Perineal care involves washing the external genitalia and surrounding with soap and water or with water alone or in combination with any commercially prepared peri-wash.
2. OBJECTIVES
In this session, you will learn :-
What is perineal care?
What are the purpose of perineal care
?
What are the indications &
contraindications?
What is the procedure of perineal
4. CONTI……
Prepare the patient
Prepare the environment
Procedure
Summary
Conclusion
Bibliography
5. INTRODUCTION
It is also called as perineal genital
care, involves cleaning the private
areas of a patient.
Because this area is prone to
infections, it must be cleaned at
least daily ,and more if a person is
suffering from incontinence
7. DEFINITION
It can be defined as washing the external
genitalia and it’s surroundings with soap and
water or water alone or in combination with
any commercially prepared peri wash.
8. PURPOSE
To prevent or eliminate infection,
odor,and promote healing
Remove secretion and
To provide comfort
9. PRINCIPLES
To clean the perineum from the cleanest
to the less clean area.
Follow standard precautions.
Maintain patient’s privacy.
Proximal level of functioning
10. INDICATIONS
Patient who are unable to do self care.
Patient with genito- urinary infection.
Patient with incontinence of urine and stool.
Patient with indwelling catheter.
Post partum patients.
Patient with injury, ulcer or surgery.
12. ARTICLES
A tray containing -
-Mackintosh
-a bowl with cotton swab
& gauze piece
-A jug with warm water
or antiseptic solutions
-Long artery forcep
-Kidney tray
To protect the bed
To clean the perineum
To wash the dirty
area
-To hold the swab
-To receive wet waste
Articles Purpose
13. CONT..
Paper bag
Clean
linen,pad,dressing
etc.as needed
Bed pan
To keep dry waste
To keep the patient
clean
It the wants to pass
stool
Articles Purpose
14.
15. PREPARE THE PATIENT
Explain procedure to the patient
Provide privacy by screening
Remove all articles which interfere the
procedure
Give extra pillows to raise head
Roll the draw sheet to opposite side to
prevent soiling
16. CONTI…
Offer bed pan
Provide dorsal recumbent position
Remove the pad if any
Leave the patient alone so that she may pass
stool
Arrange articles on bed side table
17. PREPARE THE ENVIRONMENT
Good lightening
Screening
Close the windows and doors as well
Switch off the fans
Provide cool and comfortable
environment
18. PROCEDURE
- Wash hand
- Pour water over
perineum
- Hold the swab with
forceps& Clean the
perineum using the wet
To prevent cross
infection
To wash off the
discharge from the
perineal are
To prevent the entrance
of bacteria from the
urinary tract
STEPS RATIONALE
19. …
Hold the swab with
forceps & clean
perineum the midline
outward like wise the
vulva, the labia both
inside & outside
To keep the patient
clean & prevent from
further injuries
STEPS RATIONALE
20. Clean the perineal
region and anus
thoroughly
Dry that area
To remove the waste
Prevent from skin
integrity
STEPS
RATIONALE
21. AFTER CARE
Apply the medicine and pad if necessary
Remove the Mackintosh
Change the linen
Make the patient comfortable
Clean all articles
Boil forceps
22. CONTI….
Replace article
Remove screen and tidy up the unit
Wash hand
Record the procedure with date and the
observation made.
23.
24.
25. CONCLUSION
Maternal and health care related factors were
associated to the prevalence and degree of
spontaneous perineal tear.
First degree spontaneous perineal tears were
prevalent and suture in a low no.of women
26. BIBLIOGRAPHY
ESSENTIAL OF DC DUTTA’ A TEXTBOOK OF
OBSTETRICS 9TH EDITION PUBLISHED BY JAYPEE
BROTHERS
SANDEEP KAUR A TEXTBOOK OF MIDWIFERY AND
OBSTETRICS PUBLISHED BY DR.SUNITA LAWRENCE
KAMIN RAO THE TEXTBOOK OF MIDWIFERY &
OBSTETRICAL NURSING PUBLISHED BY ELSEVIER
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