PERINEAL CARE/ GENITAL

CARE FOR MALE AND FEMALE

COLLEGE OF NURSING
OUR LADY OF FATIMA UNIVERSITY

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 • Assess the client effectively to determine the need
for assistance with perineal care
• Analyze data to determine special needs, concerns,
and self-care abilities In completing perineal care
• Determine appropriate patient outcomes of the
OBJECTIVES perineal care procedures, and recognize the
potential for adverse outcomes
• Choose the appropriate procedure and equipment
for the specific perineal care needed
• Evaluate the effectiveness of perineal care
techniques for a particular client

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ANATOMY
OF FEMALE
EXTERNAL
GENITALIA

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ANATOMY
OF MALE
EXTERNAL
GENITALIA

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 •Is the thorough cleansing of the
perineum.
•This should be performed during a
PERINEAL CARE bath, and if necessary, at bedtime
and after urination and bowel
movements.
•Performed before and after a
procedure
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 •To remove normal perineal
secretions and odors
• To promote client comfort and
PURPOSES good hygiene
•To prevent breakdown of perineal
area, itching. burning., odor and
infections.

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 • Who are unable to do self care
• Client with genito-urinary tract
infections
• With fecal and urinary incontinence
INDICATIONS • With indwelling foley catheter
• Client who are recovering from
rectal or genital surgery or childbirth
• Client with injury and pressure
ulcers
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 • Rubber sheet/peri pad
• Bed pan
• Bath blanket
• Basin with warm water
• Drapes
EQUIPMENT • Forcep
• Clean gloves
• Trash bin
• Cleansing solution

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Offering bed pan Offering urinal

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 •B – bleeding/bedsore
•O - odor
ASSESS FOR: •P - pus
•I - inflammation
•E - excoriation
•S - swelling
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 • Determine whether the client is experiencing
any discomfort in the perineal-genital area.
• Obtain and prepare the necessary equipment
R E and supplies.

D U • Introduce self and verify the client’s identity

C E using agency protocol.

R O • Explain to the client what you are going to do,

P why it is necessary, and how he or she can
participate, being particularly sensitive to any
embarrassment displayed by the client.

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PROCEDURE • Perform hand hygiene and observe other
appropriate infection prevention
procedures.
• Provide for client privacy by drawing the
curtains around the bed or closing the door
to the room.
• Adjust the bed to a comfortable working
height to (prevent back strain), and lower the
Diamond fashioned head of the bed, if allowed. Lower the siderail
draping closest to you.

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PROCEDURE • Wear clean gloves
• Allow the client to turn to his or her
side and put the water-proof pad
• Offer bedpan for female and urinal for
DORSAL RECUMBENT male
POSITION
• Then help the patient to a:
A. (Female) Dorsal recumbent position
B. (Male) Supine with knees slightly
flexed and hips externally rotated
FROG LIKE POSITION
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PROCEDURE • FOR FEMALE: Separate labia with
one hand and wash with the other,
using gentle downward strokes
• (Figure of 7) from front to back of the
perineum.
*use new cotton ball for every stroke
• Rinse thoroughly from front to back.
Pat the area dry

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PROCEDURE •FOR MALE (circumcised): Hold
the shaft of the penis with one
hand and wash with the other,
beginning at the tip and
working in a circular motion
from the center to the periphery.
*use new cotton ball for every
stroke
•Rinse thoroughly (Figure of 8)
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PROCEDURE • FOR MALE (uncircumcised):
• Gently retract the foreskin and clean
beneath it.
• Rinse well but don’t dry because
moisture provides lubrication and
prevents friction when replacing the
foreskin: Rinse thoroughly (Figure of 8)
• Wash the rest of the penis, using
downward strokes toward the scrotum.

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PROCEDURE •Clean between the buttocks.
•Assist the client to turn onto the side
facing away from you.
•Pay particular attention to the anal
area and posterior folds of the
scrotum in males. Clean the anus
with toilet tissue before washing it, if
necessary. (J and Inverted J strokes)
•Dry the area well.
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 • Remove the water-proof pad and
PROCEDURE bath blanket
• Remove the clean gloves
• Place the client in a comfortable
position
• Performed hand hygiene
• Document any unusual findings such
as redness, excoriation, skin
breakdown, discharge or drainage,
and any localized areas of tenderness
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• The word ''douche'' is French for
''wash'' or ''soak.'' It is a method to
wash out the vagina, usually with
a mixture of water and vinegar.
• Is the injection of fluid either plain
or medicated into the vaginal
canal under low pressure to
facilitate cleansing of the vaginal
tract..

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Reasons for Douching
• Mechanical cleansing of the vaginal
tract and the cervix as in leukorrhea.
• To help remove any foul odor that may
be present.
• Pre-operative procedure on most
patients having the type of
gynecologic surgery.
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• application of warmth or radiant
heat to the client’s perineum.
• PURPOSES:
- For faster wound healing
- Provide comfort
- Promotes vasodilation

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 60 watts (normal bulb)
100-150 watts (infrared)

- 24 hours after NSD

- Post perineal surgery

- Active bleeding
- CS Delivery

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• Doctor’s order

• Dorsal recumbent position

• Diamond fashioned draping

• Distance: 18 – 24 inches

• Duration: 5 – 15 minutes
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 Smile ka lang……mas
maganda/guwapo ka
kapag naka smile ka!
Salamat at Ingat ka!

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REFERENCES
• Pillitteri, Adele (2014). Maternal and Child Health Nursing: Care of the Childbearing and
Childbearing Family, 7th edition, vol 2. Philadelphia: Lippincott Williams and Wilkins. 618.20231 P64
2014, v1, c10
Hockenberry, Marilyn J. (2015). Wong’s Nursing Care of Infants and Children, Vol. 1. Singapore:
Elsevier. 610.736 H65 2016 v1, c6

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