Perineal Care Basics Flashcards

Questions and Answers

What does perineal (peri-care) care mean?

Cleaning the external genitalia and the rectal area.

When should peri-care be done? (Select all that apply)

During a shower or bath (correct)

Whenever possible it should be done by staff only

After each episode of incontinence and diarrhea (correct)

AM & PM care (correct)

Why is peri-care important?

It restores and maintains comfort for the incontinent person, removes surface microorganisms, eliminates odor, and prevents skin irritation and infections.

What is important when doing peri-care?

To wipe from front to back after a bowel movement and during peri-care. Signup and view all the answers

What is the first step in the peri-care procedure?

Assemble equipment: disposable gloves, toilet paper, disposable bed protectors, bedpan and cover, wash cloth, peri-care solution. Signup and view all the answers

What should you do in the second step of peri-care?

Raise the bed to a comfortable working height for you. Signup and view all the answers

What is the third step in the peri-care procedure?

Place a waterproof bed protector under the resident's buttocks. Signup and view all the answers

What should be done in the fourth step of peri-care?

Cover the resident with the bath blanket and remove the top sheet from underneath to expose the perineum. Signup and view all the answers

What should you do in the fifth step of the peri-care procedure?

Put on disposable gloves. Signup and view all the answers

What is the sixth step in the peri-care procedure?

Have the resident lie on their back with their knees flexed and separated. Signup and view all the answers

What should be cleaned in the male during peri-care?

The penis, scrotum, and rectal area. Signup and view all the answers

What is essential to remember when cleaning the female perineum?

Wipe from front to back and change the location on the washcloth with each wipe. Signup and view all the answers

What should be observed during peri-care?

Any reddened, open, or irritated areas, unusual odors, or discharge. Signup and view all the answers

What is the procedure after completing the peri-care?

Remove the bedpan, bed protector, or wet incontinent pad, and place a clean, dry pad under the resident. Signup and view all the answers

What should be done after disposing of soiled linen?

Empty, rinse, and wipe the basin, then return it to proper storage. Signup and view all the answers

What should be placed within the resident's reach after peri-care?

The call light. Signup and view all the answers

What is the final step in the peri-care procedure?

Wash hands. Signup and view all the answers

Study Notes

Perineal Care Overview

Perineal (peri-care) care involves cleaning the external genitalia and rectal area to maintain hygiene.

When to Perform Peri-Care

Perform peri-care during AM and PM routines.
It should also be conducted during showers or baths.
Required after episodes of incontinence or diarrhea.
Ideally, residents should perform it themselves when able.

Importance of Peri-Care

Offers comfort and hygiene for incontinent individuals.
Removes microorganisms and helps eliminate odors.
Prevents skin irritation and reduces the risk of infections.

Key Techniques for Peri-Care

Always wipe from front to back after bowel movements and during peri-care to prevent infection.

Procedure Steps for Peri-Care

Step One: Gather necessary supplies including gloves, toilet paper, bed protectors, washcloth, and cleaning solutions.
Step Two: Adjust the bed to a comfortable working height.
Step Three: Place a waterproof bed protector under the resident.
Step Four: Maintain privacy while exposing only the perineum; cover the resident with a bath blanket.
Step Five: Put on disposable gloves for protection.

Cleaning the Male Perineum

Step Seven: Clean the penis, scrotum, and rectal area, starting from the urethral opening downwards.
For uncircumcised males, retract the foreskin gently for cleaning and then replace it.
Dry the genital area gently after washing.

Cleaning the Female Perineum

Step Eight: Clean the pubic area, outer urethral and vaginal openings, labia, and rectal area.
Use peri-solution or soap, ensuring to clean from front to back and changing the washcloth area with each wipe to prevent urinary tract infections (UTIs).

Final Steps in Peri-Care

Step Nine: Wash and rinse the perineal area thoroughly, drying it with a blotting technique.
Step Ten: Turn the resident to their side for rectal area cleaning without contaminating the perineal area.
Step Eleven: Observe for any signs of irritation, unusual odors, or discharge, and report findings.
Step Twelve: Remove any pads or protectors and place a dry pad underneath the resident.
Step Thirteen: Cover the resident with a top sheet and remove the bath blanket.
Step Fourteen: Lower the bed to a safe height for the resident's comfort.
Step Fifteen: Dispose of soiled linens properly.
Step Sixteen: Clean and store the basin according to facility policies.
Step Seventeen: Safely remove and dispose of gloves to avoid contamination.
Step Eighteen: Ensure the call light is within the resident's reach for assistance.
Step Nineteen: Conclude the procedure by washing hands thoroughly.

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Description

Test your knowledge on perineal care with these flashcards. Learn about definitions, timing, and the importance of peri-care for comfort and hygiene. Ideal for caregiving training and healthcare studies.