在住院患者中滥用外部尿液管理设备
1Author Affiliations: Clinical Nurse Specialist (Ms Crosby), Cleveland Clinic Lutheran Hospital; and Clinical Nurse Specialist (Ms Booher), Cleveland Clinic Akron General, Ohio.
Clinical nurse specialist CNS
|October 22, 2024
概括
外部尿管管理装置有助于避免导管相关的尿路感染,但可能会促进患者的不运动. 临床护士专家应评估新技术,以确保以患者为中心的护理,而不是以任务为中心的方法.
科学领域:
- 医疗保健技术评估 医疗保健技术评估
- 患者护理创新患者护理创新
- 护理实践的护理实践
背景情况:
- 外部尿管管理装置 (EUMDs) 为内部尿导管提供了替代方案,降低了感染风险.
- 这些设备被医疗保健专业人员和患者广泛采用.
- 人们担心EUMD可能会导致患者不动.
研究的目的:
- 评估外部尿液管理设备对患者结果的影响.
- 突出临床护士专家在技术评估中的作用.
- 在设备实施中,倡导以患者为中心的护理,而不是以任务为中心的护理.
主要方法:
- 关于EUMDs和患者流动性的文献综述.
- 对临床实践指南的分析.
- 对EUMD实施的案例研究评估.
主要成果:
- 欧盟防卫器可以无意中增加患者的不动.
- 这种不运动可能会对患者的结果产生负面影响.
- 临床护士专家对于平衡技术采用与以患者为中心的目标至关重要.
结论:
- 虽然EUMDs降低了感染风险,但它们对流动性的影响需要仔细考虑.
- 在实施新的医疗保健技术时,转向以患者为中心的护理至关重要.
- 临床护士专家在优化技术使用以改善患者结果方面发挥着至关重要的作用.
相关概念视频
Urinary Tract Infection IV: Nursing Management
1
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...
1
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
1
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...
1
Peritoneal Dialysis III: Nursing Management
Peritoneal dialysis, or PD, utilizes the peritoneal membrane as a filter to eliminate excess fluid and waste products. Effective nursing management is essential for ensuring patient safety, preventing complications, and promoting optimal function of the peritoneal dialysis process.Assessment and MonitoringNurses must thoroughly assess the patient before, during, and after each dialysis session. Regular monitoring includes vital signs, daily weight, fluid intake and output, and laboratory values...
Urinary Tract Calculi V: Nursing Management
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...
Acute Pyelonephritis II: Diagnostic Studies and Management
1
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
1
Urinary Tract Infection II: Pathophysiology
1
The pathophysiology of urinary tract infections (UTIs) encompasses several progressive stages, beginning with bacterial colonization and culminating in potential systemic complications if untreated. UTIs are primarily initiated by bacteria, such as Escherichia coli, which often originate from the gastrointestinal tract and migrate to the urinary system through the periurethral area. This migration can occur via several routes, including improper hygiene practices, sexual activity, or...
1


