Getting an indwelling urinary catheter can be overwhelming! Whether it is temporary, such as after a procedure while your body heals, or permanent such as a treatment for a neurogenic bladder diagnosis, Quality Home Health Care Services of Michigan has caring and knowledgeable nursing staff with many years of managing indwelling urinary catheters. Quality Home Health Care Services of Michigan will provide you with step-by-step instructions on how to live with the catheter and be available to you any time you have questions, concerns, or difficulty with the catheter functioning.
Under the guidance of your physician, Quality Home Health Care Services of Michigan’s nursing staff can work with the following:
What is an indwelling catheter?
An indwelling urinary catheter is a tube that drains urine from the bladder into a bag. The tube is usually placed into the urethra (the part of the body that drains the bladder) and up into the bladder. For long term use of an indwelling urinary catheter, surgery may be performed to insert the catheter directly into the bladder from the abdominal wall. This is known as a suprapubic catheter.
The most common indwelling catheter is called a Foley catheter. It is a tube with a balloon on one end and a drainage outlet on the other. The balloon end is inserted into the bladder and the balloon is inflated with sterile water to keep the catheter in the bladder. An indwelling catheter is used when you can't urinate normally. This may happen with some medical conditions such as prostate enlargement or after surgery on the pelvis or urinary tract. In these cases, catheters are usually needed for only a few days or weeks, depending on your situation. Another reason you might need a catheter is incontinence, which means you can't control your urine. If contact with uncontrolled urine has caused breakdown in the skin, use of a catheter can help prevent more irritation or injury.
How do I care for an indwelling catheter?
When you have an indwelling catheter, you or someone caring for you needs to make sure urine is flowing into the catheter. Additionally, check for signs of skin irritation or infection and make sure that the urine collection bag is always below the level of the bladder.
The steps for good catheter care are:
What are common complications of indwelling catheters?
The area where the catheter enters the body may become irritated and raw eventually becoming infected. In women the tube enters the urethra near the opening of the vagina. The opening of the urethra and the skin around the vagina can become red and raw from the rubbing of the tube. In men the end of the penis can become red, swollen, and sore from the catheter. If a man is uncircumcised, the foreskin can become irritated. If a suprapubic catheter is being used, the skin around the abdominal stoma may become red, irritated, swollen, or break open and drainage might be present.
Indwelling catheters can cause urinary tract infections. If you have a catheter and you develop 2 or more of the e following symptoms, you should see your health care provider because you may have a urinary tract infection: fever, shaking, chills, sweats, lower abdominal pain, back pain, cloudy around the urethra, or bad-smelling urine.
Catheters may injure the urethra. For example, the urethra could be injured from tugging on the catheter tubing or bag. You may see a very small amount of blood making the urine look red or pink in the catheter if there has been a slight injury to the urethra. If this goes away quickly and there are no other symptoms, it is usually safe just to watch to make sure it doesn't happen again. However, if there continues to be blood in the urine inside the tubing for an hour or more, contact your healthcare provider.
The staff at Quality Home Health Care Services of Michigan was helpful in aiding my great-aunt after her discharge from the hospital. They ensured she was comfortable and felt secure while being cared for in her own home. The nurses were warm and welcoming and provided great company for my aunt while she was in pain following her last hospital visit. The staff was also accommodating to my family members and were transparent in their form of care so we knew exactly what was happening and what to expect with my aunt's help. I'd recommend this company to anyone seeking home care for their elderly family member recently discharged from the hospital or in need of nursing assistance in their own home.