Introduction
Urinary catheterization is a procedure where a flexible tube called the catheter is used to collect the urine and drain the bladder. Urinary catheterization is also called Foleys catheterization.
What is prevalence of Urinary catheter use?
A study revealed that catheters were more prevalent in males. It also mentioned that catheters are most prevalent in patients aged over 70 . The highest prevalence was in critical care, where over 70% of patients have a catheter in situ. Most of them are discharged home with urinary catheters in situ.[1] It is revealed that long-term indwelling urinary catheter contributes to associated morbidity and mortality.
When is Urinary Cathetrixation Used?
A urinary catheter is recommended when an individual is:Unable to urinate Unable to control the urge to urination or When experiencing leaky urine or urinary incontinence.
Purpose of Urinary Cathetrization
Therapeutic purposeTo relieve urinary retention or urinary incontinence To Instill medications directly into the bladder To drain the urine from the bladder, e.g. during delivery or during anaesthesia, before, during or after surgery. Bladder irrigations Diagnostic purposeTo accurately measure urine output To collect urine for culture To determine the causes of genitourinary infections
Conditions that require Urinary Cathetrization
Types Of Urinary Cathter
Table Of Contents
1. Introduction
2. What is prevalence of Urinary catheter use?
3. When is Urinary Cathetrixation Used?
4. Purpose of Urinary Cathetrization
5. Conditions that require Urinary Cathetrization
6. Types of urinary cathter
7. Main Risk factor for indwelling cathter
8. Role of Nurse during Process
Main Risk factor for indwelling cathter
The urinary infections are caused by an indwelling catheter as they allow the entry of bacteria into the urinary tract, these infections are called Catheter-Associated Urinary Tract Infections (CAUTI).
A study conducted by the Performance Improvement Department of one home healthcare agency (HHA) identified an increase in the rate of catheter-associated urinary tract infections (CAUTI) in 2009. It was revealed that it was the most common infection among long-term care residents.[2]
A study conducted by the Performance Improvement Department of one home healthcare agency (HHA) identified an increase in the rate of catheter-associated urinary tract infections (CAUTI) in 2009. It was revealed that it was the most common infection among long-term care residents.[2]
Role of Nurse during Process
It is essential for skilled nurses to put the Foley urinary catheter using aseptic and hygienic measures as the risk of acquiring infection is very high.
The nurse will clean the catheter and check for any Leakage, swelling or bleeding around the urethra or catheter. Presence of any particular door, stones, sediments, etc in the urine collected in the urinary bag. Minimal or no drainage of urine collected in the urine bag even after the taking sufficient fluid. The nurse will record the urine output, document the changes, and inform the physician if any signs of infection are noted.
The nurse will clean the catheter and check for any
Other Blogs
References
1. Shackley DC, Whytock C, Parry G, Clarke L, Vincent C, Harrison A, John A, Provost L, Power M. Variation in the prevalence of urinary catheters: a profile of National Health Service patients in England. BMJ Open. 2017 Jun 23;7(6):e013842. doi: 10.1136/bmjopen-2016-013842. PMID: 28645950; PMCID: PMC5577876.
2. Kunin CM, Chin QF, Chambers S: Morbidity and mortality associated with indwelling urinary catheters in elderly patients in a nursing home – confounding due to the presence of associated diseases. J Am Geriatr Soc. 1987, 35: 1001-1006.
3. Scanlon MK, Deluca G, Bono-Snell B. Reducing catheter-associated urinary tract infections in home care: a performance improvement project. Home Health Nurse. 2012 Jul-Aug;30(7):408-17; quiz 418-9. doi: 10.1097/NHH.0b013e318252c7a9. PMID: 22546771.
4. Inelmen EM, Sergi G, Enzi G. When are indwelling urinary catheters appropriate in elderly patients? Geriatrics. 2007 Oct;62(10):18-22. PMID: 17922564.