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Ruth Sander1

  • 1MSc Gerontological Practice, University of Portsmouth.

Nursing Older People
|October 14, 2016
PubMed
Summary
This summary is machine-generated.

Intermittent catheterization is a safe and effective bladder management technique for individuals over 70. This method offers lower complication rates compared to other catheter types for managing post-void residual urine.

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Area of Science:

  • Urology
  • Geriatric Medicine
  • Medical Technology

Background:

  • Intermittent catheterization (IC) is the preferred method for managing post-void residual urine in younger populations due to its low complication rates.
  • Traditional practice rarely considers individuals over 70 for intermittent catheterization.
  • Indwelling urethral and suprapubic catheters are associated with higher complication rates.

Purpose of the Study:

  • To evaluate the feasibility and mastery of intermittent catheterization technique in individuals aged 70 and above.
  • To assess if older adults can successfully learn and perform intermittent catheterization independently.

Main Methods:

  • A cohort of patients aged 70+ with post-void residual urine were assessed for their ability to learn and perform intermittent catheterization.

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  • Training and support were provided to participants to facilitate technique acquisition.
  • Complication rates and patient-reported outcomes were monitored.
  • Main Results:

    • Older adults aged 70 and above demonstrated the ability to master intermittent catheterization.
    • The technique was associated with low complication rates in this age group, comparable to younger populations.
    • Successful self-catheterization was achieved by the majority of participants.

    Conclusions:

    • Intermittent catheterization is a viable and safe option for bladder management in patients over 70.
    • This technique can reduce the risks of complications associated with indwelling catheters in the elderly population.
    • Expanding the use of intermittent catheterization to older adults is recommended.