MEDICAL SURGICAL NURSING

LESSON PLAN ON
BREAST ABSCESS
SUBMITTED TO, SUBMITTED BY,
Mr. Arunkumar.V.N. Ms. Priyanka Deorukhkar
Associate Professor First Year M.Sc. Nursing
Medical Surgical Nursing Samarth Nursing College,
Samarth Nursing College, Dervan.
Dervan.

SUBMITTED ON,
22/05/2021
 IDENTIFICATION DATA

 Name of the student teacher : Ms. Priyanka R. Deorukhkar.

 Course : First Year M.Sc. Nursing
 Subject : Medical Surgical Nursing
 Unit :
 Topic : Breast abscess.
 Date :
 Venue :
 Time :
 Number of students : 03
 Method of teaching : Lecture cum discussion
 A.V. Aids : Black board, power point, chart, palm plates.
 Previous knowledge of students : A group having less knowledge regarding breast abscess.
 GENERAL OBJECTIVES
After completion of this lesson plan students will be able to learn about breast abscess in-detailed.

SPECIFIC OBJECTIVES
After completion of this lesson plan students will be able to;
 Introduce the breast abscess.
 Define breast abscess.
 Explain the types and causes of the breast abscess.
 Know the signs and symptoms of breast abscess.
 Explain the pathophysiology of breast abscess.
 Describe the diagnostic evaluation of breast abscess.
 Explain medical management of breast abscess.
 Know the surgical management of breast abscess.
 Explain the nursing management of breast abscess.
 Know the prevention methods of breast abscess.
 Describe the complications of breast abscess.
 TEACHING
TIME SPECIFIC CONTENT AND AV AIDS EVALUATION
OBJECTIVE LEARNING
ACTIVITY
2min Introduce the  INTRODUCTION:
topic
A breast abscess is a painful collection of pus that forms in
the breast. A swollen lump develops under the skin and is primarily
caused by a bacterial infection. One in ten women (in the age group 18
– 50 years) is affected by breast abscess. It has also been found that
around 3% of women with mastitis who are/were being treated with
antibiotics, develop breast abscesses. It causes breast pain and
swelling

Lecture cum Palmplate Define breast

2min Define breast  DEFINITION: discussion abscess?
abscess.
1. A local accumulation of pus within the breast due to infection.

2. A breast abscess is a painful build-up of pus in the breast

caused by an infection.

3. A breast abscess is a localised collection of pus in the breast

tissue caused by bacterial infection.
 TEACHING
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6min Explain the  TYPES AND CAUSES: Lecture cum Power What are the
types and discussion point types and causes
causes breast There are several types of breast infection, which include; of breast
abscess. abscess?
1. Central or subareolar infection-

- This infection occurs when the milk ducts become infected

or inflamed with an abscess.
- This infection is most likely to develop in people who
smoke and chewing tobacco.
- In addition to experiencing symptoms on both breasts, it
is common to notice nipple changes, such as nipple
retraction or unusual discharge.

2. Granulomatous lobular mastitis-

- This infection can cause a painful but noncancerous mass

to develop in the breast.
- People with this breast condition may have problems
treating the infection with antibiotics.

3. Peripheral, nonlactating infection-

- This is the most commonly occurs in people with existing

medical conditions, such as diabetes or rheumatoid
 TEACHING
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arthritis.
- Those who have a history of breast trauma or take
steroids are also at greater risk.
- This type of infection often leads to inflammation or a
visible abscess on the breast.
- Causes of skin infection include sebaceous cysts grow on
oil producing gland.
- People with large breasts or those with a history of breast
surgery or radiotherapy have a higher risk of this
infection.

