Perineal Care
Cleansing of the external genitalia, perineum, & surrounding area.
Perineal care may be an embarassing procedure for both the client & the
nurse, especially
if the client is of the opposite sex. Clients who are embarrassed may elect
to perform their own
perineal care. In this situation, the nurse should provide the client with
warm water,moistened washcloth, soap, a dry towel, & privacy.
Equipment
Bath basin
Waterproof pads
Soap
2 or 3 washcloths
Dry towels
Bath blanket
Disposable gloves
Cotton balls
Procedure
Explain procedure & purpose to client. Obtain permission. Close door & pull
curtain around bed.
Wash hands & apply gloves
Expose perineal area. Fold client’s gown up above the genital area. Corners
of bath blanket should point toward the head, sides of body, & between
the client’s legs. Fold top linen
down to the end of the bed.
Clean perineal area in the
downward direction (from pubic area to rectum). Clean & dry upper
thighs. Use separate quarters of the washcloth for each cleaning stroke.
Discard soiled washcloths as necessary. Clean the labia majora. Separate
the labia majora to clean between the labia majora & labia minora. With
the labia separated, clean the clitoris, uretral meatus, & vaginal orifice.
Rinse the area well