2 TABLE OF CONTENTS PURPOSE .......................................................................................................................... 3 INTRODUCTION ................................................................................................................ 4 CHAPTER 1 ....................................................................................................................... 6 CHAPTER 2 ....................................................................................................................... 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 CATHETERS ............................................................................................................................................................................. 12 3.1 Types of Catheters.................................................................................................................................................... 12 3.2 Drainage holes (eyes) ............................................................................................................................................... 13 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 3.9 Use of catheters in poor financial circumstances ..................................................................................................... 15 CHAPTER 4 ..................................................................................................................... 16 4.1 TEACHING SELF-CATHETERISATION .......................................................................................................................................... 16 4.2 FREQUENCY OF CATHETERISATION 6 ................................................................................................................................ 17 4.3 COMPLICATIONS/DIFFICULTIES ASSOCIATED WITH CATHETERISATION ...................................................................................... 18 4.3.1 Problems with insertion......................................................................................................................................... 18 4.3.2 Pain/discomfort..................................................................................................................................................... 18 4.3.3 Constipation and faecal incontinence ................................................................................................................... 19 4.3.4 Cognitive Ability .................................................................................................................................................... 20 4.3.5 Physical ability ....................................................................................................................................................... 20 4.3.6 Practical/Social Considerations ............................................................................................................................. 20 4.3.7 Promoting Compliance .......................................................................................................................................... 21 4.4 DOCUMENTATION /PATIENT INFORMATION .............................................................................................................................. 21 4.5 FOLLOW-UP CARE ............................................................................................................................................................... 22 4.6 TRANSITION ....................................................................................................................................................................... 22 CHAPTER 5 ..................................................................................................................... 24 CHAPTER 6 ..................................................................................................................... 25 CHAPTER 7 ..................................................................................................................... 26 REFERENCES ................................................................................................................... 28 APPENDIX....................................................................................................................... 31
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