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R G Rayome

Publications and source records attributed to R G Rayome.

4 recordsLinked to original sources
PubMed1995

Simple urodynamic techniques.

Urodynamics is defined as a set of tests used to measure lower urinary tract function. For many health care professionals, the term urodynamics is limited to complex techniques that require sophisticated analog or computerized equipment capable of measuring flow, pressure, and electromyography. However, simple urodynamic techniques offer continence nurses and their patients a set of practical, safe, and inexpensive methods for the evaluation of urinary incontinence. This article provides specific indications for simple urodynamic evaluation, with a detailed discussion of application and interpretation of patient history, bladder records, pad tests, observation of urinary stream, postvoid residual measurement, and bedside cystometry with "eyeball" and manometer techniques.

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PubMed1995

Problem solving and troubleshooting: the indwelling catheter.

Long-term use of an indwelling catheter is seldom free of problems, and the complications associated with indwelling catheters cause significant morbidity and mortality. Often there are alternatives to long-term catheterization; it is assumed in this article that the patient will have been appropriately assessed for other methods of continence control. In this article, leakage around the catheter (bypassing) is discussed. This problem is multifactorial: irritation caused by the catheter balloon, improper sizing of catheter, confusion of the patient, bacteriuria, constipation or fecal impaction, blocked catheters, problems related to materials used in catheter construction, and improper positioning of the catheter are all potential problems contributing to leakage in the patient with an indwelling catheter. Emphasis is placed on etiology because understanding the underlying problem is crucial to implementing effective treatment.

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