Question

Question #8:

a) Briefly discuss the four male client situations when perineal care would be needed.

b) Briefly discuss five female client situations when perineal care would be indicated

c) For the following nursing actions state the appropriate rationale: a)For male patient, use a circular motion to cleanse from meatus outwards.b)For male patient, if client is uncircumcised, retract foreskin.c) For female patient, separate labia with gloved non dominant hand to expose urinary meatus and vaginal orifice.d) For female patient, wipe in direction from perineum to rectum.

Answer 1

Perineal care indication

Male : patient who are unable to do self care

• Patients with genito urinary infection and surgery
• Incontinence of urine and stool
• Patient with indwelling catheter

Female

• Patient with self care deficit
• Patient with genito urinary infection and surgery
• Patient with episiotomy
• Patient with indwelling catheter

Rationale

1. male patients cleaning circular motion from meatus to outward :least contamination to more contamination area.Here less contaminated area is meatus and more contaminated area is out ward
2. If uncircumcised retract foreskin :To expose the tip glans ad cleanse the tip of glans and cleanse the rest of glans down ward directions.
3. For female patient seperate the labia:To expose urinary meatus and vaginal orifice and cleanse that area.
4. For female wipe from perineum to rectum:here consider perinum less contaminated and rectum more contaminated. So it is medical aseptic technique direction from less contaminated to more contaminated aea.