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Self breast examination involves a woman looking at and feeling her own breasts to check for any lumps, distortions, or swelling that could indicate breast cancer. The exam should be performed monthly, two to three days after a woman's period, and involves visually inspecting and palpating the breasts while lying down and in different arm positions. Finding any abnormalities early through regular self exams can lead to greater chances of successful treatment.

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171 views3 pages

SBE Wardclass Output

Self breast examination involves a woman looking at and feeling her own breasts to check for any lumps, distortions, or swelling that could indicate breast cancer. The exam should be performed monthly, two to three days after a woman's period, and involves visually inspecting and palpating the breasts while lying down and in different arm positions. Finding any abnormalities early through regular self exams can lead to greater chances of successful treatment.

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rtishaii18
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© Attribution Non-Commercial (BY-NC)
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SELF BREAST EXAMINATION Definition Self Breast Exam or better known as the Breast self-examination (BSE) is a method of finding

abnormalities of the breast, for early detection of breast cancer. The method involves the woman herself looking at and feeling each breast for possible lumps, distortions or swelling. Purpose 1. To detect early changes in their breast 2. To detect lumps or any abnormalities in the breast 3. For early detection in disease resulting in a greater chance of cure and less complex treatment Principle 1. Complete the breast self-examination approximately two to three days after a menstrual cycle 2. The self-exam is performed by standing in front of a mirror with the torso exposed to view. 3. For non-lactating women, nipples are gently squeezed to check for any discharge 4. To be effective during palpation, the entire breast should be covered, including the tail of Spence (axillay tail) of each breast that extends toward the axilla (armpit). 5. For premenopausal women, BSE is best done at the same stage of their period every month 6. Older, menopausal women should do BSE once a month, perhaps on the first or last day of every month.

The 7 Ps of Breast Self Examination (BSE) 1. Position: Inspect breasts visually and palpate in the mirror with arms at various positions. Then perform the examination lying down, first with a pillow under one shoulder, then with a pillow under the other shoulder, and finally lying flat. 2. Perimeter: Examine the entire breast, including the nipple, the axillary tail that extends into the armpit, and nearby lymph nodes. 3. Palpation: Palpate with the pads of the fingers, without lifting the fingers as they move across the breast. 4. Pressure: First palpate with light pressure, then palpate with moderate pressure, and finally palpate with firm pressure. 5. Pattern: There are several examination patterns, and each woman should use the one which is most comfortable for her. The vertical strip pattern involves moving the fingers up and down over the breast. The pie-wedge pattern starts at the nipple and moves outward. The circular pattern involves moving the fingers in concentric circles from the nipple outward. Dont forget to palpate into the axilla. 6. Practice: Practice the breast self-exam and become familiar with the feel of the breast tissue, so you can recognize changes. A health care practitioner can provide feedback on your method. 7. Plan: Know what to do if you suspect a change in your breast tissue. Know your family history of breast cancer. Have mammography done as often as your health care provider recommends.

Reference: Kozier, Barbara, et.al Fundamentals of Nursing. Philippines: Pearson Education South Asia PTE LTDF. 2004. pp.986-987 How to Perform a Self-Breast Examination Nursing Crib. 13 September 2009. 22 June 2011. <http://nursingcrib.com/nursing-notes-reviewer/how-to-perform-a-self-breastexamination/> The Best Time to Do a Self Breast Exam eHow.com. 25 November 2010. 22 June 2011. < http://www.ehow.com/facts_7398274_time-do-self-breast-exam.html>

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