Intermittent catheterisation in children September 2016 TABLE OF CONTENTS PURPOSE ………………………………………..………………………………….… … 3 INTRODUCTION .............................................................................................................................................................4 BACKGROUND ...............................................................................................................................................................4 MEMBERS OF THE WORKING GROUP ............................................................................................................................4 CHAPTER 1.....................................................................................................................................................................6 METHODS.....................................................................................................................................................................6 TERMINOLOGY ...............................................................................................................................................................6 CHAPTER 2.....................................................................................................................................................................9 INDICATIONS FORCATHETERISATION....................................................................................................................................9 COMPLICATIONS ANDMANAGEMENT ..................................................................................................................................9 2.1 Infections..................................................................................................................................................9 2.1.1 Urinary tract infection (UTI).................................................................................................................9 2.1.2 Urethritis...........................................................................................................................................10 2.1.3 Epididymitis.......................................................................................................................................10 2.2 Trauma ...................................................................................................................................................10 2.2.1 False passage .....................................................................................................................................10 2.2.2 Urethral stricture ...............................................................................................................................10 2.2.3 Urethral bleeding ...............................................................................................................................10 2.3 Other.......................................................................................................................................................10 2.3.1 Bladder stones ...................................................................................................................................10 CHAPTER 3...................................................................................................................................................................12 MATERIALS .................................................................................................................................................................12 3.1 Catheters....................................................................................................................................................12 3.1 Types of Catheters ...............................................................................................................................12 3.2 Drainage holes (eyes) ...........................................................................................................................12 3.3 Charrière..............................................................................................................................................13 3.4 Length..................................................................................................................................................13 3.5 Tip design.............................................................................................................................................13 3.6 Catheters for non-touch technique.......................................................................................................14 3.7 Catheterisation Aids .............................................................................................................................14 3.8 Continence containment products........................................................................................................14 CHAPTER 4...................................................................................................................................................................15 NURSING INTERVENTIONS ...............................................................................................................................................15 4.1 Teaching self-catheterisation...................................................................................................................15 4.2 Frequency of catheterisation....................................................................................................................15 4.3 Complications/difficulties associated with................................................................................................16 4.3.1 Problems with insertion....................................................................................................................16 4.3.2 Pain/discomfort................................................................................................................................16 4.3.3 Constipation and faecal incontinence ................................................................................................17 4.3.4 Cognitive Ability ...............................................................................................................................17 4.3.5 Physical ability..................................................................................................................................18 4.3.6 Psychological and Emotional Readiness ............................................................................................18 4.3.7 Practical/Social Considerations ..........................................................................................................18 4.3.8 Promoting Compliance .....................................................................................................................19 4.4 Documentation /Patient Information ......................................................................................................19 4.5 Follow-up care........................................................................................................................................19 4.6 Transition................................................................................................................................................20 CHAPTER 6...................................................................................................................................................................23 SEXUALITY AND RELATIONSHIPS ........................................................................................................................................23 CHAPTER 7...................................................................................................................................................................24
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