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External Douche (Lecture)

The document discusses perineal care and external douching for both males and females. It provides indications for external douching such as cleansing after genital or rectal surgery. The purposes are to cleanse the area, reduce odor, prevent irritation, and control infection. For males, it describes anatomy including the penis, testicles, and prostate gland. For females, it describes anatomy such as the labia, clitoris, and vaginal opening. It provides assessment points for post-episiorrhaphy and characteristics of postpartum bleeding.

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ALLYSON GENE GULANES
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44 views4 pages

External Douche (Lecture)

The document discusses perineal care and external douching for both males and females. It provides indications for external douching such as cleansing after genital or rectal surgery. The purposes are to cleanse the area, reduce odor, prevent irritation, and control infection. For males, it describes anatomy including the penis, testicles, and prostate gland. For females, it describes anatomy such as the labia, clitoris, and vaginal opening. It provides assessment points for post-episiorrhaphy and characteristics of postpartum bleeding.

Uploaded by

ALLYSON GENE GULANES
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Topic 3: EXTERNAL DOUCHE/PERINEAL CARE

➢ Washing of genitals and anal area with plain water and medicated solution.
PERINEAL-GENITAL CARE (Kozier)
➢ Referred to as perineal care or peri care
Indications: Patients who underwent perineal, rectal or genital surgery.
Purposes of External douche: Assess for the presence of:
• To cleanse area of secretion and ✓ Irritation, excoriation, inflammation,
excretion swelling
• To reduce unpleasant odor ✓ Excessive discharge
• To prevent skin irritation and ✓ Odor; pain or discomfort
excoriation ✓ Urinary or fecal incontinence
• To control the potential for infection ✓ Recent rectal or perineal surgery
• To promote comfort ✓ Indwelling catheter

Determine:
Perineal-genital hygiene practices
Self-care abilities

3.1 MALE
ANATOMY AND PHYSIOLOGY:

Penis: Testicles
➢ Consist of spongy tissue called ➢ Where seminiferous tubules are
cavernous bodies-sound fill with found.
blood. ➢ Manufactures more than 250 million
➢ Main vehicle used to transport sperm cells each day.
semen from the male into the vagina
of the female for reproductive Prostate Gland
purposes. ➢ Acts as a control mechanism to stop
urine and semen from mixing
Scrotum together
➢ A small walnut shaped wrinkled bag ➢ Urine and semen are discharged
of skin that holds the testicles. through the urethra

Note: If the client is uncircumcised, retract the prepuce (foreskin) to expose the glans
penis (the tip of the penis) for cleaning. Replace the foreskin after cleaning the glans
penis. Retracting the foreskin is necessary to remove the smegma (thick, cheesy
secretion) that collects under the foreskin and facilitates bacterial growth. Replacing the
foreskin prevents constriction of the penis, which may cause edema.
3.2 FEMALE
ANATOMY AND PHYSIOLOGY:

Mons veneris: Clitoris:


➢ rounded, soft, fatty, and loose small erectile organ located beneath
➢ connective tissue over the the arch of the pubis
symphysis pubis contains more nerve endings than
➢ where dark and curly pubic hair the glans penis
grows very sensitive because of rich nerve
supply
Labia majora: sensitive to temperature and touch
✓ lengthwise fatty folds of skin from secretes a fatty substance called the
mons to perineum smegma
✓ protects labia minora, urinary
meatus, and vaginal introitus Vaginal orifice:
o elastic, partial fold of tissue
Labia minora: surrounding opening to the vagina
➢ thinner, lengthwise with hairless skin
➢ Function: Glands in the labia minora Perineum
lubricates the vulva ❖ muscular, skin-covered area
between vaginal opening and anus
Urethral orifice:
▪ External opening to the urinary
bladder
What to assess Post-Episiorrhaphy:
• R – redness
• E – edema
• E – ecchymosis (bluish discoloration)
• D – discharge
• A – approximation (check if the stitch is
open)
Secretions post-delivery:
Lochia Rubra (1-3 days); dark-red
discharges in moderate amount
Lochia Serosa (4th – 7th day);
pinkish to brownish discharges in
decreased amount
Lochia Alba (8th day – 2 weeks);
whitish scanty discharges
Characteristics of bleeding: Other Assessment:
• From birth of fetus until separation of ✓ Assess also if the discharge is dark
placenta – it suggests excessive red – this may indicate retained
bleeding placental fragments.
• Dark blood – venous (superficial ✓ Check also for the smell – must
laceration) never have foul, musty smell, may
• Bright blood – arterial (deep) indicate infection
• Spurts of blood with clots – partial ✓ Check for the amount of discharge –
placenta separation if it exceeds 250 – 300 cc of blood,
this may indicate post-partum
Postpartum hemorrhage hemorrhage
Defined as blood loss of:
➢ 500 ml or more – after vaginal birth Hypovolemic Shock:
➢ 1000 ml or more – after cesarean ➢ an emergency condition in which
birth severe blood or other fluid loss
makes the heart unable to pump
enough blood to the body. This type
of shock can cause many organs to
stop working.
➢ 30-40% blood loss

Strokes for Female External Douche:

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