31 Appendix Appendix A Suggested Step-by-step Plan for Teaching Parents Catheterisation It is intended for nurses/nurse practitioners to teach parents how to catheterise their child. Instructions for self-catheterisation 1. Read the personal details, medical file and indication for catheterisation. 2. Check that the parents have understood the reason for catheterisation and correct technique. Discuss motivation and problem areas (related to parents' work obligations, childcare etc.). 3. Explain the order of the instructions. 4. Use an instruction brochure to explain the anatomy and function of the bladder and kidneys. Show where the catheter is inserted and how the urine comes out. 5. Show the different types of catheters. 6. Let them feel a dry and wet catheter. 7. To be done by the nurse: discuss and demonstrate the procedure step-by-step using an instructional doll. 8. To be done by the parents: lay out the catheter materials. 9. Wash the hands. 10. Hang up the catheter ready for use. 11. Clean the urethral opening. 12. Remove the catheter from the packaging and hold firmly. 13. Insert catheter into doll. 14. If desired, the nurse catheterises the child the first time so that parents can see where the catheter should be inserted, and they will be more confident when doing it themselves. 15. The parents insert the catheter into the child. 16. The nurse gives instructions and where necessary adjusts the parents’ technique by hand. 17. Encourage and compliment the parents at every step. Evaluation 18. Assess and report progress. 19. Evaluate/Discuss parents' experiences. 20. Discuss which catheter is right for the child. 21. Discuss the frequency of catheterisation required.
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