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  • Perineal Care

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    Nicole Nipas
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    The document provides instructions for performing perineal care, which involves cleansing the genital and surrounding areas. Key steps include: 1. Explaining the procedure to the client and obtaining permission before providing care privately. 2. Exposing the perineal area while keeping the client covered and modest. 3. Cleaning the genital areas with separate strokes of a moistened washcloth from front to back, ensuring all areas are rinsed and dried. 4. Documenting the procedure, client response, and any assessment findings.

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    PERINEAL CARE

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    The document provides instructions for performing perineal care, which involves cleansing the genital and surrounding areas. Key steps include: 1. Explaining the procedure to the client and obtaining permission before providing care privately. 2. Exposing the perineal area while keeping the client covered and modest. 3. Cleaning the genital areas with separate strokes of a moistened washcloth from front to back, ensuring all areas are rinsed and dried. 4. Documenting the procedure, client response, and any assessment findings.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    60 views1 page

    Perineal Care

    Uploaded by

    Nicole Nipas
    The document provides instructions for performing perineal care, which involves cleansing the genital and surrounding areas. Key steps include: 1. Explaining the procedure to the client and obtaining permission before providing care privately. 2. Exposing the perineal area while keeping the client covered and modest. 3. Cleaning the genital areas with separate strokes of a moistened washcloth from front to back, ensuring all areas are rinsed and dried. 4. Documenting the procedure, client response, and any assessment findings.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    PERINEAL CARE  Clean perineal area in the downward

    direction (from pubic area to rectum).


    Cleansing of the external genitalia, perineum, &
     Clean & dry upper thighs. Use separate
    surrounding area. Perineal care is also referred to as
    quarters of the washcloth for each
    “peri-care” or “perineal-genital” care.
    cleaning stroke.
    The purpose of perineal care are to prevent or  Discard soiled washcloths as necessary.
    eliminate infection & odor, promote healing, remove Clean the labia majora.
    secretions, & provide comfort. Perineal care can be  Separate the labia majora to clean
    provided alone or as part of the bed bath. between the labia majora & labia
    minora.
    Perineal care may be an embarrassing procedure
     With the labia separated, clean the
    for both the client & the nurse, especially if the client
    clitoris, urethral meatus, & vaginal
    is of the opposite sex.
    orifice.
    Clients who are embarrassed may elect to perform  Rinse the area well with warm water.
    their own perineal care. In this situation, the nurse Pat perineal area dry.
    should provide the client with warm water, moistened  Apply lotion to upper thighs.
    washcloth, soap, a dry towel, & privacy.
    MALE:
    If the client is unable to perform perineal care, the
     Gently raise penis.
    nurse is responsible for providing this care in a
     Place a bath blanket under the penis.
    professional & private manner.
     If the client develops an erection,
    EQUIPMENT delay perineal care.
     Gently grasp the shaft of the penis. If
     Bath basin
    the client is uncircumcised, retract the
     Soap foreskin.
     2 or 3 washcloths  Use a circular motion to clean the
     Dry bath towels meatus of the penis & glans in an
     Bath blanket outward direction.
     Waterproof pads  Replace the foreskin after cleansing
     Toilet tissue the glans.
     Lotion or ointment  Clean the shaft of the penis. Rinse
     Disposable gloves penis.
     Pat glans & shaft of penis dry. Clean
    PROCEDURE
    & dry scrotum.
    1. Explain procedure & purpose to client. Obtain  Scrotum may need to be lifted during
    permission. Close door & pull curtain around cleaning.
    bed.  Discard soiled washcloth as necessary.
    2. Wash hands & apply gloves.
    3. Place waterproof pads under client’s buttocks.
    Client may be placed on a bed pan for perineal 6. Perform anal care. First remove any fecal
    care. Females usually assume the dorsal material with toilet tissue. Clean perineal area
    recumbent position. Males may assume the by wiping from genitals to anus with one
    dorsal recumbent or supine position with knees stroke. Discard soiled washcloths as necessary.
    & hips flexed. Clean anus in circular motion. Rinse anal area.
    4. Expose perineal area. Fold client’s gown up Pat dry. Apply lotion.
    above the genital area. Place a bath blanket 7. Remove gloves. Wash hands. Remove bath
    over the client using a “diamond” draping blanket. Place gown down over genitals. Place
    technique. Corners of bath blanket should top linen on client.
    point toward the head, sides of body, & 8. Document procedure performed, client’s
    between the client’s legs. Fold top linen down response, and assessment findings.
    to the end of the bed. Tuck side corners of bath
    blanket around client’s legs. Lift corner
    between client’s legs to expose perineal area.
    5. Moisten & lather washcloths.
    FEMALE:

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