The patient in question is a 60 years old female limited mobility experiencing urinary retention. As a result, the patient has an indwelling catheter. Her care plan will be as follows:
The first step is communication. The focus should be on encouraging the patient to take more fluid, communicate any form of discomfort, and also communicate to the patient ways that make void easier to her. Also, talking to the patient the importance of voiding after every four hours could be critical. The next plan is to have a suitable procedure while caring for the patient. Provide hygiene and privacy for the patient. Place the patient in a dorsal recumbent position and use sterile technique Use nondominant hand to hold open the labia. The dominant hand should remain sterile. After that, insert a catheter for about 3 inches,after which the urine should appear. Gently advance another one to two inches ( Carlson, 2019). The next step is to Inflate balloon 10 mL, then gently pull on catheter until there is resistance. Lastly, attach a drainage bag on a lower bed frame.
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An understanding of potential complications that can arise with such a patient should be part of the care plan. For instance, obstruction of the tubing can occur unless there is proper coiling. Also, understanding that there can be a possibility of urethra discomfort when there is less lubrication should be clear to the caregiver ( Carlson, 2019). Therefore, understanding such complications should help the caregiver ensure proper coiling of the tutoring and alsooptimization of the visualization of the urethral meatus. Safety measures during and after the voiding for both the patient and caregiver is vital.Among the safety measures will include proper hand hygiene and the use of clove. Also, exposing urethra meatus after retracting labia will be advisable . Emphasis will also be on washing with clean water and soap, the urethral meatus. The next recommendation for safety measure will be to clean pubis near the anus and also the labia minora. Finally, it will be recommendable to clean the catheter length and ensure high hygiene during the entire process of caring for the patient.
References
Carlson, D. E. (2019). Preventing Catheter-Associated Urinary Tract Infections with Education on Using the Catheter Bundle.
