BSE PROCEDURE (GYNEC) (GNM-3) (VARSHA).pptx

BREAST SELF EXAMINATION
GYNECOLOGY
PROCEDURE
GNM
B.SC NURSING
BREAST CANCER EXAMINATION

1. Breast self examination PRESENTED BY: MS. VARSHA CHUDASMA
B.SC. NURSING
NURSING TUTOR

2. BSE By regularly examining her own breast, a woman is likely to notice any changes that occur. The best time for breast self examination (BSE) is about a week after periods, when the breasts are not tender or swollen. If the periods are not regular, BSE is best done on the same day every month. It may be done either in standing position, in front of a mirror or in lying down (supine) position.

3. Standing infront of mirror

4. Examination in standing and supine positions Step 1

1. Stand in front of the mirror. Check both breasts for anything unusual. Check for any change in contour of your breasts. Check the upper and outer part of your breast (toward the armpit); this is where half of all breast cancers are found.

2. Gently squeeze the nipple to check for discharge. Check for puckering (small folds), dimpling or scaling of the skin.

5. Step 2 1. Clasp (grasp something tightly) your hands behind your head and press your hands forward.

2. Note any change in the contour of breasts.

6. Step 3 1. Press your hands firmly on your hips and bow slightly toward the mirror as you pull your shoulders and elbows forward.

2. Note any change in contour of breasts in this position.

7. Step 4 1. Raise your left arm behind your head.
2. Use three or more fingers of your right hand to feel your left breast firmly.
3. Beginning at the outer edge, press the flat part of your fingers in small circles, moving the circles slowly around the breast.
4. Gradually work toward the nipple and examine the nipple.
5. Be sure to cover the whole breast. 6. Pay special attention between the breasts and underarm including the underarm itself. 7. Feel for any unusual lumps or masses under the skin.
8. Repeat the examination on the right breast.

8. Step 5 1. Lie flat on your back with your left arm over your head and a pillow or folded towel under your left shoulder. This position flattens the breast and makes it easier to check.

9. 2. Use the same circular motion described above, i.e. From periphery towards nipple. The entire surface of the breast is palpated from the outer edge of the breast to the nipple. Alternative palpation patterns are circular or clockwise, wedge and vertical strip

10. 3. Repeat the same on right breast.