J.

G COLLEGE OF NURSING,
AHMEDABAD.
SUBJECT : Nursing Foundation
TOPIC : Procedure on Perineal Care

SUBMITTED TO: SUBMITTED BY:

MS.SOMA DAS. PATEL SONAL P.
ASST. PROESSOR, F.Y M.SC NURSING,
J.G COLLEGE OF NURSING, J.G COLLEGE OF NURSING,
AHMEDABAD. AHMEADABAD.
 LESSON PLAN ON PERINEAL CARE
 Name : Patel Sonal P.
 Subject : Nursing Foundation
 Topic : Perineal care
 Group : First Year B.Sc(N) Students
 Time : 1 Hour
 Name of The College : J.G College Of Nursing, Ahmedabad.
 Method of Teaching : Lecture Cum Discussion, Demonstration
 A.V. Aids : Demonstration
 Previous Knowledge of Group : Students having some knowledge regarding “Perineal Care”
 OBJECTIVE
General objective: After the completion of class students will be able to understand about perineal care and will
develop positive knowledge, skill regarding Perineal care.

Specific objective:
 Introduce about the topic.
 Define the perineal care.
 Enumerate the purpose of perineal care.
 List out the indication of perineal care.
 Discuss the general instruction about the procedure.
 Discuss about preliminary assessment.
 Explain the articles.
 Explain the preparation of patient.
 Explain the procedure.
 Discuss the recording and reporting.
Sr. Time Specific Content Teaching & A.V Aids use Evaluation
no Objectives Learning
Activity
1. 6 min Introduce  Introduction: Discussion Ask about
about the Perineal injury is the most common maternal morbidity what is
topic. associated with vaginal birth. Anal sphincter injury is a perineal
major complication that can significantly affect care?
women’s quality of life. Perineal hygiene involves
cleaning external genitalia and surrounding area. The
perineal area is conductive to growth of pathogenic
organisms because so the pathogenic organisms enter
into body many orifice in situated in this area .it is less
ventilated. Since Delivery is the physical strengthen,
effort done by the mother during their delivery period
and suffer from birth canal injuries, episiotomy incision,
perineal tear laceration may be occur so staff nurses
provided perineal care to the patient in the hospital at
least minimum twice a day and try to recover the patient
in early healing.

2 4 min Define the DEFINITION:

perineal care.  Perineal care is an aseptic irrigation of the vulva Lecture cum What is
and perineum after voiding or defecation in discussion perineal
specified period following delivery or an care?
operation of birth canal, perineum, urinary meats
or anus.
 cleansing the area between the anus and vulva in
female, or the anus and scrotum in male;
promotes comfort and prevents odor kin
excoriation, and infection. usually given along
Sr. Time Specific Content Teaching & A.V Aids use Evaluation
no Objectives Learning
Activity
2 4 min Define the with a complete bed bath, but may have to do
perineal care. more often (e.g. incontinent of urine or feces) Lecture cum What is
 Perineal care is the term applied to the external discussion meaning of
irrigation or cleansing of the vulva and perineum Perineal
region as a means of prevent infection, promote Care?
healing of the stitched perineum and making the
patient comfortable.
 Cleansing procedure prescribed for the genital
and anal areas as part of the daily bath or after
various obstetrical and gynecological
procedures.

3. 2 min Enumerate  PURPOSE Lecture cum What are the

the purpose 1. To clean the skin and mucous membrane of the discussion purpose of
of perineal vulva and perineum. perineal
care. 2. To eliminate the bacterial growth by application care?
of antiseptic solution.
3. To increase the healing of perineal tissues.
4. To relieve itching, pain, discomfort of the
perineal area.
5. To prevent the infection in to the genital area.
6. To minimize pain, tenderness and edema due to
operational trauma after Episiotomy
7. To observe the colour, nature and characteristics
of lochia.
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no Objectives Learning
Activity
4 2 min List out the  Indication Of Perineal Care: Lecture cum What is
indication of discussion indication of
perineal care. 1) Postpartum patients especially with stitches in perineal
the perineum. care?
2) Persons with surgery of the genitourinary tract.
3) Patients with lesions, ulcer or surgery of the
perinea area or rectum.
4) Patient having indwelling catheter.
5) Patients having excessive vaginal discharges.
6) Patients with incontinence of urine or stool
7) Patient should not perform the perineal care by
herself.

