Insertion of a urinary catheter

Abstract

Although a common procedure in the care of older people, the insertion of a urinary catheter carries considerable risk--for example, from infection or trauma. Changing demographics mean that the number of older people requiring catheterisation is likely to increase. This article explores the incidence of catheter use and associated complications, and explains the correct procedure for catheter insertion.

Concept Analysis and Content Validation of Risk of Injury to the Urinary Tract: Nursing Diagnosis

“…The identified substitute term was damage to the urinary tract (Gray, 2008;Head, 2006;, abdominal discomfort , urethral urine loss in the presence of catheter, perineal abscess , abdominal distension, and perineal edema .…”

“…The identified concept consequences were increase in the length of hospitalization ; sepsis McAninch, 2007;; bladder cancer Sèze et al, 2007); bladder/kidney stones Sèze et al, 2007;; prostatitis, bacteremia, and periurethritis ; epididymitis ; hydronephrosis ; renal failure ; increase of treatment costs Head, 2006;); partial/total incontinence, transitory/permanent impotence (McAninch, 2007;, and priapism ; and bladder capacity reduction/bladder colon incompetence Pomfret & Nazarko, 2006).…”

“…The internal risk factors were advanced age (Addison et al, 2012;Sèze et al, 2007;, latex allergy , constipation , inadequate liquid intake , obesity , pelvic organ anatomical variations Ortega et al, 2008;, impaired cognition Pomfret & Nazarko, 2006), detrusor-sphincter dyssynergia and spinal cord trauma , mental confusion (Pomfret & Nazarko, 2006), sedation (Gray, 2008), and deficient patient or caregiver knowledge about urinary catheter care . External risk factors were long-term use of urinary catheters Sèze et al, 2007;, need to use retention balloon insufflated with 30 ml or more (Elgammal, 2009;Geng et al, 2012;Head, 2006;Igawa et al, 2008;), need to use large-caliber urinary catheter (Head, 2006;Igawa et al, 2008;Ortega et al, 2008;, impossibility of securing the catheter Gray, 2008;Igawa et al, 2008;, and multiple and frequent catheterizations Kondo et al, 2007;.…”

Urethral catheterisation (male and female)

“…8,10 All clinical procedures require a combination of theoretical knowledge and practical know-how in order to be competent and safe in practice. 6,13 • Aftercare and management. • Knowledge of appropriate anatomy and physiology.…”

“…[1][2][3][4][5][6] This article outlines the techniques and rationale for male and female urethral catheterisation. However, it is not without risk.…”