Self-Catheterization
Self-catheterization is performed by many patients who have some form of impaired or absent bladder function. The two major advantages of self-catheterization are that the patient maintains independence and regains bladder control. Self-catheterization also allows normal sexual intimacy without the fear of incontinence, decreases the chance of urinary reflux, reduces the use of aids and appliances and, in many cases, allows the patient to return to work.
Self-catheterization requires thorough and careful teaching by the nurse. At home, the patient will use clean technique for self-catheterization.1,2 In the health care facility, the nurse and patient can use either clean or sterile technique.2 Studies have shown that clean intermittent catheterization doesn’t increase the risk for urinary tract infections.2
Equipment
Rubber catheter ▪ washcloth ▪ soap and water ▪ small packet of water-soluble lubricant ▪ Optional: drainage container, paper towels, rubber or plastic sheets, gooseneck lamp, catheterization record, mirror.
Implementation
Confirm the patient’s identity using at least two patient identifiers according to your facility’s policy.3
Tell the patient to begin by trying to urinate into the toilet or, if a toilet isn’t available or he needs to measure urine quantity, into a drainage container.
Demonstrate how the patient should perform the catheterization, explaining each step clearly and carefully. Position a gooseneck lamp nearby if room lighting is inadequate to make the urinary meatus clearly visible. Arrange the patient’s clothing so that it’s out of the way.Stay updated, free articles. Join our Telegram channel
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