paerineal care

1. Introduction
Cleansing of the external genitalia, perineum, & surrounding area.
Perineal care is also referred to as “peri-care” or “perineal-genital” care.
Perineal care can be provided alone or as part of the bed bath.
Perineal care may be an embarrassing 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. If the client is unable to perform
perineal care, the nurse is responsible for providing this care in a
professional & private manner.

2. Perineal care may be an embarrassing 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. If the client is unable to perform perineal
care, the nurse is responsible for providing this care in
a professional & private manner.

3. EQUIPMENT
Bath basin
Soap
2 or 3
washcloths
Dry bath
towels
Bath blanket
Waterproof
pads
Toilet tissue
Lotion or
ointment
Disposable
gloves

4. Procedure
1.Explain procedure & purpose to client.
Obtain permission. Close door & pull
curtain around bed.
2.Wash hands & apply gloves.
3.Place waterproof pads under client’s
buttocks. Client may be placed on a bed
pan for perineal care. Females usually
assume the dorsal recumbent position.
Males may assume the dorsal recumbent or
supine position with knees & hips flexed.

5. 4. Expose perineal area. Fold client’s
gown up above the genital area. Place a
bath blanket over the client using a
“diamond” draping technique. 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. Tuck side corners of
bath blanket around client’s legs. Lift
corner between client’s legs to expose
perineal area.

6. 5. Moisten & lather washcloths.
Female: 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
with warm water. Pat perineal area dry. Apply
lotion to upper thighs.

7. Male: Gently raise penis. Place a bath blanket
under the penis. If the client develops an
erection, delay perineal care. Gently grasp the
shaft of the penis. If the client is
uncircumcised, retract the foreskin. Use a
circular motion to clean the meatus of the
penis & glans in an outward direction.
Replace the foreskin after cleansing the glans.
Clean the shaft of the penis. Rinse penis. Pat
glans & shaft of penis dry. Clean & dry
scrotum. Scrotum may need to be lifted during
cleaning. Discard soiled washcloth as necessary.

8. 6. Perform anal care. First remove any
fecal material with toilet tissue. Clean
perineal area by wiping from genitals to
anus with one stroke. Discard soiled
washcloths as necessary. Clean anus in
circular motion. Rinse anal area. Pat dry.
Apply lotion.

9. 7. Remove gloves. Wash hands. Remove
bath blanket. Palce gown down over
genitals. Place top linen on client.
8. Document procedure performed,
client’s response, and assessment
findings.