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October 29, 2022

1400H - 1500H
Via Zoom
Empowerment
objective - for
laypeople to have an
understanding of the
Breast Self-
importance of
Examination:
cultivating BREAST
A Health Habit
SELF-EXAMINATION
to Cultivate
as a health habit in
the light of high
incidence of breast
cancer.
Empowerment
objective - for ROJoson PEP Talk
laypeople to have an
understanding of the I have a Patient
Breast Self- Empowerment
importance of
Examination: Program in which I
cultivating BREAST
A Health Habit like to empower the
SELF-EXAMINATION
to Cultivate lay people or
as a health habit in patients to take
the light of high control in the
incidence of breast management of
cancer. their health.
There are 3 courses
in the PEP Talk.
I completed the Core
Course on October 9,
2021.
From October 23,
2021 onwards, I have
been tackling Health
Disorder and Health
Issue Courses. This
may take 3 years or
longer.
Empowerment
objective - for My PEP TALK today
laypeople to have an is entitled: BREAST
understanding of the SELF-EXAMINATION
Breast Self- – A Health Habit to
importance of
Examination: Cultivate.
cultivating BREAST
A Health Habit This PEP Talk is my
SELF-EXAMINATION
to Cultivate contribution to the
as a health habit in
Breast Cancer
the light of high
Awareness Month
incidence of breast
this October 2022.
cancer.
In the light of breast cancer being the most
Breast Self- common cancer in the world and in the
Examination:
Philippines,
A Health Habit
to Cultivate all females with breasts should always be
on guard for breast cancer development in
order to catch it as early as possible
and then consult and have it treated as
early as possible
to avoid the high death rate in advanced
stage.
Another reason why all females with
Breast Self- breasts should always be on guard for
Examination:
breast cancer development is that up to
A Health Habit
now, we don’t know its exact cause.
to Cultivate
So there is really NO effective and practical
way of prevention.
It can strike anybody as no female is totally
immune from it.
It can strike anytime; we don’t know
when.
So, how should Filipino females be on guard for What should be the
Breast Self- breast cancer development in order to catch it as sequential order on
Examination: early as possible? guarding?
A Health Habit Currently, there are 3 ways:
• Start with breast
to Cultivate self-examination.
• Breast self-examination • Then, breast
• Breast specialist clinical examination specialist clinical
• Imaging procedures such as examination as
indicated.
mammography and ultrasound • Then, imaging
procedures as
indicated.
Why start with breast self-examination or BSE as Make BSE a health
Breast Self- the first and foremost strategy in being on guard habit.
Examination: against breast cancer development? Cultivate this habit.
A Health Habit • Because you carry your breasts all the time, • If you love
to Cultivate day in day out. yourself.
• You can easily examine your breasts at any • If you want to be
time and anywhere. on guard against
• Breast self-examination costs nothing at all (no breast cancer.
medical expense whatsoever). • If you want to
• It is simple and can be mastered as long as you avoid the suffering
are committed and willing to learn to protect and death from
yourself from breast cancer. breast cancer.
Why start with breast self-examination or BSE as
Breast Self- the first and foremost strategy in being on guard
Examination: against breast cancer development?
Why?
A Health Habit My advice is: Do not omit BSE and jump to the 2nd If you do BSE
to Cultivate and 3rd ways: regularly, particularly
• Breast specialist clinical examination monthly, and if you
• Imaging procedures such as mammography are committed and
and ultrasound trained to do it, you
are in a better
position to detect
breast cancer early.
Why NOT to omit BSE and jump to the 2nd way
Breast Self- (just relying on a breast specialist)?
Examination: If you do BSE regularly, particularly monthly, and My advice is: Do not
A Health Habit if you are committed and trained to do it, you are omit BSE and jump
to the 2nd and 3rd
to Cultivate in a better position to detect breast cancer early. ways:
• Breast specialist
BETTER THAN A BREAST SPECIALIST particularly
clinical
for a starting small breast cancer, because you are
examination
more familiar with feel of your breasts and any • Imaging
abnormality that may appear there.
procedures such
as mammography
and ultrasound
A big reason why you
Why NOT to omit BSE and jump to the 2nd way should do regular
Breast Self- BSE and NOT omit it
(just relying on a breast specialist)?
to just rely on the
Examination: You have more opportunities to feel and palpate breast specialist’s
A Health Habit your breasts daily (again and again) once you note examination.
to Cultivate of anything unusual.
A breast specialist does not have this advantage. You may be able to
help the breast
He may miss the small abnormality that is not specialist in detecting
evident on the surface (NOTE: a physician is not your small breast
always 100% accurate / perfect.) cancer.
He may miss the small abnormality if you don’t
point it to him. AVOID MISSING
ONE!
Why NOT to omit BSE and jump to the 2nd way
Breast Self- (just relying on a breast specialist)?
Examination: When you consult a breast specialist, he will or This shows the
A Health Habit should always ask you initially whether you have importance of doing
to Cultivate felt an abnormal lump in your breasts before he BSE and supplying a
does inspection and palpation. breast specialist with
information from
If you consult for a “lump” or “mass” you your BSE to help him
palpated on the breast, again, he will or should make an accurate
always ask you where you palpated the lump. diagnosis.

