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Perineal Care: Michael H. Esmilla, RN, MAN

Perineal care involves cleaning the external genitalia, anal area, and surrounding skin. It is important to prevent infection, odor, and promote comfort and healing. The nurse should explain the procedure, obtain consent, position the client appropriately, and clean the area from front to back using separate sections of a washcloth for each area. Special care is taken when cleaning the genitalia of both males and females.

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Hannah Leigh Castillo
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379 views

Perineal Care: Michael H. Esmilla, RN, MAN

Perineal care involves cleaning the external genitalia, anal area, and surrounding skin. It is important to prevent infection, odor, and promote comfort and healing. The nurse should explain the procedure, obtain consent, position the client appropriately, and clean the area from front to back using separate sections of a washcloth for each area. Special care is taken when cleaning the genitalia of both males and females.

Uploaded by

Hannah Leigh Castillo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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PERINEAL CARE

Michael H. Esmilla, RN, MAN


PERINEAL CARE
 Involves thorough cleansing of the
client’s external genitalia, anal area and
surrounding skin.
 “peri-care” or “perineal-genital” care
 Involves washing the external genitalia
with soap & water or with water alone or
in combination with any commercially
prepared periwash.
 Can be delegated to nursing assistive
personnel.
PERINEAL CARE

 Carried out as part of the pt’s bath


or as a separate procedure.
 Perineal area is conductive to the
growth of pathogenic organism
because it is warm, moist, and is
not well ventilated.
 Cleanliness is essential to prevent
bad odor & promote comfort.
Purpose:
To prevent or eliminate infection,
odor and promote healing

Remove secretions, and provide


comfort
 Perineal care can be provided alone or
as part of the bed bath.
If the client is unable to perform
perineal care, the nurse is
responsible for providing this care in
a professional and private manner.
Principle:

1
To clean the perineum from the
cleanest to the less clean
2 Follow
area. Standard Precautions.

3 Maintain patient’s privacy.

4 Proximal level of functioning.


Patients who need frequent perineal care:

 Who are unable to do self care


 Patients with genito-urinary tract infections
 With fecal & urinary incontinence
 An Indwelling foley catheter
 Who are recovering from rectal or genital
surgery or childbirth
 Patients with excessive vaginal drainage
 Patients with injury and ulcers
 Uncircumcised males
 Morbid obesity
Delegation Considerations:
• Importance of not massaging reddened
A skin areas during bathing.

• Recognizing early signs of impaired skin


B integrity.
• Proper ways to position male and female clients with
musculoskeletal limitations or who have an indwelling
C foley catheter or other equipment (e.g. intravenous
tubing)
• When to report changes in the skin or
D perineal area to the nurse.
Nursing
Diagnosis
Self-Care Deficit (Hygiene) related to
 Decreased or lack of motivation
 Weakness or tiredness
 Pain or discomfort
 Perceptual or cognitive impairment
 Inability to perceive body part or spatial
relationship
 Neuromuscular or musculoskeletal impairment
 Medically imposed restriction
 Therapeutic procedure restraining mobility (e.g.,
intravenous infusion, cast)
 Severe anxiety
 Environmental barriers
Materials:

1. Bath basin
2. Waterproof pads
3. Soap toilet tissue
4. Two or three washcloths
5. Lotion or ointment
6. Dry bath towel
7. Disposable glove
Procedures:
1. Explain procedure and  Females usually
purpose to client. Obtain assume the dorsal
permission. Close door recumbent position.
and pull curtain around
bed.  Males may assume
2. Wash hands and apply the dorsal
gloves recumbent or supine
3. Place waterproof pad position with knees
under client’s buttocks. and hips flexed.
Client may be placed on a
bedpan for perineal care.
4. Expose perineal area. Fold
client’s gown up above the
genital area.
a. Place a bath blanket over the
client using a “diamond” draping
technique.
b. Corners of bath blanket should
point toward the head, sides of
body, and between the client’s
legs.
c. Fold top linen down to the end
of the bed. Tuck side corners of
bath blanket around client’s legs. Drape the client for perineal care
d. Lift corner between client’s legs
to expose perineal area .
5. Moisten and lather washcloths. 9. Rinse the area well with warm
6. Clean perineal area in the water. Pat perineal area dry. Apply
downward direction (from pubic lotion to upper thighs.
area to rectum). Clean and dry
upper thighs.
7. Use separate quarters of the
washcloth for each cleaning
stroke. Discard soiled washcloths
as necessary.
8. Clean the labia majora.
Separate the labia majora to clean
between the labia majora and
labia minora. With the labia
Clean the female perineal area
separated, clean the clitoris,
urethral meatus, and vaginal
orifice.
Male
1. Gently raise penis. Place a
bath blanket under the penis. If
the client develops an erection,
delay perineal care
2. Gently grasp the shaft of the
penis. If the client is
uncircumcised, retract the
foreskin.
3. Use a circular motion to Clean the male perineal area

clean the meatus of the penis


and glans in an outward
direction
4. Replace the foreskin after 7. Discard soiled washcloths
cleansing the glans. Clean the as necessary. Clean anus in
shaft of the penis. circular motion. Rinse anal
5. Rinse penis. Pat glans and area. Pat dry. Apply lotion.
shaft of penis dry. Clean and 8. Remove gloves. Wash
dry scrotum. Scrotum may hands. Remove bath blanket.
need to be lifted during Place gown down over
cleaning. Discard soiled genitals. Place top linen on
washcloths as necessary. client
6. Perform anal care. First 9. Document procedure
remove any fecal material with performed, client’s response,
toilet tissue. Clean perineal and assessment findings
area by wiping from genitals to
anus with one stroke.

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