Performing Perineal Care

Performing Perineal Care

Definition: Perineal care is bathing the genitalia and surrounding area. Proper assessment and care of  the perineal areawill need professional clinical judgment.

Purpose: 

To keep cleanliness and prevent frominfection in perineal area

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Tomake Tomake him/her comfortable

Euipments reuired: 

!loves" non# sterile$ "% pair$

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&ponge cloth "%$

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'asinwithwarmwater "%$

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(aterproof (a terproof pad or gau)e

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Towels "%$

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*ackintosh "%$

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&oapwith soap dish "%$

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Toilet paper 

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'ed pan "%$: as reuired

Procedure : +or general case "without urinar, catheter$ Care -ction ationale %.!ather all reuired euipments. o

rgani)ation facilitates accurate skill  performance

0. E1plain the procedure to the client. o

Providing information fosters cooperation.

2. Perform hand h,giene and wear on gloves if available. o

To prevent the spread of infection

3. Close the door to the roomand place the screen. 1

o

To protect the client4s privac,.

5. aise the bed to a comfortable height if possible. o

Proper positioning prevents back strain.

6. Preparation the position: o

7ncover the client4s perineal area.

o

Place amackintosh and towel " or waterproof pad$ under the client4s hips.

o

- towel or pad protects the bed. 8ou can use the towel to dr, the client4s perineal and rectal area.

9. Cleanse the thighs and groin: o

*ake amittwith the sponge cloth.

o

Cleanse the client4s upper thighs and groin area with soap andwater.

o

inse and dr,.

o

(ash the genital area ne1t.

+undamental of ursing Procedure *anual Care -ction ationale +emale client: "+ig.0%$ o

7se a separate portion of the sponge towel for each stroke

o

Change sponge towel as necessar,.

o

&eparate the labia and cleanse downward from the pubic to anal area.

o

(ash between the labia including the urethral meatus and vaginal area.

o

insewell and pat dr,.

o

Cleanse from the pubis toward the anus to wash from a clean to a dirt, area.

Prevent contaminating the vaginal area and urinar, meatuswith organisms fromthe anus. *ale Client: "+ig.00$ o

!entl, grasp the client;s penis.

o

Cleanse in a circularmotionmoving fromthe tip of the penis backwards toward the  pubic area

o


o

eturn the foreskin to its former position.

o

(ash= rinse= and dr, the scrotumcarefull,. 2

o

Cleanse from the tip of the client4s penis backward to prevent transferring organisms from the anus to the urethra.

o

&ecretions that collect under the foreskin can cause irritation and odor. eturn the foreskin to its normal position to prevent injur, to the tissue.

>. -ssist the client to turn on the side. &eparate the client4s buttocks and use toilet paper= if  necessar,= to remove fecalmaterials. o

emoving fecal material provides for easier  cleaning.

?. Cleanse the anal area= rinse thoroughl,= and dr, with a towel. Change sponge towel as necessar,. o

@eep the anal area clean to minimi)e the risk of skin irritation and breakdown.

%A. -ppl, skin care products to the area according to need or doctor4s order. o

Botionsma, be prescribed to treat skin irritation.

%%. eturn the client to a comfortable position. o

To provide for comfort and safet,.

%0. emove gloves and performhand h,giene. o

To prevent the spread of infection

%2. Document the procedure= describing the client4s skin condition. &ign the chart. o

To provide continuit, of care

o

!iving signature maintains professional -ccountabilit,

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