A big reason why you should do regular BSE and NOT omit it
to just rely on the breast specialist’s examination.
Why NOT to omit BSE and jump to the 2nd way A big reason why you
Breast Self- should do regular
(just relying on a breast specialist)?
BSE and NOT omit it
Examination: If there is an abnormal lump palpated by both you to just rely on the
A Health Habit and the breast specialist, the latter will ask for breast specialist’s
to Cultivate information on the changes that may occur from examination.
the initial detection to the time of consultation.
You may be able to
The breast specialist uses these information from help the breast
your BSE to get to an accurate diagnosis. specialist in making
an accurate
diagnosis.
If you do monthly
Why NOT to omit BSE and jump to the 2nd way
BSE, you may be able
Breast Self- (just relying on a breast specialist)?
to detect the breast
Examination: Another reason why you should NOT omit BSE cancer earlier by
A Health Habit and just rely on a breast specialist - yourself and then go
to Cultivate back to the breast
A breast specialist has limitations. He is not specialist sooner
always 100% accurate in his evaluation. than the next
If he misses a breast cancer on a medical scheduled check-up.
consultation, if he asks for a breast check-up after
A big reason why you
6 months or one year, the missed breast cancer
should do regular BSE
can be bigger or more advanced at the time of the and NOT omit it to just
next scheduled check-up. rely on the breast
specialist’s examination.
If you do monthly
Why NOT to omit BSE and jump to the 2nd way
BSE, you may be able
Breast Self- (just relying on a breast specialist)?
to detect the breast
Examination: We don’t know when breast cancer will appear cancer earlier by
A Health Habit and become evident. yourself and then go
to Cultivate Example. If during a medical consultation, there back to the breast
was no evident cancer yet. The breast specialist specialist sooner
advises breast check-up after 2 years. After the than the next
initial medical consultation, the breast cancer scheduled check-up.
becomes evident, say 6 months after. If one relies
A big reason why you
on the breast specialist only without BSE, the
should do regular BSE
breast cancer can be bigger or more advanced at and NOT omit it to just
the time of the next scheduled check-up. rely on the breast
specialist’s examination.
Why NOT to omit BSE and jump to the 2nd way
Breast Self- (just relying on a breast specialist)?
Examination: So, do regular BSE.
A Health Habit Do NOT omit to just rely on the breast specialist.
to Cultivate Your BSE will be of great importance.
• It can avoid missing a breast cancer by a breast
specialist.
• It can assist in making an accurate diagnosis of
a breast disorder.
• It can complement breast specialist’s objective
of early detection.
• IT CAN PROMOTE EARLY DETECTION OF BREAST
CANCER BY YOURSELF.
Why NOT to omit BSE and jump to the 3rd way
Breast Self- (just relying on imaging procedures)?
Examination: If you do BSE regularly, particularly monthly, and My advice is: Do not
A Health Habit if you are committed and trained to do it, you are omit BSE and jump
to the 2nd and 3rd
to Cultivate in a better position to detect breast cancer early ways:
and without the frequent uncertain readings and • Breast specialist
undue false alarms of imaging procedures
clinical
(specifically, mammography and ultrasound).
examination
• Imaging
procedures such
as mammography
and ultrasound
Why NOT to omit BSE and jump to the 3rd way The survival rates of
Breast Self- (just relying on imaging procedures)? Stage 1 (1 cm to less
Examination: BSE, if done properly, will be able to catch a than 2 cm tumor
A Health Habit breast cancer as small as 1 cm. which is in the size) and Stage 0
(less than 1 cm
to Cultivate early stage. tumor size) have
little difference.
Although imaging procedures such as
mammography and ultrasound can catch breast
Stage 1 – 98% 5-year
cancer lesser than 1 cm, they carry a lot of
SR
uncertain readings and false alarms thereby
Stage 0 – 99% 5-year
causing undue anxiety and unwanted operations.
SR
Why NOT to omit BSE and jump to the 3rd way A big reason why you
Breast Self- (just relying on imaging procedures)? should do regular
Examination: Imaging procedures are not always 100% BSE and NOT omit it
A Health Habit accurate. to just rely on the
imaging procedures.
to Cultivate
They may miss and erroneously interpret lumps
You may be able to
palpated by patients in BSE and breast specialists
help the breast
in their clinical examination.
specialist in making
an accurate
These can be corrected by the breast specialists’
diagnosis.
examination and correlation with BSE findings.
BSE data are needed.
If you do monthly
Why NOT to omit BSE and jump to the 3 way
rd
BSE, you may be able
Breast Self- (just relying on imaging procedures)? to detect the breast
Examination: Imaging procedures are not always 100% cancer earlier by
A Health Habit accurate. yourself and then to
to Cultivate the breast specialist
They may miss a breast cancer. sooner than the next
If patients rely on imaging procedures and the scheduled check-up.
next schedule is one to 2 years, then the missed
breast cancer can be bigger or more advanced at
the time of the next scheduled procedures.
Why NOT to omit BSE and jump to the 3rd way A big reason why you
Breast Self- (just relying on imaging procedures)? should do regular
Examination: Once reports of imaging procedures come in, the BSE and NOT omit it
A Health Habit breast specialists will correlate the findings with to just rely on the
imaging procedures.
to Cultivate their physical examination findings and with the
history of the patients, particularly on the BSE
You may be able to
information of the patients if it is regularly done.
help the breast
specialist in making
Correlation of these three sets of data and info
an accurate
are important to come out with an accurate
diagnosis.
diagnosis.
BSE data are needed.
Why NOT to omit BSE and jump to the 3rd way
Breast Self- (just relying on imaging procedures)?
Examination: Except for patients with high risk for breast cancer
A Health Habit (where mammography is being recommended as
to Cultivate a screening procedure), imaging procedures
should be done only as indicated (that is, only if
there is an abnormality detected by the breast
specialist and there is uncertainty in his diagnosis
that a diagnostic test is needed.)

