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Review of intermittent catheterization and current best practices
Diane K Newman1, Margaret M Willson
1Center for Continence and Pelvic Health, Division of Urology Philadelphia, PA, USA.
Urologic Nursing
|May 6, 2011
Summary
Intermittent catheterization manages bladder emptying issues. Recent guidelines update practices for catheter reuse, emphasizing aseptic techniques and clinical judgment for patient care.
Area of Science:
- Urology
- Nursing Practice
Background:
- Intermittent catheterization (IC) is crucial for managing inadequate bladder emptying.
- It's used in conditions like idiopathic or neurogenic bladder dysfunction.
- Urologic nurses play a key role in patient education for self-catheterization.
Purpose of the Study:
- To review indications, uses, and complications of intermittent catheterization.
- To present updated guidelines on self-catheterization and managing catheter-associated issues.
- To detail catheter types and review clinical practices.
Main Methods:
- Literature review of intermittent catheterization practices and guidelines.
- Analysis of current recommendations for aseptic versus clean techniques.
- Discussion of factors influencing catheter choice, including cost and insurance.
Main Results:
- Historically, home-based IC involved clean technique and catheter reuse.
- Newer guidelines recommend changes to catheter reuse practices.
- Clinical judgment, patient preference, cost, and insurance influence current practice.
Conclusions:
- Intermittent catheterization is an effective bladder management strategy.
- Updated guidelines impact the practice of catheter reuse.
- Nurses utilize clinical judgment to optimize patient outcomes in intermittent catheterization.
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