Urinary Elimination & Catheters
NATCEP Days Nineteen & Twenty
Objectives
□ State the function of the urinary system
□ Identify ways in which urinary function may change with
aging
□ De...
Urinary System
Functions of the Urinary System
□ Kidneys: Filter waste from blood
□ Ureters: carriers waste (urine) from
kidneys to bladd...
Alterations of the Urinary
System in the Elderly
□ Less efficient
□ Less elastic & has less holding capacity
□ Bladder doe...
Characteristics of Urine
•
•
•
•

Color
Clarity
Odor
Particles
Signs and Symptoms of
Urinary Tract Infection

□ Frequency
□ Burning
□ Urgency
□ Strong odor
□ Discoloration-hematuria
□ I...
How Can You Prevent UTIs?
□ Provide adequate hydration
□ Wash and dry perineal area from front (clean)
to back (dirty)
□ C...
Causes of Incontinence
□ Medications
□ Disease processes (enlarged
prostate, Alzheimer’s and diabetes)
□ Nerve messages bl...
How Can You Prevent
Incontinence?
□ Be alert to clues
□ Establish a routine - follow plan of care
□ Toilet promptly when r...
Skin Care & Comfort Measures
□ Check resident every 2 hours or per care
plan
□ Change clothes/linens as needed
□ Wash & dr...
Urinary Catheters/Closed
Drainage System
Urinary Catheters/Closed
Drainage System
□ Catheter is a hollow tube with a small
balloon at the end; inflated after inser...
Upcoming SlideShare
Loading in …5
×

Natcep day 19 & 20

744 views

Published on

0 Comments
1 Like
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total views
744
On SlideShare
0
From Embeds
0
Number of Embeds
33
Actions
Shares
0
Downloads
6
Comments
0
Likes
1
Embeds 0
No embeds

No notes for slide

Natcep day 19 & 20

  1. 1. Urinary Elimination & Catheters NATCEP Days Nineteen & Twenty
  2. 2. Objectives □ State the function of the urinary system □ Identify ways in which urinary function may change with aging □ Define related terms □ Describe normal and abnormal appearance of urine □ List signs and symptoms of urinary tract infections □ Identify NA actions to decrease the incidence of infections □ SKILL: Catheter Care □ Identify causes of incontinence □ Describe measures to prevent incontinence □ Describe measures to provide skin care and comfort for the incontinent resident □ Describe indwelling urinary catheter and closed drainage system □ Identify NA actions to prevent complications from an indwelling urinary catheter □ Identify observations NA should report about the catheterized resident
  3. 3. Urinary System
  4. 4. Functions of the Urinary System □ Kidneys: Filter waste from blood □ Ureters: carriers waste (urine) from kidneys to bladder □ Bladder: stores urine and expels it □ Urethra: transports urine to the outside of the body
  5. 5. Alterations of the Urinary System in the Elderly □ Less efficient □ Less elastic & has less holding capacity □ Bladder does not completely empty = urinary infection □ Muscles of urethra weaken = urine “leaking”
  6. 6. Characteristics of Urine • • • • Color Clarity Odor Particles
  7. 7. Signs and Symptoms of Urinary Tract Infection □ Frequency □ Burning □ Urgency □ Strong odor □ Discoloration-hematuria □ Incontinence □ Confusion □ Fever
  8. 8. How Can You Prevent UTIs? □ Provide adequate hydration □ Wash and dry perineal area from front (clean) to back (dirty) □ Clean stool immediately □ Toilet according to plan of care □ Catheters must be free of stool & encrustations □ Tubing & catheter bag below bladder and off the floor □ Prevent tubing from looping below drainage bag □ Maintain closed system; do not separate tubes
  9. 9. Causes of Incontinence □ Medications □ Disease processes (enlarged prostate, Alzheimer’s and diabetes) □ Nerve messages blocked or weak – stroke, brain or spinal cord injuries □ Weakening bladder muscles □ Confusion; help need for toileting □ Dependence on others to get to toilet □ Toilet not accessible to resident
  10. 10. How Can You Prevent Incontinence? □ Be alert to clues □ Establish a routine - follow plan of care □ Toilet promptly when requested
  11. 11. Skin Care & Comfort Measures □ Check resident every 2 hours or per care plan □ Change clothes/linens as needed □ Wash & dry all affected skin □ Use adult undergarments (disposable) per care plan □ Use protective pads on bed per care plan □ Do NOT scold or treat resident like a child
  12. 12. Urinary Catheters/Closed Drainage System
  13. 13. Urinary Catheters/Closed Drainage System □ Catheter is a hollow tube with a small balloon at the end; inflated after insertion to keep from falling out. □ Tubing connects the catheter to drainage bag □ Plastic drainage bag hangs from bed or chair or is carried with person; some strap to resident’s leg □ Urine is emptied from clamped port at the bottom of bag

×