE ACTIVITY
.
1 2 Introduction  The best time to practice BSE is a few Lecture cum Flash card What is the
minute of the breast days after menstrual period or the discussion meaning of
self day begin hormone replacement breast self
examination therapy each month. At that time examination?
breast will be less tender and swollen.
 post menopausal woman should
choose the most convenient or easily
remembered time, such as the first or
last day of the month.
 Choose a day each month that will be
easy to remember and make breast
self examination a regular part of
good health routine.
 Breast self examination is also
important in woman with breast
implants.

2 1 Definition of Definition: Lecture cum Flash card Define the

minute breast self Breast self examination is a screening discussion breast self

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 examination method used in an attempt to detect examination.
early breast cancer. The method
involves the woman herself looking at
and feeling each breast for possible
lumps, distortions or swelling.

3 2 Steps of breast Step 1: Lecture cum Which are the

minute self  Stand before a mirror and look at discussion steps of breast
examination both breasts. self

 Check for anything unusual, such as examination?

nipple retraction, redness, puckering,

dimpling or scaling of the skin.
 Look for nipple discharge. Some
discharge can be normal, due to
hormones or medications. However
all discharge should be reported to
doctor.
 Note the color of the discharge,
whether it came from both breasts
whether it come from one or more
openings.

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2 Step 2: Lecture cum
minute  Next, press hands firmly on hips and discussion

lean slightly toward mirror as pull

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.

2 Step 3: Lecture cum

minute  Looking in the mirror, raise arms and discussion

rest hands behind head.

 This allows to see the underside of
breasts.

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2 Step 4: Lecture cum
minute  Place left hand on waist, roll shoulder discussion

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.

2 Step 5: Lecture cum

minute  Raise left arm. Use the pads of three discussion

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 or (3)

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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 and smaller circles toward
the nipple. Be sure to cover the
entire breast and check behind

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 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-
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 the armpit
itself. Feel for any unusual lump,
mass or thickening under the skin.
Repeat on the right side.

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 2 Step 6: Lecture cum Flash card
minute  Lie flat on back, left arm over head and a discussion
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.

4. 2 Importance of  To early detection of breast cancer. Lecture cum Flash card Which are the

minute breast self  To reduce incidence of breast cancer. discussion importance of

examination  To maintain body posture. breast self
examination?

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 SUMMARY:

Breast self examination is a screening method used in an attempt to detect early

breast cancer. The method involves the woman herself looking at and feeling each
breast for possible lumps, distortions or swelling. The best time to practice BSE 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.

BIBLIOGRAPHY:
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1. Annamma Jocob. A Comprehensive Textbook Of Midwifery And Gynecological
Nursing: Breast Self Examination. Fourth Edition. New Delhi: Jaypee Brother
Medical Publisher (P) Ltd; 2015. Pp (156-157)
2. BT Basavanthappa. Essential Of Midwifery And Obstetrical Nursing: Breast Self
Examination. First Edition. New Delhi: Jaypee Brothers Medical Publisher (P) Ltd;
2011. Pp (206-207)
3. D.C. Dutta’s. Text Book Of Obstetrics: Breast Self Examination. Seventh Edition. New
Delhi: New Central Book Agency (P) Ltd; 2010. Pp (153-154)
4. Dr. Shally Magon. Sanju Sira. Textbook Of Midwifery And Obstetrical Nursing: Breast
Self Examination. Third Edition. New Delhi: Lotus Publisher; 2013. Pp (333)
5. Myles. Text Book For Midwives: Breast Self Examination. Fifth Edition. UK: Churchill
Livingstone Elsevier; 1964. Pp (176-177)
6. Nima Baskar. Midwifery And Obstetrical Nursing: Breast Self Examination. Seventh
Edition. Bangalore: EMMESS Medical Publisher; 2015. Pp (252-254)

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