1. Establish rapport
  2. Make client comfortable
  3. Explain procedure to client and ensure privacy
  4. Assist client to undress and wear a gown
  5. Help her into a dorsal position on a couch
  6. Wash, dry and warm hands
  7. Expose both breasts and inspect
  8. Cover one breast and expose the other
  9. Ask woman to put hand of the part to be examined under her head
  10. Support heavy breast with one hand and palpate the breasts systematically in a circular manner using the inner aspect of fingers and teach the client breast self-examination
  11. Squeeze the nipple gently for fluid, clean with swab and examine the fluid
  12. Repeat the same process for other breast
  13. Assist client to redress
  14. Communicate findings to client and thank her
  15. Wash and dry hands
  16. Record and report finings