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Home care

Incontinence

Long-term conditions

Training and education

Teaching patients clean intermittent self-catheterisation: key points

02 December 2020

Long-Term Conditions

02 December 2020

Volume 25 · Issue 12

ISSN (print): 1462-4753

ISSN (online): 2052-2215

Abstract

Intermittent self-catheterisation (ISC) is recognised as the gold standard for the treatment of neurological bladders. ISC involves the introduction of a catheter by the patient into the bladder and its immediate removal when drainage stops. This process needs to be repeated four to six times a day. Therapeutic patient education (TPE) is commonly used nowadays to treat and care for patients with chronic disease. Community nurses can play an active role in introducing ISC to patients and teaching them to perform it. This review emphasises the important points to consider when teaching patients ISC.

Intermittent self-catheterisation (ISC) is recognised as the gold standard for the treatment of neurological bladders (Holroyd, 2018). ISC involves the introduction of a catheter by the patient into the bladder and its immediate removal when drainage stops.

Nowadays, therapeutic patient education (TPE) is a popular method for treatment and care of patients with chronic disease; it aims to improve the quality of life of patients and helps reduce the cost of healthcare (Le Breton et al, 2012). Introducing ISC to patients and teaching them to perform it is important. Patients should be provided with detailed and accessible information to support them (Robinson, 2006). The additional time initially spent teaching and monitoring the patient will have a positive impact in the long term. In this context, community nurses are ideally placed to support patients who are learning to self-catheterise (Woodward, 2014).

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Therapeutic patient education

Intermittent self-catheterisation

Neurological bladder

Urinary catheterisation

Community nursing