There is usually less false alarms in such


situations.
Why NOT to omit BSE and jump to the 2nd way
Breast Self- (just relying on imaging procedures)?
Examination: So, do regular BSE.
A Health Habit Do NOT omit to just rely on imaging procedures.
to Cultivate Your BSE will be of great importance.
• It can avoid missing a breast cancer by imaging
procedures.
• It can assist in making an accurate diagnosis of
a breast disorder.
• It can complement imaging procedures
objective of early detection.
• IT CAN PROMOTE EARLY DETECTION OF BREAST
CANCER BY YOURSELF.
So, how should Filipino females be on guard for What should be the
Breast Self- breast cancer development in order to catch it as sequential order on
Examination: early as possible? guarding?
A Health Habit Currently, there are 3 ways:
• Start with breast
to Cultivate self-examination.
• Breast self-examination • Then, breast
• Breast specialist clinical examination specialist clinical
• Imaging procedures such as examination as
indicated.
mammography and ultrasound • Then, imaging
procedures as
TO REPEAT / RE-EMPHASIZE indicated.
Why start with breast self-examination or BSE as Make BSE a health
Breast Self- the first and foremost strategy in being on guard habit.
Examination: against breast cancer development? Cultivate this habit.
A Health Habit • Because you carry your breasts all the time, • If you love
to Cultivate day in day out. yourself.
• You can easily examine your breasts at any • If you want to be
time and anywhere. on guard against
• Breast self-examination costs nothing at all (no breast cancer.
medical expense whatsoever). • If you want to
• It is simple and can be mastered as long as you avoid the suffering
are committed and willing to learn to protect and death from
yourself from breast cancer. breast cancer.
Don’t be afraid to do BSE. • If you love
Breast Self- yourself.
Examination: Don’t let the accuracy worry of doing BSE • If you want to be
A Health Habit deterred you from doing BSE. on guard against
breast cancer.
to Cultivate • If you want to
BSE can be learned, can be mastered with avoid the suffering
no cost. and death from
breast cancer.
What is needed is commitment, discipline
and perseverance. Make BSE a health
habit.
Cultivate this habit.
Why a lot of women are afraid of doing BSE? • If you love
Breast Self- yourself.
One specific reason forwarded is they are afraid
Examination: • If you want to be
to find something fearsome, particularly breast on guard against
A Health Habit cancer. breast cancer.
to Cultivate This is unfounded and is a detrimental attitude. • If you want to
You won’t be able to detect the breast cancer avoid the suffering
early. and death from
breast cancer.

