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Urinary Tract Infection IV: Nursing Management01:17

Urinary Tract Infection IV: Nursing Management

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In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs...
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Urinary Tract Calculi V: Nursing Management01:28

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AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
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Urinary Tract Calculi III: Medical Management01:30

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The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
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Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care01:30

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A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
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Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
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Chronic Kidney Disease IV: Nursing Management01:18

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Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care​.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of...
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Paradigms of Lower Extremity Electrical Stimulation Training After Spinal Cord Injury
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Development of a Web-Based Self-management Intervention for Intermittent Urinary Catheter Users With Spinal Cord

Mary H Wilde1, Eileen Fairbanks, Robert Parshall

  • 1Author Affiliations: School of Nursing, University of Rochester, NY.

Computers, Informatics, Nursing : CIN
|September 12, 2015
PubMed
Summary

This study reports the development of a Web-based self-management intervention for intermittent urinary catheter users. Pretesting with spinal cord injury participants informed revisions for improved usability and content.

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Area of Science:

  • Digital Health
  • Rehabilitation Technology
  • Patient Self-Management

Background:

  • Web-based interventions are increasingly common, but their development process is often undocumented.
  • A need exists for detailed reporting on the creation of digital health tools for specific patient populations.

Purpose of the Study:

  • To describe the development and pretesting of a Web-based self-management intervention for intermittent urinary catheter users.
  • To gather user feedback for refining the intervention before a feasibility study.

Main Methods:

  • Development of two websites: one for recruitment, one for the intervention.
  • Intervention components included an interactive urinary diary, product information, nurse consultations, and discussion forums.
  • Pretesting involved four adults with spinal cord injury, online surveys, and interviews.

Main Results:

  • User feedback focused on content, interactivity, and usability of the Web-based application.
  • Participant suggestions led to revisions of the website and its components.
  • Identified challenges in development and implementation were addressed.

Conclusions:

  • The iterative development process, incorporating user feedback, is crucial for effective Web-based health interventions.
  • The refined intervention is ready for a feasibility study to assess its impact on intermittent urinary catheter users.
  • Detailed reporting on intervention development enhances the replicability and understanding of digital health tools.