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This particular subject was chosen because I am interested in it. Throughout my Health Care Assistant experience I was involved in looking after patients with urinary catheters. My role was to ensure cleanliness, catheter function, monitoring output and emptying catheter bag. As a Trainee Assistant Practitioner (TAP) female catheterisation is one of my competencies. This has made me more aware about patient perception and psychological feelings when living with a long-term catheter (Godfrey, 2008, p. 181). I work in Highcare Unit where I look after patients with varying ages and sex. Some of them are quite reluctant to having a catheter. Other patients view it as an embarrassment and consider discussion about the device undignified. In critiquing the research regarding a patient's personal experiences, it enables me to relate, understand and empathise with the patient's situation and predicament. This enables me to give support, advice and information not only with the physical side implications but also the psychological impact in living with a long-term catheter. I think that being able to understand patients' perspectives about living with long term urinary catheters, enables healthcare professionals to sympathize and understand with what the patient is experiencing. It is obvious that research needs to be carried out and compare. This way the study will develop strong and valid evidence based research and implement the conclusions into practice that can assist these patients (Godfrey, 2008, p. 180). CRITIQUE RESEARCH: UTILISING EVIDENCE BASED CARE In the 1990's at McMaster University in Ontario, Canada, developments were made regarding Evidence Based Practice (EBP) movement, which underpinned the Research and Development Strategy in the UK in 1991. Factors like the rise in the cost of healthcare, unnecessary intervention and variations in healthcare, influenced the EBP movement in the UK (Parahoo 2006). EBP advocates the best available evidence should be used when making clinical decisions, to improve the effectiveness, efficiency and health outcomes for patients (Kings College London 2009). Its origins date back to the mid-19th century, when concerns were raised because healthcare interventions were not being proven or evaluated (Lloyd et al 2007). Since the 1970's the term proof-based medical care has increased with the advancement of being capable of having a right to entry to a variety of data. Other aspects that have brought about the usage of EBP medical care comprise of; adjusting of communal anticipations, governmental consensus, cost stresses and expertise responsibility (Hammer Collinsonsn2005, cited by Cutcliffe W. & J. Ward M, 2004). EBP is an approach where healthcare professionals are able to use current evidence and research to back up. This support provides an accurate reason for their care they provide for patients. EBP is highly significant to me because it enables me to offer the best recent physical healthcare I can deliver for my patients. It also makes it possible for me to use proof to aid my understanding and comprehend the reasons behind my decision along with the performance of definite facets of medical practice that I am responsible for. There are many reasons why EBP is specifically relevant to engage in as a part of a nurses' role. Nurses need to make more informed judgements as part of a multi-disciplinary team. This initiative increases the number of complex healthcare decisions that need to be made. The Department of Health's (DOH) directives of best evidence collectively highlight the reason for EBP’s momentous nature. This questioning is accompanied by further cognitive research behind its
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Do Catheter Washouts Extend Patency Time in Long-term Indwelling Urethral Catheters?
Catheter washout is a process applied in order to flush out the bladder through the catheter by introducing clean water. This process is used in order to keep the bladder and the catheter clean and free from any prospects of infection.
The patient Angela (not her real name) was admitted into the mental health unit after she was brought in to the emergency room by her daughter. Before the admission, Angela was being managed at home by her daughter.
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It is the most common type of nosocomial infection within nursing homes and its recurrence is a grave health issue, if healthcare providers do not take appropriate measures to contain and resolve this problem, which is a serious health hazard. UTI can lead to major health complications to human organs including ureters, bladder and kidney besides entailing complications like bacteremia.
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In North Memorial Health Care, Brooklyn, research shows that of all urinary tract infections, the use of catheters account for about 45% (Rane and Dasgupta). This shows that it is a very infectious condition. The urinary catheter is a tube which is inserted into the bladder and connected to the urethra so as to help in draining urine.
The bladder washout has been found to be useful for the maintenance of the indwelling catheters as otherwise common urinary tract infections cannot be prevented. Washout with plain water should not be done. Only the prescribed
It is an approach to improve a person’s quality of life, career and family when living with an advanced or a progressive illness. In long term care the symptoms are not cured but minimized through effective symptom management with its main aim being
Therefore, effective mentoring can remarkably help students in meeting their learning goals and objectives in the field of nursing. This can be done by a mentor who has prior knowledge and ability to plan productively
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