What is the solution here? Make BSE a health


Education, persuasion, and psychotherapy if habit.
indicated. Cultivate this habit.
Why a lot of women are afraid of doing BSE? • If you love
Breast Self- yourself.
Another reason forwarded is the belief that
Examination: • If you want to be
touching or palpating the breast may cause breast on guard against
A Health Habit cancer. breast cancer.
to Cultivate This is a myth that has arisen from the belief that • If you want to
trauma or a bump is a cause of breast cancer. avoid the suffering
and death from
A bump on the breast does not cause breast
breast cancer.
cancer.
Make BSE a health
habit.
Cultivate this habit.
Why a lot of women are afraid of doing BSE? • If you love
Breast Self- yourself.
The background story behind the myth is that the
Examination: • If you want to be
painless unnoticeable cancer has been in the on guard against
A Health Habit breast even before the bump. One day, when the breast cancer.
to Cultivate bump occurs on the breast that contains the • If you want to
cancer, the person reflexly touches her breast and avoid the suffering
lo and behold, the cancer is discovered. This is and death from
origin of this myth believing that the bump breast cancer.
caused the breast cancer. It is not true a bump on
the breast or touching or palpating the breast can Make BSE a health
cause breast cancer. habit.
Cultivate this habit.
SOLUTION: Education and persuasion
They don’t want to do BSE because they don’t • If you love
Breast Self- know how to it. yourself.
Examination: Very superficial reason but this is a common • If you want to be
on guard against
A Health Habit reason presented!!!
breast cancer.
to Cultivate • If you want to
What is the solution here? avoid the suffering
and death from
Convince the laypeople of the usefulness of BSE. breast cancer.
Once they are convinced, teach them properly.
Make BSE a health
habit.
Cultivate this habit.
Before going to how to do BSE, some essential
Breast Self- pointers to remember:
Examination:
• All women should start developing a habit of
A Health Habit
doing BSE as early as age 20 as part of their
to Cultivate preparedness program in detecting breast
cancer in case one unfortunately develops in
their bodies. Breast cancer is still rare in this
age group. It starts coming out at age 30 to 40.
So, at age 20, there is a lead-time of 10 years in
developing BSE as a health habit in detecting
early breast cancer.
Before going to how to do BSE, some essential
Breast Self- pointers to remember:
Examination:
• BSE consists of inspection (looking at anything
A Health Habit
unusual on the externals of the breasts) and
to Cultivate palpation (feeling the breasts for an abnormal
mass).
Before going to how to do BSE, some essential
Breast Self- pointers to remember:
Examination:
• In palpation, one has to differentiate lumpy
A Health Habit
breast tissues from a real mass which is
to Cultivate medically called dominant mass (a more-or-
less round or oval hump with a feel that is
different from the surrounding normal breast
tissues). If there is palpated dominant mass,
automatically it is considered as a red flag (for
further investigation as it signifies an
abnormality).
Before going to how to do BSE, some essential
Breast Self- pointers to remember:
Examination:
A Health Habit
to Cultivate
Before going to how to do BSE, some essential
Breast Self- pointers to remember:
Examination:
• For menstruating women, it is usually
A Health Habit
advisable to do BSE a few days after the last
to Cultivate day of the mense to avoid hormonal swelling
of breast tissues during mense being mistaken
for a dominant mass. This is aside from
avoiding the discomfort induced by palpating a
breast that is usually sensitive during time of
menstruation.
Before going to how to do BSE, some essential
Breast Self- pointers to remember:
Examination:
• For non-menstruating women, it is usually
A Health Habit
advisable to choose either the first or last day
to Cultivate of the month for doing a monthly BSE for ease
of memory.
Before going to how to do BSE, some essential
Breast Self- pointers to remember:
Examination:
• The first goal of BSE is to look and feel for
A Health Habit
anything unusual on the breasts. Once