5. 6 min Discuss the  General Instruction: Lecture cum What are

general 1) Maintain strict aseptic technique during the discussion point to keep
instruction procedure. in mind?
about the 2) Provide privacy to the mother.
procedure. 3) Observe the colour, nature and characteristics of
lochia.
4) Don’t touch inner area of the sterile tray.
5) Use the one swab for each stock from upward to
downward.
6) If the glove is soil before procedure change it.
7) To observe the patient for discomfort during
procedure.
8) Discard all the swabs and pad in the paper bag or
dustbin
9) Used mild antiseptic solution or plain warm water
for perineal care.
Sr. Time Specific Content Teaching & A.V Aids use Evaluation
no Objectives Learning
Activity
6. 4 min Discuss  Preliminary Assessment: Discussion Demonstration What are the
about preliminary
1) Identify the patient.
preliminary assessment?
assessment. 2) Check the doctor’s order for any specific
precautions.
3) Identify any specific contraindications present.
4) Any contra indications to the applications of
perineal care in the patient.
5) General condition of patient and ability to follow
instruction.
6) Check the articles available in patient unit.
7. 5 min Explain the  Preparation Of The Articles :- Discussion Which
articles. articles
require in
Sr Articles
no. procedure?
1 A CLEAN TRAY CONTAINING:
1.Sterile antiseptic lotion-2% dettol or savlon
2. Sterile normal saline in a bottle
3. Cheatle forceps
4. Antiseptic or antibiotic medication in ordered
5. Sterile sanitary pad
6. Kidney tray
7. Sterile gloves
8. Mackintos
Sr. Time Specific Content Teaching & A.V Aids use Evaluation
no Objectives Learning
Activity
7. 5 min Explain the 2. STEILE PACK OR TRAY CONTAINING
articles. 1.Artery forceps-1 Demonstration
2. Dissecting forceps-1
3. Cotton balls

4. Gauze piece
5. Sterile towel to wipe hands after surgical
scrub
3 ADDITIONAL ITEMS
1.Inrare light
2. Bedpan
3, jug with warm water
4. face mask
5. Curtain
Discussion
6. plastic apron
7. Soap dish, towel
Sr. Time Specific Content Teaching & A.V Aids use Evaluation
no Objectives Learning
Activity
8. 6 min Explain the  Preparation Of Patient And Environment: How to
preparation prepare
1) Identify the patient with the name and explain the
of patient. patient
procedure to the patient to win the confidence and
before
co-operation.
procedure?
2) Advice the patient to empty the bladder and bowel.
3) Provide privacy.
4) Arrange the articles at the bed side locker (image of hand wash)
5) Position the patient in dorsal recumbent.
6) Place the mackintosh and towel under the patient to
protect the bed.
7) Provide adequate light by placing extra spot light.
8) Drape the patient and open only vaginal area.
9) Give extra pillows to raise the head.
10) Use the bed pan if you perform the procedure in bed.

image of position of client)

9. 10 min Explain the  PROCEDURE Discussion How to do
procedure. procedure?
STEPS RATIONAL

Explain the To gain the confidence

procedure to the and co-operation of the Demonstration
patient. patient.
Spread the To prevent soiling of bed.
mackintosh and
draw sheet under the
buttocks.
Sr. Time Specific Content Teaching & A.V Aids use Evaluation
no Objectives Learning
Activity
9. 4 min Explain the Pour lotion into the To clean the perineum Demonstration Which are
procedure. bowl the steps of
Hand wash To prevent cross infection perineal
Wear the gloves To prevent cross care?
infection. To maintain
universal precaution
Holding the perineal To identify any
pad or dressing with abnormality.
artery forceps and
observe
characteristics of
the secretion,
lochia, amount
colour, odour and
discard soil pad
Hold the swab with To clean the perineum
swab holder
Clean the perineum To prevent Ascending
with sterile wet infection
swab from upward
to downward.
First clean the To prevent infection as
stitches and then stitches consider more
other area. sterile than the other area.
Clean vulva and To clean the perineum
perineum using each and to prevent infection.
sponge once only
and start from
Sr. Time Specific Content Teaching & A.V Aids use Evaluation
no Objectives Learning
Activity
9. 4 min Explain the upward to Demonstration Which are
procedure. downwards making the steps of
as little pressure as perineal
possible on the care?
tissue work from the
midline outward.

