Urinary diversion procedures are performed to divert urine from the bladder to a new exit site, usually through a surgically created opening (stoma) in the skin.
These procedures are primarily performed when a bladder tumor necessitates removal of the entire bladder (cystectomy).
Urinary diversion has also been used in managing pelvic malignancy, birth defects, strictures, trauma to ureters and urethra, neurogenic bladder, chronic infection causing severe ureteral and renal damage, and intractable interstitial cystitis and as a last resort in managing incontinence.
There are two categories of urinary diversion:
1. Cutaneous urinary diversion : in which urine drains through an opening created in the abdominal wall and skin.
2. Continent urinary diversion : in which a portion of the intestine is used to create a new reservoir for urine.
Urinary diversion procedures are performed to divert urine from the bladder to a new exit site, usually through a surgically created opening (stoma) in the skin.
These procedures are primarily performed when a bladder tumor necessitates removal of the entire bladder (cystectomy).
Urinary diversion has also been used in managing pelvic malignancy, birth defects, strictures, trauma to ureters and urethra, neurogenic bladder, chronic infection causing severe ureteral and renal damage, and intractable interstitial cystitis and as a last resort in managing incontinence.
There are two categories of urinary diversion:
1. Cutaneous urinary diversion : in which urine drains through an opening created in the abdominal wall and skin.
2. Continent urinary diversion : in which a portion of the intestine is used to create a new reservoir for urine.
"Abdominal Exploration-When to cut, anatomic review and surgical techniques"
Presented by Dr. Earl (Trey) F. Calfee, III
Form more information about nashville Veterinary Specialists and Animal Emergency services, please visit our website at http://www.nashvillevetspecialists.com
Stoma care,child,
Helps both UG and PG nursing students
Helps in knowing how to care for a stomal site
daily activities with stoma.
Dietary guidelines for a child with stoma
"Abdominal Exploration-When to cut, anatomic review and surgical techniques"
Presented by Dr. Earl (Trey) F. Calfee, III
Form more information about nashville Veterinary Specialists and Animal Emergency services, please visit our website at http://www.nashvillevetspecialists.com
Stoma care,child,
Helps both UG and PG nursing students
Helps in knowing how to care for a stomal site
daily activities with stoma.
Dietary guidelines for a child with stoma
Urine can exit the bladder through a hole called the urethra. The urethra in men is a tiny, tube-like organ that extends from the bladder’s lower opening all the way down to the penis. A sphincter in the urethra closes normally to retain pee in the bladder.
BPH also called as benign prostate hypertrophy. #nursing #nursinglecture #study #teaching. This includes the nursing care plan and management. share to others. Only for study purpose.
Urinary catheterization
Definition
Types of Urinary catheterization
Effects or risks of Urinary catheterization
Suprapubic catheterization
Intermittent catheterization
Caring for catheters
Signs and symptoms of Urinary tract infections
Successful Urology surgery in India by team of expert and international surgeons with advance micro surgical instruments for complex surgery in your budget.
Benign prostatic hyperplasia (BPH), also called prostate enlargement, is a noncancerous increase in size of the prostate gland. Symptoms may include frequent urination, trouble starting to urinate, weak stream, inability to urinate, or loss of bladder control.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Explore our infographic on 'Essential Metrics for Palliative Care Management' which highlights key performance indicators crucial for enhancing the quality and efficiency of palliative care services.
This visual guide breaks down important metrics across four categories: Patient-Centered Metrics, Care Efficiency Metrics, Quality of Life Metrics, and Staff Metrics. Each section is designed to help healthcare professionals monitor and improve care delivery for patients facing serious illnesses. Understand how to implement these metrics in your palliative care practices for better outcomes and higher satisfaction levels.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
The "ICH Guidelines for Pharmacovigilance" PDF provides a comprehensive overview of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guidelines related to pharmacovigilance. These guidelines aim to ensure that drugs are safe and effective for patients by monitoring and assessing adverse effects, ensuring proper reporting systems, and improving risk management practices. The document is essential for professionals in the pharmaceutical industry, regulatory authorities, and healthcare providers, offering detailed procedures and standards for pharmacovigilance activities to enhance drug safety and protect public health.
3. UTI - Urinary Tract Infection
Urinary tract infections are caused by bacteria that invades the Urinary
System and multiply. The infection can occur in any part of the urinary system,
but usually starts in the urethra. Bacteria cling to the opening of the urethra and
start to multiply from there. Bacteria moves to the bladder causing a bladder
infection. If not treated promptly the bacteria may enter the ureters, infecting
the kidneys. UTI’s can also be sexually transmitted.
A urine sample will be tested for blood, pus and bacteria.
UTI’s can be treated with antibiotic drugs. In severe cases the patient will be
treated with intravenous or intramuscular antibiotics followed by oral therapy.
The patient should feel better after a couple of days.
4. To avoid UTI’S you should:
• Wash genitals daily.
• Take showers instead of baths.
• Drink plenty of liquids.
• Urinate when you feel the need and do not
resist the urge.
• Empty your bladder completely and drink a
full glass of water after having sex.
• Women should always wipe from front to
back after having a bowel movement.
• Avoid using douches and feminine hygiene
sprays.
• Drinking cranberry juice may help prevent
and relieve UTIs.
5. Bladder Neck Obstruction
BNO
The bladder neck is a group of muscles that connect the bladder to the urethra.
The muscles tighten to hold urine in the bladder, and relax to release it through
the urethra. Urinary problems occur when abnormalities block the bladder neck
and prevent it from opening completely during urination.
