What is the purpose of perineal care?

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Preparation of Articles:

A Tray containingMackintosh

2. Provide privacy by screens and drapes. Drape the patient as for vaginal examinations.

3. Remove all articles that may interfere with the procedure e.g. air cushion.

4. Give extra pillows to raise the head.

5. Roll the draw sheet to opposite side to prevent soiling when bedpan is placed under buttocks, over draw sheet.

6. Offer bed pan. Keep the clean bed-pan on the bed on your working side.

7. Untie the pads, if any and observe the discharges its color, odor, amount etc.

8. Leave the patient for sometime so that she may pass urine or stool if necessary.

9. Get the toilet tray and arrange the articles conveniently on bed side table.

5. Use one swab for one swabbing.

6. Clean perineum from the midline outward in following order           a.  The vulva           b. The labia           c. Inside of labia on both sides.           d. Outside of labia on both sides. 7. Clean the perineal region and anus thoroughly.8. Remove the bed pan by supporting the hip as before. Turn the patient to one side and dry the buttocks with dry rag piece.

2. Remove the mackintosh if extra one is used.

3. Change linen if necessary straighten the bed clothes. Arrange the bed linen.

4. Make patient comfortable.

5. Take the bed pan to sanitary annex. Remove cotton swabs, and empty the contents into toilet.

6. Clean all articles.

7. Boil forceps.

8. Replace articles.

9. Remove screen and tidy up the unit.

10. Wash hands.

11. Record the procedure with date and the observations made.

Introduction:

It is also defined as perineal-genital care. The perineal area is condusive to the growth of pathogenic organisms because it is warm, moist and it is not well-ventilated. Since there are many orifices example, urinary meatus, vaginal orifice and the anus situated in this area, the pathogenic organisms can enter into the body. Thoroughly cleanliness is essential to prevent bad odor to promote comfort.

Perineal Care –  A Simple Nursing Procedure.

Introduction

Perineal care involves washing the genital and rectal areas of the body. It should be done at least once a day during bed bath, shower, or tub bath. It is done more often when a patient is incontinent. This prevents infection, odors and irritation.

Wash your hands, put on gloves, and maintain privacy and respect, throughout the task.

Perineal care for female patients:

1. fill the bath basin with clean warm water
2. position the female patient on their back,
3. put a protective cover over the bed linen,
4. separate the labia and wash, rinse and dry the urethral area first with short, downward strokes alternating from side to side and proceed until the exposed area around the urethra is done,
5. then rinse the cloth or use a new wash-cloth,
6. wash the groin on the outside of the labia from the front to the back starting from outside of the labia and then going to the inside of the thighs,
7. then rinse the cloth,
8. turn the person on their side,
9. and wash, rinse and dry the rectal area.

Perineal care for male patients:

1. Follow steps 1-3 above
2. Wash the groin from the front to the back starting at the groin area and then going to the inside of the thighs,
3. Then rinse the cloth or use a new wash-cloth,
4. 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,
5. Follow steps 8-9 above

Notes for Dementia Patients

• Dementia is primarily a disease where the patient loses his or her memory and maybe confused. Take these extra steps to ensure the procedure goes smoothly.
• Be prepared: People with dementia can become agitated quickly. Have all supplies out and ready.
• Speak calmly and do not yell.
• Address the person by name and repeat your name often to reduce feelings of confusion.
• If the person becomes distressed, stop immediately and find out what is causing the distress. You may have to finish the perineal care at a later time.

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GRADE evaluation of interventions for perineal care