|
|
The issue of permanent urinary catheter exchange in men - outpatient care vs. home health care
CAHOVÁ, Veronika
This bachelor's thesis addresses the issue of exchanging a permanent urinary catheter in men - outpatient care vs. home health care. The theoretical part of this work focuses on the catheterization process, proper nursing care of the urinary catheter, and also mentions the most common complications arising from catheter insertion. A significant portion also focuses on home care and education. The objective was to map the exchange of the permanent urinary catheter and to identify differences in the exchange process between a urological clinic and home care, and lastly, to compare patient experiences with both forms of exchange. A qualitative research method was used, employing semi-structured interviews. Four nurses from home care and four from a urological clinic were interviewed, as well as four patients from home care and four from the urological clinic. Three objectives were set, each associated with one research question. The research questions investigated specifics in catheter exchange and nursing care for the urinary catheter both in the urological clinic and in home care. The last research question examined the roles of nurses in this procedure. The research results show a difference in the thoroughness of nurses. Nurses from the urological clinic do not adhere to the proper guidelines during catheterization of the bladder. Patient education occurs in both the urological clinic and home care, but nurses from home care educate patients better and more frequently than nurses from urology. Education should focus more on catheter movement to prevent complications. Patients are satisfied with both forms of exchange, but it is clear that home care is not only more advantageous for the patients but also easier for hospitals. The output of the work is a basis for improving deficiencies in performance, but can also serve as motivation for expanding collaboration between hospitals and home care.
|
|
|
Bacteriophage therapy with focus on urinary catheters biofilms
Ludvík, Vojtěch ; Drda Morávková, Alena (advisor) ; Grantz Šašková, Klára (referee)
The term of the bacteriophage therapy denotes the use of viruses for killing bacteria. My thesis refers about the use of the bacteriophage therapy in the process of treating nosocomial infections caused by the urinary tract catheterization. I focus on the bacteria that are found in the catheters' biofilms and on the selection of bacteriophages that will be capable of the enzymatically degradation of the biofilms as well as the lysis of the present bacteria. After the body fluids contact the surface of the catheter, an environment for the evolution of the biofilm begins to evolve, which leads to its fast expansion and to the development of an infection. In the case of improper hygienically measures and unreasonable duration of the catheterization, the incidence of the infections reaches 100%. Because of the presence of the biofilm, the bacteria demonstrate high resistance to antibiotics, which is why the infections often aren't suppressed and may have fatal consequences. If applied, the bacteriophage cocktail and genetically modified bacteriophages can successfully treat the infection and even prevent from its development. Keywords: Bacteriophage therapy, urinary tract infection, catheterization, biofilm, EPS
|
|
| |
|
|
Female catheterization from a student's point of view.
VESELKOVÁ, Dana
Catheterization is a performance, that can be found nearly in all departments of the hospital, in old people´s homes, different institutes and last but not least also in the home environment. Many things have changed since the distant times, when a red tube was used as a catheter. The aids for catheterization are firstly manufactured so that they are so gentle as possible and secondly so that the use of them reduce the possible risks on a minimum. Moreover some types of catheters have some attributes of the modern technologies included, e.g. X-ray contrast strips or contrastive sensors for the monitoring of the inside body temperature. Even though the right execution of the performance seems to be easy, it still has its own specifics, and this is the observance of the right course of action under the high-asepticconditions. Since it is about an invasive input of the ureter to the urinary bladder, together with the wrong execution, the possibility of the undesirable complications increases, most often in the form of the infection of the urinary canal, that not only worsen the state of health, but also has the economic impacts on the medical institutes. The catheterization of a woman shall therefore be carried out only by the registered nurse or by the undergraduate nurse or the nurse with a specialist education. In this thesis I focused mainly on the execution of catheterization from the student point of view, as already there is being decided with the help of the right education, how he or she will be able to carry out this execution on his/her own ( how much he or she will be reliable, on which level of knowledge and skills).The aim of this thesis was to chart the most frequent problems, that the students meet during the execution of the female catheterization and to find out, if they have the needed information and how they advise the clients during the one-time catheterization, as well as the clients with the permanent urinary catheter. In the practical part of the thesis the qualitative survey in the form of the structured conversation was used. Ten students of the second and third grade ZSF JCU, Department for nursing and midwifery, General nursing and midwifery assistant, were addressed on the base of the intentional choice. Four interviews were recorded with the help of the voice recorder, the next were noticed with the respect to the wish of the respondents only in a written form. The answers of the students were then transcribed and encoded into categories and under categories and thus with the help of the method.It has been found out from the research that the most common problem during the female catheterization mentioned by the students, is the difficult orientation in the sometimes confused field of the anatomic ratio of the genital and thus mainly in the case of older or obese female patients and and on the second place the is the difficulty of the execution by means of the observance of asepsis and the general technique of the performance, particularly if it is carried out without assistance. In the next evaluation it has been found out that the students are aware of the risks, especially in the form of an infection and they know how to minimize them. The issue of the presentation of the needed information to the female patient was evaluated as not fully sufficient, mainly in the case of the one- time catheterization.
|
|
|
Disinfecting fluid for urinary bladder catetrization as an nursing problem.
LINHARTOVÁ, Lucie
This Bachelor´s Thesis themed {\clqq}Disinfectant Solution in the Catheterization as a Nursing Problem`` concentrates both on urinary bladder catheterization and genitalia disinfection prior urinary bladder catheterization. Two objectives were set out for the Thesis. 1st objective: To find out if a recommended disinfectant solution for catheterization is used. 2nd objective: To find out how nurses ensure effectiveness of genitalia disinfection. A qualitative research was used to achieve the results, namely the method of structured observation of nurses and the method of non-standardized interviewing of observed nurses. A group of 10 nurses, working at the urology outpatient unit in the Hospital in České Budějovice and at the urology ward and the after-treatment physiotherapy unit in the Hospital in Pelhřimov, was observed. The research should contribute to the awareness of deficiencies in catheterization and the results should be used to formulate recommendations to be implemented in practice.
|
|
| |
guest ::
