recent_health_assessment_Breast_and_axillae_prof_wafaa_Hassan_2023.ppt

Prepared By Prof. Wafaa Hassan Abdullah Medical Surgical Nursing Faculty of Nursing Menoufia University 2023-2024 Learning objectives: Upon completion of the lecture , the student will be able to : 1.Identify the purposes of the physical examination related to breast....

Prepared By Prof. Wafaa Hassan Abdullah Medical Surgical Nursing Faculty of Nursing Menoufia University 2023-2024 Learning objectives: Upon completion of the lecture , the student will be able to : 1.Identify the purposes of the physical examination related to breast. To promote health, detect health problems at an early stage To assess problems related to breast 2. Demonstrate appropriate documentation and reporting of health assessment. 08/02/24 Prof. Wafaa Hassan 2  Overview 08/02/24 Prof. Wafaa Hassan 3  Axillae and Upper Extremity 08/02/24 Prof. Wafaa Hassan 4 Normal breast anatomy 08/02/24 Prof. Wafaa Hassan 5  What lies beneath Support structures of the breast 08/02/24 Prof. Wafaa Hassan 6  Lobes and ducts lobe Cooper’s ligament (fibrous tissue) 08/02/24 Prof. Wafaa Hassan 7  Assessment “ Examining the breasts” Inspection Skin Dimpling 08/02/24 Prof. Wafaa Hassan 8  N.B. Patient should be in a sitting position 08/02/24 Prof. Wafaa Hassan 9  Prof. Wafaa Hassan 08/02/24 10  Breast Palpation Prof. Wafaa Hassan 08/02/24 11 08/02/24 Prof. Wafaa Hassan 12 Palpate the areola and the nipples for masses -3.or discharge ( amount ,colour, consistency ,odor ) Normally , no tenderness , masses , nodules or. nipple discharge Teach the client the technique of breast self -4.examination.Documentation -5 Prof. Wafaa Hassan 08/02/24 13  Documenting a breast lump Circular Wedged Vertical strip 08/02/24 Prof. Wafaa Hassan 14 08/02/24 Prof. Wafaa Hassan 15 08/02/24 Prof. Wafaa Hassan 16  Male Breasts 08/02/24 Prof. Wafaa Hassan 17 08/02/24 Prof. Wafaa Hassan 18  Gynecomastia” Enlarged male breasts “ 08/02/24 Prof. Wafaa Hassan 19  Prof. Wafaa Hassan 08/02/24 20  Palpating the axilla To minimize Patient discomfort, warm your hands  Palpate the central nodes by pressing before palpation. your fingers downward and in toward the chest wall.  Palpate the pectoral and anterior nodes by grasping the anterior axillary fold between your thumb & fingers and palpating inside the borders of the pectoral muscles.  08/02/24 Prof. Wafaa Hassan 21  Palpate the lateral nodes by pressing your fingers along the upper inner arm. Try to compress these nodes against the humerus.  To palpate the subscapular or posterior nodes, stand behind the patient and press your fingers to feel the inside of the muscle of the posterior axillary fold. 08/02/24 Prof. Wafaa Hassan 22  References Weber,R.J,Kelley.H.J(2018):HealthAssessmentinNursing,6thed.Philade lphia:LippincottWilliams&Wilkins Kozier&erb’s. (2016).FundamentalsofNursing,concepts,process,andpractice.10th ed. Jarvis, C. (2012) Physical examination & health assessment. 6th Edition, Elsevier Saunders, St. Louis. 08/02/24 prof. Wafaa Hassan 23 08/02/24 prof. Wafaa Hassan 24