RUFAIDA COLLEGE OF NURSING JAMIA HAMDARD

(HAMDARD UNIVERSITY)
LESSON PLAN ON PERINEAL-CARE

SUBMITTED TO: SUBMITTED BY:

MRS.HEMLATA NAIR MISS.NISHA FATMA
TUTOR MSC NURSING 1st YEAR
RCON RCON
JAMIA HAMDARD JAMIA HAMDA
 IDENTIFICATION DATA
Name : Nisha Fatma
Class : M.Sc. Nursing 1st year
Subject : Nursing Education
Unit : 2
Topic : Perineal care
Group : B.Sc. (Hons) Nursing 1st year
Size of group : 71
Venue : B.Sc. (Hons) Nursing 1st year classroom
Duration of teaching : 2 hours
Method of teaching : Lecture method cum discussion
A.V. Aids : PowerPoint presentation, Charts, Flash cards and
demonstration.
Date and time :

Name of supervisor : Mrs hemlatha nair

Previous knowledge : The group does not have previous knowledge about
perineal care.

GENERAL OBJECTIVE:
Student point of view:
After the class, students will be able to acquire knowledge about perineal care and apply in the clinical practice.
Student teacher point of view:
The student teacher will be able to
 Demonstrate effective teaching.
 Gain confidence in facing the class.
 Gain confidence in the effective use of audio-visual aids.
TIME SPECIFIC CONTENT TEACHER’S LEARNER EVALUATION
OBJECTE ACTIVITY
5min Perineal injury is the most
common maternal,
morbidity associated with
vaginal birth. Anal sphincter
injury is a major
complication that can
significantly affect women’s
quality of life. Perineal
hygiene involves cleaning
external genitalia and
surrounding area. It is less
ventilated. Since delivery is
the physical strengthen,
efforts done by the mother
during their delivery period
and suffer and after birth
canal injuries, episiotomy
incision, perineal tear
laceration may be occur so
staff nurses provided
perineal care to the patient
in the hospital at least
minimum twice a day and
try to recover the patient in
early healing.
2min At the end ANNOUNCEMENT OF
of the class THE TOPIC:
students Today we will discussed the
will able to: topic is perineal care
5min To define DEFINITION: Student teacher define the what is perineal
perineal Perineal is an aseptic irrigation of the vulva and perineum after voiding or perineal care with the help care?
care. defecation in specified period following delivery or an operation of birth canal, of ppt.
perineum, urinary meats or anus.
o Cleaning the area between the anus and vulva in female, or the anus and
scrotum in male, promotes comforts and prevents odor kin excoriation, and
infection. Usually given along with a complete bed bath, but may have to do
more often (e.g. Incontinent of urine or faces.)
o Perineal care is the term applied to the external irrigation or cleansing of
the vulva and perineum region as a means of prevents infection, promotes
healing of the stitched perineum and making the patients comfortable.
o It cleansing procedure prescribed for the genital and anal areas as part of
the daily bath or after various obstetrical and gynaecological.

5min To explain PURPOSE: Student teacher explain the What are the
the purpose 1. To clean the skin and mucous membrane of vulva and perineum. purpose of perineal care by purpose of
of perineal 2. To eliminate the bacterial growth by application of antiseptic solution. adopting lecture method perineal care?
care 3. To increase the healing of perineal tissues. with the help of chart
4. To relieve itching, pain, discomfort, of the perineal area, paper.
5. To prevent the infection in to the genital area.
6. To minimize pain, tenderness and edema due to operational trauma after
episiotomy..
7. To observe the colour, nature and characteristics of lochia.
5min To discuss INDICATION OF PERINEAL CARE: Student teacher explain the What are the
the indication of perineal indication of
indication  Postpartum patients especially with stitches in the perineum. care.by using flash card. perineal care.
of perineal  Persons with surgery of genitourinary tract.
care  Patients with lesions, ulcer or surgery of the perinea area or rectum.
 Patient having indwelling catheter.
 Patients having excessive vaginal discharges.
  Patients with incontinence of urine or stool.
 Patients should not perform the perineal care by herself.
7min To enlist General Instruction: Student teacher enlist the Enlist the
the general general instructions of general
 Maintain strict aseptic technique during the procedure.
instructions perineal care with the help instructions of
of perineal  Provide privacy to the mother. of ppt. perineal care?
care.  Observe the colour, nature and characteristics of lochia.
 Don’t touch inner area of the sterile tray.
 Use the one swab for each stock from upward to downward.
 If the glove is soil before procedure change it.
 To observe the patient for discomfort during procedure.
 Discard all the swabs and pad in the paper bag or dustbin
 Used mild antiseptic solution or plain warm water for perineal care
5min To discuss Preliminary Assessment: Student teacher discuss the What are the
the preliminary assessment by preliminary
 Identify the patient.
preliminary using ppt. Assessment?
assessment  Check the doctor’s order for any specific precautions.
 Identify any specific contraindication.
 Any contra indications to the applications of perineal care in the patient.
 General condition of patient and ability to follow instruction.
 Check the articles available in patient unit.
10min To enlist Preparation Of The Articles :- Student teacher enlist the Enlist the
the Sr no. Articles Use
articles with the help of preparation of
preparation lecture cum discussion articles?
1. Soap dish, towel For hand washing before and after procedure
of the method.
2. Curtain To maintain privacy
articles.
3. Spot light / torch For focusing the perinea area
4. Plastic apron To protect her self
5. Bath blanket To cover the patient
6. Mackintosh ,draw sheet To protect the bed linen
7. Paper bag and Kidney To receive the waste
tray
8. Sterile tray:
 Gloves  To maintain sterile technique
 Artery forceps  To remove the previous dressing
 Sponge holder  To hold the swab and clean the perineum To clean
 Bowl containing the
savlon solution perineum
 Cotton swab  To clean the vulva and perineum
 Gauze piece  To clean the perineum with antiseptic solution
 Cotton pad  apply the antiseptic cream on sutures
 To apply over the perineum
9. Bandage or under To support the cotton pad and bind T bandage
garments
10. Bed pan To collect the excreta if needed

