Breast examination wellness program


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  • During the standing portion of the exam, the lymph nodes in each armpit and surrounding areas under the arm should be carefully examined. Lymph nodes are normally about the size of kidney beans. Sometimes the lymph nodes may be enlarged by a non-cancerous infection. Occasionally, lymph node enlargement may be caused by a cancerous process. As with any breast or nipple changes, women should report any lymph node changes or enlargement to their doctor and nurse.
  • Breast examination wellness program

    1. 1. “KNOWING YOUR BREASTS MEANS NO BREAST CANCER” WELLNESS PROGRAM Nursing Staff Hospital M Learning Center Presenter: Mahalia Alexander Date: 23/12/2013
    2. 2. Learning Objectives • Define wellness • Be able to organize and conduct a Breast Health Awareness Program within your own setting • Promote breast cancer awareness to staff nurses at Hospital M • Discuss the anatomy and function of the breasts. • Identify significance for breast examination • Demonstrate techniques for breasts examinations.
    3. 3. Purpose of the wellness program • Increase the number of nurses who follow recommended guidelines for early detection • Reduce the number of nurses diagnosed with late stage breast cancer • Increase the number of nurses surviving breast cancer diagnosis
    4. 4. Wellness program delivery • Use visual aids and hand-outs • Attend to logistics—room setup, quiet environment, no distractions, privacy • Provide a list of resources for women to get more information about breast health and breast cancer • Provide resources for getting help with a breast health question or problem
    5. 5. Definition of Wellness • Wellness defined by Hatfield (2008) as, “the conscious and deliberate process by which people are actively involved in enhancing their well-being: intellectual, physical, social, emotional, occupational and spiritual” (Freund, 2000).
    6. 6. Implications for Wellness Program • The effectiveness of a Wellness Programme is to ensure that employees maximize workplace performance by being in a stable state of emotional, physical and mental health • The wellness program seeks to promote the health of nurses through health promotion and health education programs of monthly breast examination. In keeping with the current worldwide trend, the emphasis on health is on preventive measures and promotion of primary health care.
    7. 7. Female Breast Anatomy
    8. 8. Breast anatomy and Functions 11 Lobules Lobules Ducts Ducts Nipple Nipple Milk 3 Lymph Nodes Bacteria Lymph Vessels 2 Blood Vessels Waste produc ts ent urishm No Cell life 8
    9. 9. What is Breast Cancer? • Breast cancer is the most common type of cancer among women in Trinidad and Tobago • When diagnosed early, the chance of survival is greater. When the cancer is confined to the breast, the 5-year survival rate in highest among women • Although more common among women over 40, younger women also can develop the disease. • All women are at risk for breast cancer.
    10. 10. Breast Cancer Con’t • Worldwide, breast cancer is the leading cause of cancer deaths for women aged 15 to 64. • Worldwide, one person is diagnosed with breast cancer every 30 seconds. • Worldwide, one person dies of breast cancer every 90 seconds.
    11. 11. Breast Cancer • The light circles represent normal breast cells, while the dark- shaded circles represent cancerous breast cells. As the cancerous cells grow and multiply, they develop into a malignant tumour within the breast.
    12. 12. EARLY DETECTION 1. Clinical Breast Examination 2. Mammogram 3. Monthly Breast Self Examination (BSE)
    13. 13. Factors that may increase your risk of breast cancer • Getting older — the older you get, the greater your risk of • • • • • • breast cancer Having an inherited mutation in the BRCA1 or BRCA2 breast cancer genes Having a previous biopsy showing hyperplasia or carcinoma in situ Family history of breast cancer Having high breast density on a mammogram Being exposed to large amounts of radiation, such as having very frequent spine X-rays during scoliosis treatment or treatment for Hodgkin’s disease at a young age Personal history of breast or ovarian cancer
    14. 14. Factors that may increase your risk of breast cancer • Starting menopause after age 55 • Never having children • Having your first child after age 35 • High bone density • Being overweight after menopause or gaining weight as an • • • • adult Having more than one drink of alcohol per day Currently or recently using combined estrogen and progesterone hormone replacement therapy (HRT) Being younger than 12 at the time of your first period Current or recent use of birth control pills
    15. 15. Signs and symptoms of Breast Cancer • Lump, hard knot or thickening • Swelling, warmth, redness or darkening • Change in the size or shape of nipple or breast • Dimpling or puckering of the skin • Itchy, scaly sore or rash on the nipple • Pulling in of your nipple or other parts • Nipple discharge that starts suddenly • New pain in one spot that does not go away • Pain or tenderness not associated with menstrual cycle
    16. 16. BREAST EXAMINATION Once every month starting at the age of 20 Frequency of CBE 20 – 39 yrs- Every 3 years 40 yrs -Every Year
    17. 17. Breast Examination • Indirect evidence supports the effectiveness of CBE, especially when women are screened with both CBE and mammography (Andaz 2003) • The proper technique includes • Positioning • Thoroughness of the search • Vertical-strip search pattern • Proper position and movement of the fingers • CBE duration of at least 3 minutes per breast
    20. 20. FEELING
    21. 21. FEElINg • ExamINE EaCh bREaST SEPaRaTEly • uSE PadS OF FINgERS NOT ThE TIPS • ExamINE ThE aRmPITS
    22. 22. Patterns
    23. 23. Breast self-examination con’t • A careful exam of an average-sized breast takes 3 minutes • A well-conducted CBE can detect 50% of asymptomatic cancers and may contribute to reduction of mortality rate (Roybal 2003)
    24. 24. Conclusion • Research has shown that monthly breast examination when performed properly has benefits to women worldwide (Freund, 2000). Breast cancer education, early detection and treatment can prevent cancer and /or debilitating complications (Freund, 2000).
    25. 25. References • Employee Wellness Programs. (2007). Retrieved December 21, 2011, from • Freund, K. M. (2000). Rationale and Technique of Clinical Breast Examination: Management of the Patient With Lumpy Breasts. Medscape General Medicine. • Orem, D. (2011, January 4). Dorothea Orem's Self-Care Theory. Retrieved August 30, 2011, from Nursing Theories: Http?? html • Sullivan, S. (2000). Wellness Programs. Retrieved December 21, 2011, from