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M Rew

Publications and source records attributed to M Rew.

3 recordsLinked to original sources
PubMedDate not supplied

Use of catheter maintenance solutions for long-term catheters.

This article identifies the problems most commonly encountered in the care of patients with long-term indwelling urinary catheters. Using individualized regimens for catheter maintenance solutions (or 'bladder washouts' as they are commonly known) minimizes the risk of infection and catheter blockage, thus reducing the need to recatheterize more than in necessary. Ever since catheters have been used for long-term urinary drainage, problems such as blockage and leakage because of encrustation have caused discomfort to the patient. Another major problem associated with catheter use is the risk of developing a urinary tract infection. Research has shown that with careful management, such as urine testing using a pH indicator strip and use of appropriate solutions, complications can be minimized. Information for this article has been obtained via a literature review, interviews and visits with district and hospital nurses, as well as from personal experience.

Catheters, Indwelling↗
PubMedDate not supplied

Troubleshooting common problems associated with long-term catheters.

A catheter complications survey study, carried out over a 2-year period in three Bristol health districts, recorded 506 emergency referrals during a 6-month period (Kohler-Ockmore and Feneley, 1996). A further detailed study on 54 of the patients showed that 48% experienced catheter blockage and 37% reported urine bypassing. Urinary catheterization can cause many health problems; bacteriuria is inevitable in long-term catheterized patients (Cravens and Zweig, 2000). This article identifies some of the common problems that can occur with long-term catheters, makes recommendations and applies an evidence-based approach to catheter care. In order to identify and treat the associated problems, it is necessary to understand the anatomy and functions of the bladder. The article addresses this before examining the problems, which include: catheter blockage; bypassing of urine; catheter rejection and balloon non-deflation; and latex allergy. The psychological and social aspects, although not covered in this article, are also important and should always be considered along with all other aspects of care.

Catheters, Indwelling↗