ADDITIONAL ITEM:
 Inrare light
 Bedpan
  Jug with warm water
 Face mask
 Curtain
 Plastic apron
 Soap dish, dish

Preparation Patient And Environment:

 Identify the patient with the name and explain the procedure to the patient to
win the confidence and co-operation.
 Advice the patient to empty the bladder and bowel.
 Provide privacy.
 Arrange the articles at the bed side locker
 Position the patient in dorsal recumbent.
 Place the mackintosh and towel under the patient to protect the bed.
 Provide adequate light by placing extra spot light.
 Drape the patient and open only vaginal area.
 Give extra pillows to raise the head.
 Use the bed pan if you perform the procedure in bed.

10min To explain PROCEDURE: Student teacher explain the Explain the

the procedure of perineal care procedure of
STEPS RATIONAL
procedure by demonstration method. perineal care?
of perineal  Explain the procedure to the  To gain the confidence and co-
care. patient. operation of the patient.
 Spread the mackintosh and  To prevent soiling of bed.
draw sheet under the
buttocks.
 Pour lotion into the bowl  To clean the perineum
 Hand wash  To prevent cross infection
 Wear the gloves  To prevent cross infection. To
maintain universal precaution
 Holding the perineal pad or  To identify any abnormality.
dressing with artery forceps
and observe characteristics
of the secretion, lochia,
amount colour, odour, and
discard soil pad
 Hold the swab with swab  To clean the perineum
holder
 Clean the perineum with  To prevent Ascending infection
sterile wet swab from
upward to downward.
 First clean the stitches and  To prevent infection as stitches,
then other area. consider more sterile than the
other area.
  Clean vulva and perineum  To clean the perineum and to
using each sponge once only prevent
and start from upward to
downwards making as little
pressure as possible on the
tissue work from the
midline outward.

 Inspect perinea stitches for  To give the treatment

infection
 Turn the patient on one side  Clean and dry the buttocks
 Apply antibiotics ointment  To discourage of bacterial growth
 Apply the dressing and  To prevent contamination of area
avoid touching the surface this will come in contact with the
of dressing that comes in perineum.
contact with vulva and
perineum.
 Apply dressing, cotton pad  To secure the pad
and “T” bandage.

6min To discuss AFTER CARE OF THE PATIENT AND ARTICLES: Student teacher explain the Explain the
the after after care of patient and after care of
 Remove the mackintosh and bedpan.
care of the articles. patient and
patient and  Change the linen if necessary. articles.
articles.  Straighten the bed Arrange the bed linen.
 Give the comfortable position to the patient.
  Take the bedpan to the sanitary use.
 Remove the cotton swabs If any And empty the contents into the toilet.
 Rinse the bedpan with cold water using a brush.
 Immerse It In lotion to disinfect it.
 Wash and dry well and keep it on the bedpan rack.
o Take all the articles to the utility room, clean it and replace it.
o Boil the forceps. Replace the articles.
 Remove the screen and tidy up the unit.
 Wash hands.
 Record the procedure with date and time and the observations made.
Recording and Reporting:
 Record the procedure in patient's chart.
 Record amount, colour and odours of lochia.
 Note consistency of uterus.
 Record if dry heat is applied.
 Record the condition of stitches.
 Report any abnormality if observed.

SUMMARY:
Today we have discussed
about perineal care. Its
definition, purpose, general
instructions, preliminary
assessment ,preparation of
 articles and procedure of
perineal care.

CONCLUSION:
Today we have discussed
about perineal care.
Perineal care involves
thorough cleansing of the
client’s external genitalia,
anal area and surrounding
skin. It involves washing the
external genitalia with soap
and water or with water
alone or in combination
with any commercially
prepared.

BIBLIOGRAPHY:
o Inamdar Madhuri, Nursing Arts (Principles and Practice) Part-II; 1st edition,
1998; Vora Medical Publication, Bombay; Pp: 98-100
o Sr. Nancy, Principles and Practice of Nursing; Volume-1; 5th edition,
reprinted ,2001; N.R. Publication, Indore; Pp: 234-233
o Spencer May and Tait Katherine M., Introduction to Nursing; 4 th edition,
1978; Blackwell scientific publication, oxford London; Pp: 87
o Thresyamma C. P., Fundamentals of Nursing Procedure Manual for General
Nursing And Midwifery Course; 1 st edition, reprint 2004; Jaypee Brothers
Medical Publishers, New Delhi; Pp: 392-395