Urinary Catheterization: A Case Study
Background
Urinary catheterization is needed to ensure that the drainage of urine is adequate and to preserve kidney function (Smeltzer, 2010). It is also performed in order to achieve the following: relieve obstruction, assist with drainage in the postoperative patient, provides the ability to monitor urine output accurately, allows for drainage in patients with neurogenic bladder dysfunction and in patient with urinary retention, and prevents leakage in patients with pressure ulcers (Smeltzer, 2010). Catherization is estimated to have begun around 300 AD or even earlier (Herter, et al, 2010). An indwelling catheter is one in which the catheter is held in place in the bladder with the use of an inflated balloon (Smeltzer, 2010). Urine is emptied through the catheter to a drainage bag, where it accumulates until it is emptied (Smeltzer, 2010).
Problem
An indwelling catheter can cause problems by irritating the mucosa of the bladder and allowing a medium for the growth of a bacterial biofilm (Redd, 2012). This increases the risk for a patient to develop a …show more content…
Since it poses such significant and serious risks, it should only be used when all other interventions have been unsuccessful (Herter, et al, 2010). Other incontinence aids include the use of bed pans, adult briefs and condom catheters (Schneider, 2012). Catheters should never be used as a means of convenience for the staff (Pellowe, 2009). If other interventions have failed and it is found that catherization is necessary, then intermittent catherization should be considered first (Herter, et al, 2010). If intermittent catherization is not successful and an indwelling catheter is necessary then its length of time to stay inserted should be a short as possible (Herter, et al, 2010). The incidence of CAUTIs increases significantly the longer the catheter stays in place (Schneider,
Urinary catheterization is needed to ensure that the drainage of urine is adequate and to preserve kidney function (Smeltzer, 2010). It is also performed in order to achieve the following: relieve obstruction, assist with drainage in the postoperative patient, provides the ability to monitor urine output accurately, allows for drainage in patients with neurogenic bladder dysfunction and in patient with urinary retention, and prevents leakage in patients with pressure ulcers (Smeltzer, 2010). Catherization is estimated to have begun around 300 AD or even earlier (Herter, et al, 2010). An indwelling catheter is one in which the catheter is held in place in the bladder with the use of an inflated balloon (Smeltzer, 2010). Urine is emptied through the catheter to a drainage bag, where it accumulates until it is emptied (Smeltzer, 2010).
Problem
An indwelling catheter can cause problems by irritating the mucosa of the bladder and allowing a medium for the growth of a bacterial biofilm (Redd, 2012). This increases the risk for a patient to develop a …show more content…
Since it poses such significant and serious risks, it should only be used when all other interventions have been unsuccessful (Herter, et al, 2010). Other incontinence aids include the use of bed pans, adult briefs and condom catheters (Schneider, 2012). Catheters should never be used as a means of convenience for the staff (Pellowe, 2009). If other interventions have failed and it is found that catherization is necessary, then intermittent catherization should be considered first (Herter, et al, 2010). If intermittent catherization is not successful and an indwelling catheter is necessary then its length of time to stay inserted should be a short as possible (Herter, et al, 2010). The incidence of CAUTIs increases significantly the longer the catheter stays in place (Schneider,