The bladder can become permanently weakened if treatment is delayed for an
extended period of time. A weakened bladder may lead to complications such as:
• Urinary Tract Infections
• Kidney Damage
• Bladder Diverticula, which are bulging pouches that can form in the
bladder
• Long-term incontinence, which is a lack of bladder control
6. Some Signs and Symptoms of BNO
may include
Some causes for BNO
An enlarged prostate
Side effects of surgery to remove the
prostate.
If radiation treatment is used to treat
prostate cancer, scar tissue from these
procedures can cause BNO.
• An irregular output of urine.
• An inability to control the urge to urinate.
• Incomplete bladder emptying.
• Increased urinary frequency and urgency.
• Pelvic pain.
8. Kidneys, Ureters, Bladder
KUB
Kidneys are shaped like beans and are about the size of
your fist. They play a vital role in keeping the chemicals
and water in your body balanced.
The ureters are narrow, hollow, muscular tubes,
approximately nine inches long, that connect the kidneys to
the bladder.
The bladder is a storage tank that holds urine and allows
its release at the right time. In the wall of this balloon-like
organ is a layer of smooth muscle, which enables the
bladder to expand and store the liquid until urination. Your
bladder should be able to hold 3-5 hours of urine
9. Kidneys, Ureters, Bladder
KUB
Reasons for this x-ray…..
To identify a blockage in the intestine.
To help diagnose the source of nausea,
vomiting, pain or other symptoms
related to the abdomen
To locate a foreign object that has
been swallowed
To help detect and locate
calcifications (kidney stones )
To identify suspected urinary system
problems
A KUB is a plain film of the abdomen
providing information about abdominal
organs such as kidneys, ureters and bladder.
10. Factors that may interfere with
x-rays may include…….
Prior to exam….
You will probably be asked not to eat
or drink anything for 4 hours before
your exam
You'll remove your clothes and put on
a hospital gown.
You’ll remove all metal-containing
items, including jewelry and watches
Large amounts of gas or stool in the
intestines
Excessive peritoneal fluid
Obesity
Fibroids
Dye or barium left from previous tests
Mass in either the uterus or ovary
11. EXTRACORPEAL SHOCKWAVE
LITHOTRIPSY-ESWL
For this procedure….
You lie on a water-filled cushion, and
the surgeon uses X-rays or ultrasound
to precisely locate the stone. High-
energy sound waves pass through your
body and break the stone into small
pieces. These small pieces move
through the urinary tract and out of
the body more easily than a large
stone.
The process takes about an hour.
You may receive sedatives or local
anesthesia.
If you have a large stone your surgeon
may use a stent to hold the ureter
open. This helps the small stone
pieces to pass without blocking the
ureter.
A use of ultrasound waves to break up stones
into small pieces so that they can easily travel
through the urinary tract.
ESWL may be used on a person who has a
kidney stone that is causing pain or blocking the
urine flow.
Lithotripsy is used to remove kidney stones
that are causing:
• Bleeding
• Damage to your kidney
• Pain
• Urinary tract infections
14. Catheterization allows the patients urine to drain freely from
the bladder for collection. It may also be used to inject
liquids for treatment or diagnosis of bladder conditions.
When a person is unable to urinate the problem can quickly
become a serious one. As urine builds up in the bladder, the
condition becomes uncomfortable, and painful. If the bladder
become overly full and urine back up into the kidneys, this
causes damage that can be permanent.
When this happens, a urinary catheter is inserted into the
bladder. This is a sterile and flexible tube that is inserted
into the urethra (where urine comes out of the body) and is
gently pushed into the body until the end rests in the
bladder.
15. Catheters come in several basic designs
A Foley catheter (indwelling urinary catheter)
is retained by means of a balloon at the tip
that is inflated with sterile water. They are
commonly made in silicone rubber or natural
rubber.
An intermittent catheter (Robinson catheter)
is a flexible catheter used for short term
drainage of urine. It has no balloon on its tip
and therefore cannot stay in place unaided.
Intermittent self catheterization in males is
best performed with a flexible catheter to
drain the bladder periodically.
A coudé catheter is designed with a curved
tip that makes it easier to pass through the
curvature of the prostatic urethra.
A hematuria catheter is a type of Foley
catheter used for Post-TURP hemostasis. This
is useful following endoscopic surgical
procedures, or in the case of gross hematuria.
An external, urisheat, Texas or condom
catheter is used for incontinent males and
carries a lower risk of infection than an
indwelling catheter.
A catheter that is left in place for more than a short
period of time is generally attached to a drainage
bag to collect the urine. This also allows for
measurement of urine volume. There are three
types of drainage bags:
A leg bag, a smaller drainage device that attaches
by elastic. bands to the leg. A leg bag is usually
worn during the day, as it fits discreetly under pants
or skirts, and is easily emptied into a toilet.
A down drain may be used overnight. This
device is hung on a hook under the patient's bed—
never placed on the floor.
A belly bag is secured around the waist. This
bag can be worn at all times. It can be worn under
the patient's underwear for an undetectable look
16. A male catheter attached to the leg A female catheter attached to the leg
17. Some common side effects of Catheterization
Urinary tract infections
Cystitis
Urethral Injury
Blood Infection
Blood in the Urine and Latex Allergy
Bacteriuria
Difficulty Urinating After Catheter Removal
Narrowing of the urethra (this complication
usually occurs in long term insertion due to scar
tissue formation by the insertion of the catheter)
Bladder injury (caused due to incorrect
insertion)
Bladder stones
Kidney stones and kidney damage
Bladder Cancer