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PERINEAL CARE (female and male)
Wednesday, 2 May 2012 | 11 comment(s)

  

Perineal Care:

a cleansing procedure prescribed for the perineum after various obstetric and gynecologic procedures. Sterile or clean perineal care may be prescribed. It is done also after elimination and as a routine part of hygiene care (bed bath) using clean technique rather than sterile.



Perineal care for female patients:
  • fill the bath basin with clean water at 110 degrees,
  • position the female patient on their back,
  • put a protective cover over the bed linen,
  • separate the labia and wash, rinse and dry the urethral area first with short downward strokes alternating from side to side and proceeding until the exposed area around the urethra is done,
  • then rinse the cloth or use a new washcloth,
  • wash the groin on the outside of the labia from the front to the back starting outside the labia and then going to the inside of the thighs,
  • then rinse the cloth,
  • turn the person on their side,
  • and wash, rinse and dry the rectal area.


Perineal care for male patients
  • fill the bath basin with clean water at 110 degrees,
  • position the male patient on their back,
  • put a protective cover over the bed linen,
  • wash the groin from the front to the back starting at the groin area and then going to the inside of the thighs,
  • then rinse the cloth or use a new washcloth,
  • pull back the foreskin if the patient is not circumcised,
  • wash and rinse the tip of the penis downward while using gentle, circular motions and then the scrotum,
  • rinse the cloth,
  • turn the person on their side,
  • and wash, rinse and dry the rectal area.

Intervention:

Perineal care is given at prescribed intervals and after urination and defecation.

Outcome Criteria:

Sterile and clean perineal care is practiced to remove secretions or dried blood from a wound and to prevent contamination of the urethral and vaginal areas or perineal wounds with fecal matter or urine.


Source: http://www.nursingassistanteducation.com/site/courses/eng/nae-pc2-eng.php




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