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    Perineal Care

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    josephosmandauda
    Perineal care involves cleansing the external genitalia, perineum, anus, and surrounding area through bed baths, after urination and bowel movements. It aims to remove secretions, provide comfort, and prevent or treat infections. Patients requiring perineal care include those unable to perform self-care, with genitourinary infections, incontinence, recent genital surgery, or indwelling catheters. The procedure follows principles of cleaning from clean to less clean areas and standard precautions while maintaining patient privacy.

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    Perineal Care

    Uploaded by

    josephosmandauda
    153 views15 pages
    Perineal care involves cleansing the external genitalia, perineum, anus, and surrounding area through bed baths, after urination and bowel movements. It aims to remove secretions, provide comfort, and prevent or treat infections. Patients requiring perineal care include those unable to perform self-care, with genitourinary infections, incontinence, recent genital surgery, or indwelling catheters. The procedure follows principles of cleaning from clean to less clean areas and standard precautions while maintaining patient privacy.

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    Perineal care

    Original Title

    PERINEAL CARE

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    Perineal care involves cleansing the external genitalia, perineum, anus, and surrounding area through bed baths, after urination and bowel movements. It aims to remove secretions, provide comfort, and prevent or treat infections. Patients requiring perineal care include those unable to perform self-care, with genitourinary infections, incontinence, recent genital surgery, or indwelling catheters. The procedure follows principles of cleaning from clean to less clean areas and standard precautions while maintaining patient privacy.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    153 views15 pages

    Perineal Care

    Uploaded by

    josephosmandauda
    Perineal care involves cleansing the external genitalia, perineum, anus, and surrounding area through bed baths, after urination and bowel movements. It aims to remove secretions, provide comfort, and prevent or treat infections. Patients requiring perineal care include those unable to perform self-care, with genitourinary infections, incontinence, recent genital surgery, or indwelling catheters. The procedure follows principles of cleaning from clean to less clean areas and standard precautions while maintaining patient privacy.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 15

    FUNDAMENTALS OF

    NURSING
    PERINEAL CARE
    DEFINITION

    Perineal care is cleansing of the patient’s external genitalia , perineum,


    anus and the surrounding area which is routinely done during bed bath,
    after urination and bowel movement.
    PURPOSES

    • Remove secretions and provide comfort

    • To prevent or eliminate infection, odour and promote healing


    PATIENTS WHO NEED PERINEAL
    CARE
    • Patients who are unable to perform partum period)
    self care • Those with excessive vaginal
    • Patients with genitourinary tract discharge
    infection • Patients with injury and ulcers
    • With fecal and urinary incontinence• Uncircumcised males

    • Who are recovering from rectal or • Morbid obesity


    genital surgery or child birth(post
    • Patient with indwelling catheters.
    PRINCIPLES OF PERINEAL CARE

    • Clean the perinium from the cleanest area to the less clean area

    • Follow standard precautions

    • Maintain patient’s privacy


    PRELIMINARY ASSESSMENT

    1. Assess the condition of the perineal skin - any itching, irritation,


    ulcers, oedema, drainage etc.

    2. Assess the need and frequency of perineal care.

    3. Assess whether perineal care should be done under an aseptic


    technique or a clean technique.

    4. Check the physician’s order for any specific instructions.


    5. Assess the patient ability for self care.

    6. Assess the patient’s mental state to follow instructions.

    7. Check the articles available in patients unit.


    ARTICLES
    A Tray containing: tray

    Mackintosh Clean linen, pads, dressing etc. as

    Wet cotton ball or rag pieces in a needed

    bowl Bed pan

    A jug with warm water or


    antiseptic solution

    Long artery forceps in kidney


    PREPARATION OF PATIENT
    1. Explain procedure to the patient.

    2. Provide privacy by screens and drapes. Drape the patient as for


    vaginal examinations.

    3. Remove all articles that may interfere with the procedure e.g. air
    cushion.

    4. Give extra pillows to raise the head.

    5. Roll the draw sheet to opposite side to prevent soiling when bedpan is
    placed under buttocks, over draw sheet.
    6. Offer bed pan. Keep the clean bed-pan on the bed on your working
    side.

    7. Untie the pads, if any and observe the discharges its color, odor,
    amount etc.

    8. Leave the patient for sometime so that she may pass urine or stool if
    necessary.

    9. Get the toilet tray and arrange the articles conveniently on bed side
    table
    STEPS
    1. Wash hands

    2. Pour water over perineum (To wash off the discharge from the
    perineal area)

    3. Clean the perineum using the wet swabs.

    4. Hold the swabs with forceps and clean from above.

    5. Use one swab for one swabbing.


    6. Clean perineum from the midline outward in the following order
    a. The vulva
    b. The labia
    c. Inside of labia on both sides.
    d. Outside of labia on both sides.

    7. Clean the perineal region and anus thoroughly.

    8. Remove the bed pan by supporting the hip as before. Turn the patient
    to one side and dry the buttocks with dry rag piece.
    AFTER CARE

    1. Apply the medicine and pad if necessary.

    2. Remove the mackintosh if extra one is used.

    3. Change linen if necessary straighten the bed clothes. Arrange the bed
    linen.

    4. Make patient comfortable.


    5. Take the bed pan to sanitary annex. Remove cotton swabs, and empty
    the contents into toilet.

    6. Clean all articles.

    7. Boil forceps.

    8. Replace articles

    9. Document the procedure

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