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Published on: November 9, 2016
Indwelling catheters: practical guidelines for catheter blockage
Insights
Indwelling catheterization should be a last resort for intractable incontinence. This article addresses community-based catheter care challenges, offering solutions to improve patient comfort and nursing practice.
Area of Science:
- Urology
- Nursing Care
- Patient Management
Background:
- Catheterization is a complex medical decision requiring a multidisciplinary team approach.
- Effective catheter drainage is crucial, as complications can arise.
- The decision to catheterize should be carefully considered, reserved for cases of intractable incontinence unresponsive to other treatments.
Observation:
- This article focuses on the challenges of indwelling catheter care in community settings.
- It examines factors contributing to patient pain, distress, and discomfort.
- Case histories illustrate diverse patient scenarios requiring catheterization.
Findings:
- Identifies common problems encountered in community catheter care.
- Explores various solutions to mitigate issues associated with catheterization.
- Highlights the importance of patient and carer involvement in the decision-making process.
Implications:
- Provides practical insights for nurses to manage patients with indwelling catheters more effectively.
- Encourages critical reflection on current practices for initiating and managing catheterization.
- Aims to improve care packages and reduce patient suffering in community settings.
Abstract:
Catheterization is a medical decision and requires a team approach involving, where possible, the patient and carer, as well as those professionals administering care. Catheterization and subsequent effective catheter drainage is associated with many dangers and complications (Lowthian, 1998) and therefore the decision to catheterize someone should not be taken lightly. Catheterization should only be used in intractable incontinence when all other measures have been tried and proven to be ineffective. This article identifies some of the problems associated with the care of patients with indwelling catheters in the community setting, and examines the issues that can cause pain, distress and discomfort to patients. It looks at the various types of solutions to problems associated with catheterization. Case histories are used to illustrate the types of patients who may have been catheterized. It is hoped that nurses can learn from these examples, so that they will not only cope more effectively with these individuals, but also observe their own practice when initiating indwelling catheterization and developing care packages.
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