The Indwelling Urinary Catheter And Urinary Retention Problem

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The indwelling urinary catheter can be inserted for a long period with frequent changes between 4-6 weeks (Taylor, Lillis, LeMone, & Lynn, 2011). However, the Foley can also be a potential source for UTI and bacteriuria (Taylor et al., 2011). The necessity of reducing the patient’s period of time on a Foley and helping him or her to quickly regain normal bladder function is significant. Performing bladder training through clamping the urinary catheter is reported to decrease the frequency of urinary retention, shorten the period of returning to normal bladder function, and stimulate normal bladder filling and emptying by improving bladder tone and sensation (Nyman, 2012). When one thinks critically, bladder retraining seems to be reasonable and necessary but there is always the need of evidence-based evaluation. The following journals are trials providing evidences and statistics about bladder retraining prior to Foley removal in different populations presented with urinary retention problem.
The chosen population in this journal were patients with hip fracture at a Swedish university hospital (Nyman, Johansson, & Gustafsson, 2010). Patients with hip fracture experience long periods of bed rest and pain resulting in dysuria, which requires the insertion of a Foley before surgery. The trial started at 6 a.m. on the postoperative day two (Nyman et al., 2010). One group had their catheter clamped and then only unclamped when there was a need for urination, while one group had
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