Module 7 Catheter Care Module Profile Helps you

Module 7 Catheter Care

Module Profile • Helps you: • Know what catheterisation involves & reasons for using it • Recognise the 3 types of catheterisation • Know potential complications & problem solving tips • Understand routine catheter management

Introduction Catheterisation is: • an invasive procedure carrying high risk of infection • an option for continence management only if there are no other suitable alternatives Reasons for catheterisation: • Relieve a bladder emptying dysfunction • Relieve irreversible incontinence • Promote skin integrity / wound healing • Monitor urine output • Temporarily instil medications or perform urinary tract investigations • Pre & post surgery

THREE TYPES 1. Intermittent Clean Self Catheter (ICSC) • Passing small catheter via urethra into bladder • Needs to be done several times a day 2. Indwelling Catheter (IDC) • Soft, flexible silicone, PVC or latex tube passed through urethra into bladder 3. Supra-Pubic Catheter (SPC) • Enters the bladder via an artificially-made tract through the abdomen wall

REASONS TO USE ICSC Intermittent Clean Self Catheterisation Why use Advantages • Long-term chronic problem of being unable to empty bladder • Empowers resident to keep themselves dry • Temporarily to help retrain bladder to empty • Reduces risk of infection & kidney damage • Long-term management of urinary retention with overflow incontinence • Does not interfere with normal sexual relationship • To ensure urethral patency

ICSC EXPLAINED Intermittent Clean Self Catheterisation Equipment needed • • Sterile Intermittent catheter Washcloth, cotton balls or wipes Lubricant Container to drain urine if unable to get to toilet Possible complications • Difficulty introducing or removing catheter • Wetting between catheters • Blood in urine or catheter • No urine drained • Infection

REASONS TO USE IDC Indwelling Urinary Catheterisation Why use • Re-establish flow of urine after urinary retention • Provide a channel for drainage when ability to pass urine is impaired • Empty bladder pre-operatively • Monitor urine output • Facilitate bladder irrigation procedures Maintenance • Changed only by Registered Nurse or Doctor • Can be left insitu for up to 6– 12 weeks or as per your facility's policy.

IDC EXPLAINED Indwelling Catheter Management • Prevention of infection Closed link drainage system using sterile urine collecting bag • Emptying the bag At least every 8 hours or before ¾ full • Personal hygiene At least twice daily in the genital & perineal area & after bowel actions

IDC EXPLAINED Indwelling Catheter Management • Elimination Observe & record urine output & bowel motions • Diet & fluid intake To reduce risk of infection consume 1 -1. 5 Lt per day • Mobilising For mobile residents a 500 ml or 800 ml leg bag can be discreetly attached to the leg • Privacy / Dignity / Communication Ensure resident has privacy when discussing / performing catheter management tasks

REASONS TO USE SPC Supra-Pubic Catheterisation Why use • Less bacteria • Convenience • Comfort • Suits sexually active • Specific management • Anchor catheter & bag to waist or leg to prevent dragging on abdomen • Can stay in for 6 -12 weeks

CATHETER MANAGEMENT • Keep drainage system below bladder level so urine does not back up • Change bag if • It becomes very dirty or foul smelling • A hole is punctured in the bag or tubing • NEVER • Clamp a catheter • Pin catheters or bags to clothing or bed linen

GETTING HELP Seek assistance if: • Urine has offensive smell, change of colour, cloudy or blood stained • Urine leakage around catheter / tubing • No urine in drainage bag • Resident has pain in back, sides or abdomen or experiences fever or vomiting • Resident has bleeding / itching / discomfort around catheter

SUMMARY • Catheter use brings high risk of contamination • Maintain closed drainage system • Use tape or special catheter belts to secure • Position tubing & drainage bag below bladder level • Always wash hands & wear gloves • Ensure good fluid & fibre intake

This certifies that Name: has attended the continence management session Module 7: Catheterisation Date of Completion________________