Perineal Care Flashcards
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Questions and Answers

What is perineal care?

The bathing of a patient's genital area, requiring tact, sensitivity, and respect.

What should always be done when wiping patients during perineal care?

  • Wipe from back to front
  • Wipe from front to back (correct)
  • Use the same section of the washcloth for each wipe
  • Do not rinse the area
  • Perineal care is one of the least important procedures that assistants perform.

    False

    Some patients feel embarrassment and guilt over their need for assistance with perineal care.

    <p>True</p> Signup and view all the answers

    The perineal area is prone to infection.

    <p>True</p> Signup and view all the answers

    What is the vulva?

    <p>The external structures of the female reproductive system which include the mons pubis, labia majora, and labia minora.</p> Signup and view all the answers

    What is the purpose of Bartholin's glands?

    <p>To secrete fluid into the vagina for lubrication during intercourse.</p> Signup and view all the answers

    What is the perineum?

    <p>The space between the bottom of the labia majora and the anus.</p> Signup and view all the answers

    After using the bedpan, new disposable gloves should be put on _____.

    <p>before filling the basin with water at the beginning of the procedure</p> Signup and view all the answers

    Where should a patient be positioned during female perineal care?

    <p>In a supine position</p> Signup and view all the answers

    What is the proper hand washing technique before perineal care?

    <p>Cleanse your hands before putting on gloves and after finishing the procedure.</p> Signup and view all the answers

    When washing the female perineal area, always wipe from back to front.

    <p>False</p> Signup and view all the answers

    It is important to dry the perineal area thoroughly after washing.

    <p>True</p> Signup and view all the answers

    When should a patient be offered a urinal or bedpan?

    <p>Before washing the area.</p> Signup and view all the answers

    The perineal care procedure for washing an uncircumcised patient is exactly the same as for a circumcised patient.

    <p>False</p> Signup and view all the answers

    What are the testes?

    <p>The male gonads that produce sperm and testosterone.</p> Signup and view all the answers

    Where are the testes located?

    <p>In a sac called the scrotum, which is suspended between the thighs.</p> Signup and view all the answers

    Study Notes

    Perineal Care Overview

    • Perineal care involves the bathing of a patient's genital area, emphasizing tact, sensitivity, and respect.
    • Essential responsibility for healthcare assistants, vital for infection prevention.

    Infection Risks

    • The perineal area is vulnerable to infections if not adequately cared for.
    • Always clean from front to back and change to a clean section of the washcloth to prevent transferring infection or waste.

    Safety Measures

    • Assistants should wear new gloves before perineal care due to mucous membranes that can spread infections.
    • Gloves should be discarded after the procedure, followed by handwashing.

    Emotional Considerations

    • Patients may feel embarrassment and guilt when requiring assistance with their perineal care.

    Female Anatomy

    • The vulva consists of the mons pubis, labia majora, and labia minora; it covers the external structures of the female reproductive system.
    • The clitoris, located at the junction of the labia minora, plays a role in sexual arousal and lubrication.

    Bartholin's Glands

    • These glands secrete lubrication fluid into the vagina during intercourse and are situated between the labia minora.

    Perineal Care Procedures

    Female Perineal Care

    • Gather necessary supplies: gloves, bath blanket, bedpan, liquid soap, basin, bath thermometer, washcloths, etc.
    • Confirm patient identity, explain the procedure, and provide privacy.
    • Use a bed protector and ensure the water temperature is safe (around 105°F or 40.6°C).

    Washing Techniques

    • Wash genitals by separating the vulva and using a clean washcloth for each wipe to maintain cleanliness.
    • Always wipe front to back and ensure thorough drying after cleaning.
    • For the anal area, ask the patient to turn away and clean from the perineum to the coccyx.

    Patient Comfort and Bed Restoring

    • Assist the patient back to a comfortable position and properly cover them with bed linens, disposing of used materials as per guidelines.

    General Guidelines for Perineal Care

    • After a patient uses a bedpan or urinal, it is critical to change gloves before proceeding with washing.
    • Washing techniques differ between circumcised and uncircumcised males, emphasizing the need for special care when retracting foreskin.

    Key Concepts

    • Always wipe the perineal area from back to front is a misconception; it should be from front to back to reduce infection risks.
    • Proper drying of the perineal area after washing is crucial.
    • Offer patients a urinal or bedpan before commencing perineal care to ensure comfort and hygiene.

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    Description

    Test your knowledge on perineal care with these flashcards. This quiz highlights the importance of tact and sensitivity in caring for a patient's genital area, as well as the procedures assistants must follow to prevent infections. Enhance your understanding of this crucial nursing procedure.

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