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Clean intermittent catheterization in the school setting
1Forest Hills School District, Sidman, PA, USA.
Insights
Clean intermittent catheterization (CIC) helps students with spina bifida (SB) manage incontinence, promoting independence and self-esteem. School nurses play a vital role in supporting students with SB through CIC programs.
Area of Science:
- Pediatric Nursing
- Neurology
- Public Health
Background:
- Spina bifida (SB) is a congenital neural tube defect leading to diverse physical and mental disabilities.
- Bowel and bladder incontinence are common challenges for students with SB, necessitating school nurse intervention.
- Continence management is crucial for the well-being and social integration of students with SB.
Observation:
- Clean intermittent catheterization (CIC) is an effective method for achieving urinary continence in students with SB.
- School nurses provide essential support and education for CIC implementation in the school environment.
- Collaboration among students, families, school nurses, and other personnel is key to successful continence management.
Findings:
- CIC empowers students with SB by fostering self-esteem and enhancing independence.
- Effective continence management programs improve students' quality of life and school participation.
- Consistent reinforcement of CIC technique by the school nurse is critical for student success.
Implications:
- Successful CIC programs in schools can significantly reduce the impact of incontinence on students with SB.
- School nurses are integral to promoting independence and normalizing the lives of students with SB.
- Multidisciplinary collaboration ensures optimal renal function, urinary continence, and student independence.
Abstract:
Spina bifida (SB) is a neural tube defect that causes many physical and mental disabilities. Bowel and bladder incontinence is the disability seen most often in these students that requires the school nurse's attention. Clean intermittent catheterization (CIC) provides the student with SB a vehicle to reach a satisfactory level of continence, helps build self-esteem, and allows the student greater independence. The school nurse assists the student with SB with CIC in the school setting and reinforces the importance of correct technique with the student, family, and other personnel caring for the student. The success of a continence management program at school is dependent on all these individuals working together with the common goal of maintaining normal renal function, gaining urinary continence, and promoting independence of the student.
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