Breast Exam Documentation 2009-2024 Form
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People also ask clinical breast exam documentation form
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What is normal breast examination documentation?
Documentation of a normal breast examination includes a description of symmetry, contour, and the presence of any lesions. Normal tissue is usually soft and may be finely granular. Asymmetry of breast size may be a normal variant. -
How do you describe a physical breast exam?
Adequate breast examination is performed by careful inspection and palpation. This requires a routine planned procedure with several changes in the patient's position and meticulous palpation of the entire extent of the breasts, which commonly cover most of the anterior chest wall. -
How do you document breast exam findings?
When documenting findings, characteristics of any abnormalities should be included, such as size, shape, texture, mobility, delimitation, tenderness, and approximate depth. Attention is then turned to the areolar complex, where these tissues themselves are palpated for abnormalities. -
How would you describe normal breast tissue?
Normal breast tissue often feels nodular (lumpy) and varies in consistency from woman to woman. Even within each individual woman, the texture of breast tissue varies at different times in her menstrual cycle, and from time to time during her life. -
What are the normal findings of breast physical exam?
Normal: The s, breast tissue, and areas around the breast look normal and are normal in size and shape. One breast may be slightly larger than the other. A small area of firm tissue may be present in the lower curve of the breast below the . -
What are the examination findings in breast cancer?
Change in breast size or shape. Skin dimpling or skin changes (eg, thickening, swelling, or redness) Recent inversion or skin change or other abnormalities (eg, ulceration, retraction, or spontaneous bloody discharge) discharge, particularly if bloodstained. -
What are the 5 important steps of self breast examination?
Breast self-exam Use the pads of your fingers. Use the pads, not the very tips, of your three middle fingers for the exam. ... Use different pressure levels. Your goal is to feel different depths of the breast by using different levels of pressure to feel all the breast tissue. ... Take your time. Don't rush. ... Follow a pattern. -
How do you describe a breast exam?
Adequate breast examination is performed by careful inspection and palpation. This requires a routine planned procedure with several changes in the patient's position and meticulous palpation of the entire extent of the breasts, which commonly cover most of the anterior chest wall. -
What are the normal findings of breast physical exam?
Normal: The s, breast tissue, and areas around the breast look normal and are normal in size and shape. One breast may be slightly larger than the other. A small area of firm tissue may be present in the lower curve of the breast below the . -
How do you describe a physical breast exam?
Adequate breast examination is performed by careful inspection and palpation. This requires a routine planned procedure with several changes in the patient's position and meticulous palpation of the entire extent of the breasts, which commonly cover most of the anterior chest wall. -
What is the description of a normal breast?
Each breast has 15 to 20 sections, called lobes. They are arranged like the petals of a daisy. Each lobe has many smaller structures called lobules. These end in dozens of tiny bulbs that can produce milk. -
What are the documentation of normal breast exam findings?
Documentation of a normal breast examination includes a description of symmetry, contour, and the presence of any lesions. Normal tissue is usually soft and may be finely granular. Asymmetry of breast size may be a normal variant. -
What are the 5 P's of breast exam?
This online, self-study course introduces undergraduate nursing students to the essential breast health elements of the MammaCare Method of Breast Examination, referred to as the 5 Ps: Palpation, Pressures, Pattern, Perimeter and Positions.
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