Perineal care procedure for male and female

PERINEAL CARE

PURPOSES OF PERINEAL CARE

Perineal care is usually called “peri care.” It means washing the genitals and anal area. In this article we will tell you Perineal care procedure for male and female. Perineal care can be done during a bath or as a separate procedure. Perineal care prevents skin breakdown of perineal area, itching, burning, odor, and infections. Perineal care is very important in maintaining the clients’ comfort. More frequent care is required for clients who are bedridden or for those who have an indwelling catheter. Make every effort to respect the modesty of clients and be gentle when cleansing this sensitive area.


Specific Measures Related to Perineal Care

Other than soap and water, different products may be used when giving perineal care. Some clients use a non-rinse perineal-wash, a perineal-wash that requires rinsing, skin-barrier creams, betadine liquid or pre-moistened wipes. Use perineal care products according to the service plan and follow the manufacturer’s directions for use. Always wear gloves when giving perineal care to protect yourself and the client. Offer the client a bedpan/urinal or assist him to the bathroom before starting. Warm water on the perineal area may stimulate the need to urinate. Be very gentle when washing the area. 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. Position the client in the “back-lying” and/or “side-lying” position when giving perineal care. A towel or bedpan may be placed under the hips to assist in perineal care. When giving perineal care to the female client, observe for odors and vaginal discharge that may indicate vaginal yeast infection. Always wash from front to back to prevent spreading fecal matter from anal area to vagina or urethra (opening to bladder). Perineal care for the male client is started at the tip of the penis. For uncircumcised males, retract the foreskin, wash the tip of penis, and then return the foreskin over the tip of penis. If the foreskin is not returned, circulation can be affected which could lead to tissue damage. Make sure to rinse thoroughly and pat dry.

PROCEDURE FOR GIVING PERINEAL CARE TO THE MALE CLIENT:

  1. Gather necessary equipment.
  2. Wash your hands. Put on gloves.
  3. Explain what you are going to do.
  4. Provide privacy.
  5. Client should be in back-lying or side-lying position; place towel or bedpan under hips.
  6. Fill basin with warm water.
  7. Cover client with a towel or sheet.
  8. Expose perineal area. Using a circular motion, gently wash the penis by lifting it and cleaning from the tip downward.Perineal care procedure for male and female
  9. Wash and rinse the scrotum.
  10. Wash and rinse other skin areas between the legs.
  11. Wash and rinse the anal area.
  12. Pat the perineal area dry.
  13. May apply a light dusting of powder under scrotum to prevent rubbing on skin (optional) as per service plan.
  14. Remove towel or sheet.
  15. Remove and dispose of gloves.
  16. Remove, clean, and store equipment.
  17. Wash hands.
  18. Make the client comfortable.
  19. Record observations and report anything unusual to nurse/supervisor.

PROCEDURE FOR GIVING PERINEAL CARE TO THE FEMALE CLIENT:

  1. Gather necessary equipment.
  2. Wash your hands. Put on gloves.
  3. Explain what you are going to do.
  4. Provide privacy.
  5. Assist client to back-lying or side-lying position; place towel or bedpan under hips.
  6. Cover client with a towel or sheet.
  7. Expose perineal area. Gently wash the inner legs and outer perineal area along the outside of the labia.
  8. Wash the outer skin folds from front to back.Perineal care procedure for male and female
  9. Wash the inner labia from front to back
  10. Gently open all skin folds and wash the inner area from front to back.
  11. Rinse the area well, starting with innermost area and proceeding outward.
  12. Wash and rinse the anal area.
  13. Pat the perineal area dry.
  14. May apply a light dusting of powder to outer perineal area as per service plan.
  15. Remove towel, bedpan, or sheet.
  16. Remove and dispose of gloves.
  17. Remove, clean, and store equipment.
  18. Wash your hands.
  19. Make the client comfortable.
  20. Record observations and report anything unusual to nurse/supervisor.

 

Close