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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
Tomake him/her comfortable
Euipments reuired:
!loves" non# sterile$ "% pair$
&ponge cloth "%$
'asinwithwarmwater "%$
(aterproof pad or gau)e
Towels "%$
*ackintosh "%$
&oapwith soap dish "%$
Toilet paper
'ed pan "%$: as reuired
Procedure : +or general case "without urinar, catheter$
Care -ction ationale
%.!ather all reuired euipments.
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.
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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
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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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