Inspect perinea To give the treatment

stitches for infection
Turn the patient on Clean and dry the
one side buttocks
Apply antibiotics To discourage of bacterial
ointment growth
Apply the dressing To prevent contamination
and avoid touching of area this will come in
the surface of contact with the
dressing that comes perineum.
in contact with vulva
and perineum.
Apply dressing, To secure the pad
cotton pad and “T”
bandage. Discussion
Which are
the steps of
perineal
care?
Sr. Time Specific Content Teaching & A.V Aids use Evaluation
no Objectives Learning
Activity
10 8 min Discuss the  After Care of The Patient And Articles: Discussion What to do
after care. 1) Remove the mackintosh and bedpan. after care?
2) Change the linen if necessary. Straighten the bed
Arrange the bed linen.
3) Give the comfortable position to the patient.
4) Take the bedpan to the sanitary use. Remove the
cotton swabs If any And empty the contents into
the toilet. Rinse the bedpan with cold water using
a brush. Immerse It In lotion to disinfect it.
5) Wash and dry well and keep it on the bedpan
rack. Ready for the next use.
6) Take all the articles to the utility room, clean it
and replace it.
7) Boil the forceps. Replace the articles.
8) Remove the screen and tidy up the unit.
9) Wash hands.
10) Record the procedure with date and time and the
observations made.
Sr. Time Specific Content Teaching & A.V Aids use Evaluation
no Objectives Learning
Activity
11 4 min Discuss the  Recording and Reporting: Discussion
recording Record the procedure in patient's chart. How to
and 1) Record amount, colour and odours of lochia. record?
reporting. 2) Note consistency of uterus.
3) Record if dry heat is applied.
4) Record the condition of stitches.
5) Report any abnormality if observed.

12 4 min Asking Summary: Lecture cum Asking

question After the completion of procedure patient feel Discussion questions
about comfort and feel relief. about
Perineal Also advise to do care in day 2 times Perineal
Care. Care?
 BIBLIOGRAPHY
a) Inamdar Madhuri, “Nursing Arts (Principles And Practice) Part-II”; 1st
edition,1998,Vora Medical Publication, Bombay,
Page No: 98-100
b) Sr. Nancy, “Principles And Practice Of Nursing”;Volume-1;5thedition,reprinted
2001;N.R Publication, Indore,
Page No: 234-233
c) Spencer May and Tait Katherine M., “Introduction To Nursing”; 4th edition,1978,Blackwell
scientificpublication, oxford London,
Page No: 87
d) Thresyamma C.P,“Fundamentalsof Nursing Procedur Mannual For General Nursing
And Midwifery Course”; 1st edition, reprint 2004; Jaypee Brothers Medical
Publishers, New Delhi;
Page No: 392-395
e) Www.Photo perineal Care.Com
 BIBLIOGRAPHY
1) Ashok Kumar J, “Textbook of Biochemistry for Nurse”; 2th edition;2012; Jaypee Brothers Medical
Publishers, New Delhi;
Page No:512-520
2) DM Vasundevan,“Textbook of Biochemistry for Paramedical student”; 8th edition;2015; Jaypee
Brothers Medical Publishers, New Delhi;
Page No:256-270
3) Pankaja Naik, “Textbook of Biochemistry ”; 6th edition;2011;Jaypee Brother Medical Publishers,
New Delhi;
Page No:622-640
4) Sreemathy Venkatraman and Sucheta Dandekar, “Textbook of Biochemistry for Paramedical
student”; 8th edition;2011;Jaypee Brother Medical Publishers, New Delhi;
Page No:656-670
5)Thomas M. Devlis, “Textbook of Biochemistry with clinical correlations”; 6th edition; Jaypee
Brothers Medical Publishers, New Delhi;
Page No:885-896