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7.  Flex patient's knees and cover with the top sheet
                   8.  Take the sterile cotton swabs with forceps.
                   9.  Pour solution on the cotton and clean perineum using downward strokes (Use only one
                       cotton swab for each stroke).
                   10. Repeat cleansing the perineum pouring the solution over the genitals
                   11. Avoid hurting the patient with the forceps.
                   12. Dry perineum and the genital area thoroughly using cotton swabs.
                   13. Be careful with episiotomy stitches, if the patient has episiotomy observe for any signs
                       of infection, swelling, and discharge, etc.
                   14. medicated powder or solution may be applied according to the orders
                   15. Remove bedpan
                   16. Turn the patient on one side and dry the anal area
                   17. Place perineal pad across the perineum
                   18. Avoid contaminating the inner side of the pad
                   19. Apply T-Binder ( as needed )
                   20. Straighten bed a left patient comfortable
                   21. Remove soiled articles, clean, and return to their proper places.
                   22. Perineal swabbing should be done at least three times daily & each time following a
                       bowel movement.

                 6.11 Application of heat and cold
                       Objective: At the end of this session, the learner will be able to:
                   1.  List purpose of applying cold and heat
                   2.  Identify and assemble necessary equipment to apply cold and heat
                   3.  Demonstrate how to apply cold and heat with acceptable technique
                   4.  Demonstrate how to apply sitz bath
                       4.11.1. Application of heat
                           Purpose
                       To relieve pain and muscle spasm
                       To relieve swelling, to relieve inflammation, and congestion
                       To relive chilling and give comfort

                       Hot water bottle application
                         Equipment
                     Hot water bottle
                     Hot water in a jug
                     The hot water bottle cover



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