Urinary Elimination: Perineal Care

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PERINEAL CARE
Perineal care is cleaning the external genitalia and surrounding area. Perineal care is also referred to as "peri-care" or " perineal-genital "care.
Purpose
·        To keep cleanliness and prevent from infection in perineal area
·        To promote normal perineal secretions and odors
·        To make him/her comfortable
             Who requires Perineal Care??
   Patients who are
·        Unable to do self- care
·        With genito urinary tract infections/ surgery/ ulcer.
·        With incontinence of urine and stool
·        With excessive vaginal discharge
·        With indwelling catheters
·        Post - partum patients
Preliminary Assessment
·        Assess the condition of the perineal skin- any itching, irritations, ulcers, and edema
·        Assess excessive discharge, Urinary or fecal incontinence, Recent rectal or perineal surgery, Indwelling catheter
·        Assess the patient's ability for self- care
·        Assess the patient's mental state to follow instructions
Points to be kept in mind:
ü Always wear gloves
ü Offer the client a bedpan/urinal or assist him to the bathroom before starting.
ü Be very gentle when washing the area.
ü The perineal area is more sensitive to temperature than the rest of the body. The water may be more comfortable if it is slightly cooler than the temperature of bath water.
ü Position the client in the "back-lying" and/or "side-lying" position when giving peri - care.
ü A towel or bedpan may be placed under the hips to assist in peri care.
ü Always wash from front to back to prevent spreading fecal matter from anal area to vagina or urethra (opening to bladder).
ü Peri care for the male client is started at the tip of the penis.
ü Make sure to wipe thoroughly and dry.
Articles
·        Sterile Pack containing bowl with gauze piece or cotton balls/swabs, thumb and artery forceps
·        Clean gloves.
·        Povidone iodine,
·        Kidney tray.
·        Towels (Bath towel, Bath blanket)
·        Warm Water (1 10-115 deg F) and basin (optional).
·        Drape.
·        Bedpan (optional).
Procedure   

















































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notes.nursium.com: Urinary Elimination: Perineal Care
Urinary Elimination: Perineal Care
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