Perineal Care

Mary Grace Morada-Cu, MAN, RN

Nursing Care Management 107
SPUM- CNAHS

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Perineal Care
• Washing or cleansing of
the external genitalia,
perineum, anal area and
surrounding area.
Perineal Care is also
referred to “pericare” or
“perineal-genital care”

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Objectives
• To be given as part of the bath but may also be done
at other times if necessary
• To remove abnormal vaginal discharges to prevent
infection and promote healing (used as prescribed
treatment that is performed at specific intervals)

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Objectives (cont)
• To prevent infection (usually done to post-partum
mothers)

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Materials/ Equipment
• Waterproof pad
• Bedpad
• Irrigating Solution
• Cherry balls
• Clean Gloves
• Sterile Perineal Pad

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 Procedure Steps - Assessment
1. Assess perineum for swelling, redness, excoriation (type of
erosion) and presence of odor

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Procedure Steps - Assessment
• 2. Assess perineal discharges (color, amount,
and odor)

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Procedure Steps - Assessment
• In

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Procedure Steps - Planning
3. At the end of the procedure,
a. Client will be comfortable
b. Client’s perineal area is free from any signs and
symptoms of infection

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Procedure Steps - Implementation
4. State the purpose of the procedure
5. Explain the procedure to the client/ patient.
6. Wash hands prior to the procedure
7. Assemble all necessary equipments/
materials
8. Place waterproof pad under patient.

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Procedure Steps - Implementation
9. Place patient on bed pan in dorsal recumbent
position with knees flexed and separated.
10.Drape patient with perineal area exposed
11. Apply clean gloves.

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Procedure Steps - Implementation
•12. Separate labia with non-dominant hand.

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Procedure Steps - Implementation
•13. Pour warmed irrigating solution gently vulva from
a sterile pitcher.
•.

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 Procedure Steps - Implementation
•14. Cleanse perineal area
with cherry balls held in a
sponge holder, use a
front-to-back direction
and discard each sponge
in a plastic or paper bag
after one use. Use sterile
materials if there is an
open wound. (Note:
should follow the correct
technique)
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Procedure Steps - Implementation
•15. Dry perineal area using dry cherry balls in same
fashion as for cleansing.
•.

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Procedure Steps - Implementation
16.Apply sterile perineal pads.
17.Position patient back to the position of
comfort
18. Do after care.
19. Discard PPE and perform hand hygiene

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Procedure Steps - Evaluation
20. Evaluate using the following criteria:
a. Patient’s response to treatment
b. Signs and symptoms of undesirable responses
to treatment
c. Patient’s comfort
21. Report significant findings that need immediate
attention to the nurse supervisor/ physician
22. Document and record findings in the chart using
appropriate terminologies.
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 Perineal Care
Mary Grace Morada-Cu, MAN, RN
Nursing Care Management 107
SPUM- CNAHS

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