to Cultivate something unusual is found, either it is closely
monitored for persistence or it is brought to
the attention of a breast specialist already. The
self-monitoring of doubtful unusual findings
can be done with repeated BSE on the same
day, subsequent days or the next month.
Before going to how to do BSE, some essential
Breast Self- pointers to remember:
Examination:
• The second goal of BSE is to try to interpret the
A Health Habit
unusual findings as much as able. If unable to
to Cultivate and a red flag is present, consult a breast
specialist right away.
Before going to how to do BSE, some essential
Breast Self- pointers to remember:
Examination:
• There are many techniques as there are
A Health Habit
authors. Choose one that is simple and
to Cultivate practical to do as long as the end-points or
goals are reached, especially the first goal.
How to Do Breast Self-Examination – by ROJoson
Breast Self-
Examination:
https://www.youtube.com/watch?v=lkqI3aVkhLs
A Health Habit
to Cultivate
How to Do Breast Self-Examination – by ROJoson
Breast Self-
Visual Inspection (LOOKING)
Examination: Expose the upper body.
A Health Habit In a standing position, face a mirror to view entire
to Cultivate chest and breasts.
How to Do Breast Self-Examination – by ROJoson
Breast Self-
Examination: With both arms down and then raised over the
head,
A Health Habit look for anything unusual on the breasts!
to Cultivate
How to Do Breast Self-Examination – by ROJoson
Breast Self-
Examination: Look for changes in the contour of the breasts and
armpits, such as bulge, skin dimpling, and
A Health Habit flattening!
to Cultivate
How to Do Breast Self-Examination – by ROJoson
Breast Self-
Examination: Look for unusual changes on the skin of the
breasts, such as redness and lesions!
A Health Habit
to Cultivate
How to Do Breast Self-Examination – by ROJoson
Breast Self-
Manual Palpation (FEELING)
Examination:
In a standing position, with one arm raised over
A Health Habit the head, using the flats of 2 to 3 fingers (2nd to
to Cultivate 4th fingers) of the other hand, gently but firmly
palpate the entire breast on the side where the
arm is raised.
How to Do Breast Self-Examination – by ROJoson
Breast Self-
Feel for anything unusual in the breast and feel
Examination:
for a possible presence of a dominant mass!
A Health Habit A dominant mass is an unusual density distinct
to Cultivate from the surrounding breast tissue with a felt
margin or border which connotes a three
dimensional lump.
How to Do Breast Self-Examination – by ROJoson
Breast Self-
Examination: Cover the entire area of the breast by going one
quadrant at a time until all four quadrants of the
A Health Habit breast are palpated.
to Cultivate
How to Do Breast Self-Examination – by ROJoson
Breast Self-
Examination: Before palpating the armpit, gently squeeze the
nipple for possible presence of discharge.
A Health Habit
to Cultivate
How to Do Breast Self-Examination – by ROJoson
Breast Self-
When palpating the armpit, put the arm down to
Examination:
have a lax or slack skin fold. Place the palpating
A Health Habit fingers initially at the uppermost portion of the
to Cultivate armpit. Then, gently but firmly press against the
chest wall in the armpit and slowly glide the
fingers downward to feel for anything unusual
and to feel for a possible presence of a dominant
mass!
How to Do Breast Self-Examination – by ROJoson
Breast Self-
Examination: Repeat the same procedures for the other breast,
nipple, and armpit.
A Health Habit
to Cultivate
How to Do Breast Self-Examination – by ROJoson
Breast Self-
Interpretations of Findings on BSE
Examination:
A Health Habit
to Cultivate
How to Do Breast Self-Examination – by ROJoson
Breast Self-
Interpretations of Findings on BSE
Examination:
A Health Habit - NO dominant breast mass found on physical
to Cultivate examination in patients complaining of breast
mass and in patients coming for breast check  =
normal or fibrocystic changes
- Breast pain with NO dominant breast mass =
fibrocystic changes
How to Do Breast Self-Examination – by ROJoson
Breast Self-
Interpretations of Findings on BSE
Examination:
A Health Habit - Nonsanguinous (not red) nipple discharge with
to Cultivate NO dominant breast mass = fibrocystic
changes

