Eb Case Study Examples

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I. Introduction of EB problem to be researched The topic of choice is urinary catheters. Many patients have or will have catheters in their hospital stay or in their lifetime. Catheters come in a variety of different types of shapes and tips. A one-way catheter also known as a “straight cath” is a quick way to get urine out of the bladder for clean collection or to just remove urine. The one-way catheter does not have a balloon at the tip, therefore, it does not remain in the patient. The two-way catheter is the typical catheter of choice. It has a straight tip and the will allow for a balloon at the tip to reside in the bladder. Coude tip catheters are typically used in patients with BPH and are experiencing urine retention. The curved tip …show more content…

In the examples of catheterization witnessed in the hospital, those three patients were placed at risk for the development of infection. The nursing intervention of catheterization if done improperly can impair the patient. Jan Powers states urinary tract infections account for 30% of hospital infections, and of the 30%, 70-80% are related to urinary catheters (Impact of an aseptic procedure). The four nursing literature pieces used consult three main factors in preventing complications related to urinary catheterization. The first factor is the duration of how long the catheter will remain in the patient. Septimus and Moody state, “The major contributing risk for developing CAUTI [Catheter Associated Urinary Tract Infection] is the duration of the urinary device is present” (Prevention of Devise-Related Healthcare Associated Infections). Duration is important because catheters create a direct portal inside a patient. This portal will establish a perfect incubation site for bacteria or infections in the tubing and the patient. The second factor for catheters is the sterile insertion. Lindsey Underwood writes in The effect of implementing Comprehensive Unit-Based Safety Program on Urinary catheter Use, techniques matters. Underwood emphasizes hand hygiene before the procedure, cleaning perineal area, identifying urinary meatus at this time especially if female, prepping kit, using sterile gloves, utilizing drapes, properly cleaning with betadine, and proper insertion. Underwood gives a few tips in her research including: using new kit if the first try is unsuccessful, do not test balloon before inflating because it can cause urethral damage upon insertion, using the smallest catheter as possible, and continuously assessing patient’s catheter. The third factor is care of a catheter. Judith Clayton states in her research, Indwelling

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