Perineal Care

Documentation

CNAs document perineal care findings by reporting to the nurse and recording in the medical record. Key observations to document:

• Weight changes: report gain/loss of 2+ lbs in a day or 5+ lbs in a week
• Report to nurse: elevated temperature, blood pressure outside baseline, new pain, skin breakdown
• I and O (intake and output): measure and record all fluids consumed and excreted in mL
• Fall risk factors: history of falls, medications (sedatives, diuretics), mobility impairment, cognitive decline

Workplace Applications

Applying perineal care in daily practice as a nursing assistant:

• Right to be treated with dignity and respect at all times
• Right to participate in care planning and be informed about condition and treatment changes
• Right to voice grievances without fear of retaliation or discharge
• Report behavioral changes to the nurse: withdrawal, aggression, crying, confusion
• Cultural sensitivity: respect food preferences, spiritual practices, family dynamics
• Avoid false reassurance (do not say everything will be fine), acknowledge feelings instead

Practical Example

Key Values & Ranges

Cleaning the perineal area front to back to prevent infection and skin breakdown. Perineal care technique tested on CNA exam.

Resident care connections: Right to manage own financial affairs or choose a representative. Right to be treated with dignity and respect at all times.