- Sanguinous (red) nipple discharge with NO


dominant breast mass = intraductal
papilloma
How to Do Breast Self-Examination – by ROJoson
Breast Self-
Interpretations of Findings on BSE
Examination:
A Health Habit - Focal erythema or redness and tenderness with
to Cultivate NO dominant breast mass = mastitis
How to Do Breast Self-Examination – by ROJoson
Breast Self-
Interpretations of Findings on BSE
Examination:
A Health Habit - Focal erythema or redness with a tender,
to Cultivate fluctuant dominant breast mass = breast
abscess
How to Do Breast Self-Examination – by ROJoson
Breast Self-
Interpretations of Findings on BSE
Examination:
A Health Habit - cystic mass with no signs of malignancy –
to Cultivate Macrocyst
How to Do Breast Self-Examination – by ROJoson
Breast Self-
Interpretations of Findings on BSE
Examination:
A Health Habit SUSPECT CANCER:
to Cultivate
- Presence of a dominant breast mass with telltale
(or giveaway) signs of malignancy (signs of local
invasion of the breast mass on the adjacent
tissues and signs of spread)

- Presence of sanguinous nipple discharge with an


accompanying dominant mass
How to Do Breast Self-Examination – by ROJoson
Breast Self-
Interpretations of Findings on BSE
Examination:
A Health Habit CANCER SUSPECT
to Cultivate Signs of local invasion of the breast mass
on the adjacent tissues
• Fixation to the adjacent tissues such as the
overlying skin inclusive of the nipple and
areola and the underlying tissues such as chest
muscles and ribs.
• Skin changes over the mass that are suggestive
and indicative of local invasion such as
ulcerations and fungation.
How to Do Breast Self-Examination – by ROJoson
Breast Self-
Interpretations of Findings on BSE
Examination:
A Health Habit CANCER SUSPECT
to Cultivate Signs of spread
• presence of palpable ipsilateral axillary
lymph node and supraclavicular lymph
node.
• Develop BSE as a health habit. Make it as your Summary
Breast Self- first and mainstay screening and detecting Take Away
Examination: armamentarium for breast cancer. You can
A Health Habit complement BSE with breast specialist exam
to Cultivate and imaging procedures as needed and
indicated. Do not rely solely on breast
specialist examination and imaging procedures
as they may give a false-negative finding at the
time of examination and if you do monthly BSE,
you may be able to discover a dominant mass
that may appear before the next checkup. This
way, you are able to discover a dominant mass
early.
• Do not listen / be discouraged by the negative Summary
Breast Self- recommendations on BSE. Take Away
Examination: • Do not be afraid to do BSE as it will not cause
A Health Habit breast cancer. Do not be afraid to do BSE
to Cultivate because of fear of finding breast cancer. If
there is breast cancer, with BSE, it will be
detected early enough.
• Do not simply say you don’t know how to do
BSE to justify your reason for not doing BSE.
You have to learn how to do it because of its
usefulness. You can easily learn it as it is
simple.
• Doing regular BSE is an investment for your Summary
Breast Self- breast health. Nobody knows when breast Take Away
Examination: cancer will strike. Do monthly BSE so that once
A Health Habit breast cancer strikes, you can detect it early
to Cultivate enough. With early recognition and early
treatment, your chances of cure will be high.

If you don’t do BSE AND if a breast cancer


appears and is already in the advanced
stage, you will be blamed for the situation.
You did not love yourself and your body
enough.
• BSE as a health habit is simple and without Summary
Breast Self- cost. It can be repeated anytime without Take Away
Examination: added cost. It can be done anytime and
A Health Habit anywhere.
to Cultivate • It can detect breast cancer and other breast
diseases. It can detect early breast cancer as
long it is done regularly and properly and as
long as it is reported to a breast specialist early
enough. Consult a breast specialist right away
once a dominant mass is detected during BSE.
Be always in touch with reliable medical Take Away in
Breast Self- information on BREAST SELF-EXAMINATION. relation to
Examination: Patient
A Health Habit Knowledge is power; it gives power. Empowerment
to Cultivate
Use the 4Ks of Patient Empowerment:
Kaalaman, Kakayanan, Karapatan and
Kapangyarihan
to gain greater control over decisions in
management of your breast health AND in
detecting breast cancer early in case it
occurs.
Empowerment
objective - for
laypeople to have an
understanding of the
Breast Self-
importance of
Examination:
cultivating BREAST
A Health Habit
SELF-EXAMINATION
to Cultivate
as a health habit in
the light of high
incidence of breast
cancer.

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