When I was seeing patients in the hospital, I did not always have all the potential teaching tools close at hand.  Instead of running to get a breast model, I often used what was usually at hand-a stuffed animal.  I also used them to demonstrate positioning and latch.  For teaching expression, the face would become the breast and the nose the nipple.  If the nose was big, there was usually a button or some such at the tip and that would be the nipple.  Patients usually got a kick out of it and I could point out the basics quite well.  If this didn't work, I would (with permission) demo with my fingers over hers and then if she still wasn't getting it, I might do it on her myself brieflly so she could see what it feels like, then go back to my fingers over hers.  I always stood to her side and slightly behind on the side we were going to express.  Then my hand would be approaching her beast from pretty much the same position as hers.

Winnie

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