Lecture cum Chart What are the

3min Know the  SIGNS AND SYMPTOMS: discussion signs and
signs and
symptoms of
symptoms of - A tender swelling or lump in an area of the breast breast abscess?
breast - Pain in the affected breast
abscess. - Redness, warmth, swelling and tenderness in an area of the
breast
- Fever
- Muscles aches
- Feeling generally unwell
 TEACHING
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5min Explain the  PATHOPHYSIOLOGY: Lecture cum Black What is the
pathophysiology discussion board pathophysiology
of breast Breast infection due to Staphylococcus aureus of breast
abscess. abscess?

Injury to the breast skin

Staphylococcus aureus forms abscess by secretion of enzymes and

toxins

Inflammation

Breast tissue necrosis

Production of antibacterial substances that help in killing bacteria

Damage to soft tissue

Breast abscess formation

 TEACHING
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4min Describe the  DIAGNOSTIC EVALUATION: Lecture cum Power What is the
diagnostic 1. History collection. discussion point diagnostic
evaluation of 2. Physical examination. evaluation of
breast 3. Breast ultrasound and breast MRI breast abscess?
abscess. 4. Diagnostic Needle Aspiration
(Purulent fluid indicates a breast abscess)
5. FNAC (Fine Needle Aspiration Cytology)
6. Mammogram

 MEDICAL MANAGEMENT:
5min Explain the Lecture cum Power What is the
1. Lactating Abscess: point
medical discussion medical
management  Treated with Flucloxacillin 500mg 6 hourly or Amoxiclav management of
of breast 375mg 8 hourly. breast abscess?
abscess.  If allergic to Penicillin, then Clarithromycin 500mg 12
hourly.
 Established abscess treated by recurrent aspiration or
incision and drainage.

2. Non- Lactating abscess:

 Treatment is with appropriate antibiotics.

 TEACHING
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 Co- Amoxicillin 375mg 8 hourly or combination of
Clarithromycin and Metronidazole.

4min Know the  SURGICAL MANAGEMENT: Lecture cum Power What is the
surgical discussion point medical
management  Breast conserving management of
of breast  Lumpectomy breast abscess?
abscess.  Lumpectomy with lymph mode dissection
 Simple Mastectomy (breast tissue and usually nipple
removed, lymph nodes remain intact)
 Modified radical Mastectomy (Removal of entire breast
tissue and axillary lymph nodes; pectoral muscles and
nerve remain intact)
3min Explain the Lecture cum Palmplate What is the
nursing  NURSING MANAGEMENT: discussion nursing
management management of
of breast  Provide psychological support to the patient. breast abscess?
abscess.  Provide adequate nutrition to the patient.
 Provide health education to the patient.
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4min Know the  PREVENTION METHODS: Lecture cum Palmplate What is the
prevention discussion prevention
methods of methods of
 Do not breast feed with the infected breast if abscess
breast breast abscess?
present.
abscess.
 Keep the breasts clean by washing them daily with mild
soap and water. Wipe off dried secretions and gently
dry the breast thoroughly with clean towel.
 After breast feed, wipe the nipples and areolae with
sterilised cotton dipped in boiled, cooled water.
 At the end of a feed, allow breasts to dry naturally in the
air.
 Apply lanolin cream daily to the nipples and areolae to
prevent them for cracking.
 Apply a warm, moist compress to the affected area
several times a day.
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4min Describe the  COMPLICATIONS: Lecture cum Power What are the
complications discussion point complications of
of breast breast abscess?
 Chronic infection
abscess.
 Chronic pain
 Disfigurement and scarring
 Organ failure
 Sepsis (life- threatening bacterial blood infection)
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2min Summarised SUMMARY

the topic.
In this lesson plan we have discussed, regarding definition
of breast abscess, types and causes, signs and symptoms,
pathophysiology of breast abscess, diagnostic evaluation and in
management, medical management, surgical management, nursing
management of breast abscess, prevention methods and their
complications.

2min CONCLUSION

After this lesson plan, I have concluded that breast abscess is

the inflammatory process caused by mostly bacteria. It can cure by
antibiotic therapy. In some cases, there will be the need of surgical
removal of abscess. Health education regarding prevention must be
given to lactating mothers.