Urinary Tract Injury Essay

The Florida Hospital Association has sponsored a project for the infection control of home care patients. In this project, the professionals and agencies had learnt about the occurrence of urinary tract infections and central-line infections. The author has

In my placement area I came across many residents using incontinence pads, urinary catheters and incontinence sheaths. I understood that, incontinence was a major problem among the elderly and it made me select

1) Summary of Article: Indwelling catheter use is common, but so are infections associated with them. About 80 percent of all urinary tract infections in hospitals are caused by catheters, and about 20 percent of all hospital infections total are UTIs. Evidence-based practice should be used for insertion, maintenance, and removal. Catheters should not be left in longer than they need to be. Unfortunately, this research shows poor administrative efforts are to blame for

Joint Commission released national patient safety goals for hospitals in January of 2016. These patient safety goals were “established to help accredited organizations address specific areas of concern in regards to patient safety” (Facts about the National Patient Safety Goals, 2015). National patient safety goal 07.06.01 focuses on the prevention of catheter associated urinary tract infections (CAUTI) in hospitalized patients. Evidence based practice should be implemented to stop these common infections occurring in patients nationwide. Indwelling urinary catheters are only recommended in certain patients, for example to prevent further breakdown of sacral wounds or pressure ulcers in incontinent patients, for comfort in end of life care

As we know, older residents are susceptible to infections because of multi-morbidity, greater severity of illness, functional impairment, cognitive impairment, incontinence, and the presence of frequent short-term and long-term indwelling device use such as urinary catheters and feeding tubes. For infection prevention control program, an effective infection prevention program includes a method of surveillance for infections and antimicrobial-resistant pathogens, an outbreak control plan for epidemics, isolation and standard precautions, hand hygiene, staff education, an employee health program, a resident health program, policy formation and periodic review with audits, and a policy

Also another serious complication of CAUTI is BSI (Blood stream infections) that can be fatal if not caught and treated promptly. “The Clinical Performance of Quality Health Care, along with Joint Commission” offers standards and objectives for facilities to assess measure and improve their standards at the lowest cost possible. The database covers nursing care and education, along with guidelines on prevention. Moreover the JCAHO regulatory standards for catheterized patients are explained and the documentation that is expected when JCAHO inspections are rendered in a facility. The source “Stop orders to reduce inappropriate urinary catheterization in hospitalized patients” states that by following standard precautions with every patient these infections can be prevented. . Also the source explored whether catheters should be used at all in an effort to decrease the incidence of CAUTI’s. Intermittent catheterizations along with supra-pubic were explored with a decreased incidence of bacteria being present in the bladder afterwards. The source “Strategies to prevent catheter-associated urinary tract infections in acute care hospitals” offered ways of cleansing and disinfecting the skin before insertion to reduce the risk of infection. Many CAUTI’s are linked to bacteria harboring in or around the site at insertion. By using not only aseptic technique but also cleansing the skin with chlorhexadine can decrease he incidence of infection

First, neurological disorders can occur, as seen with Alzheimer’s disease and Parkinson’s disease, which can lead to neurogenic bladder (“Neurology/Neurogenic Bladder,” 2017). Next, physiological disorders can occur as seen with enlarged prostate in men or shortening of the urethra in women (Jaipaul, 2017). Anticipating the above changes appropriately will aid in understanding what leads to urinary retention in older adults, the resulting need of catheterizations, and the CAUTIs that can follow. Having a foundation to build on, it would be beneficial to explore what nurses can do prevent urinary tract infections in patients who require catheterization.

Hooton, T., Bradley, S., Cardenas, D., Colgan, R., Geerlings, S., Rice, J., Nicolle, L. (2010).

Mr. Davy Jones is a 60-year-old man that presents incontinence, nocturia, difficulty urinating, and a weak stream when urinating. The patient visited the clinic on 03/01/2017 after experiencing these issues for approximately two months. He is experiencing fatigue with not being able to achieve adequate sleep during the night due to nocturia. He is complaining of bladder always feeling full after voiding. Patient has had multiple UTI’s that was treated with antibiotics and was successful with medicinal treatment.

little or no urine when urinating, swelling in the legs and feet, not feeling like eating,

She is an 81-year old female with history of expressive aphasia and dementia. She was presented to the ED complaining of general weakness and decrease appetite, the same symptoms she had when she was diagnosed with urinary tract infection. According to Touhy and Jett (2012), aside from people with “cognitive impairment, limitations in daily activities, and institutionalized…stroke, diabetes, obesity, poor general health, and comorbidities,” the prevalence of urinary incontinence for people with dementia ranges from 11% to 90% (p.116). That is, 1 to 9 out of 10 persons with dementia are urinary incontinent. They are “five times more likely to develop new urinary incontinence when hospitalized

Catheter-associated urinary tract infections (CAUTIs) have become one of the most common healthcare-acquired infections in the United States (Gould, Gaze, Drey, & Cooper, 2017). CAUTIs commonly affect elderly patients in both acute-care settings and long-term care facilities such as nursing homes (Gould et al., 2017). The research suggests that while healthcare-associated urinary tract infections are increasing, the majority of them are preventable by practicing evidence-based prevention measures (McNeill, 2017). It was determined by The Institute for Healthcare Improvement (IHI) (as cited in McNeill, 2017) that four essential components can contribute to the prevention of CAUTIs: avoiding unnecessary placement of indwelling catheters,

The Quality Improvement nursing process that I have chosen to research is patient safety. I have chosen to focus specifically on the topic of catheter associated urinary tract infections (CAUTI’s) during hospitalization and their preventions. It is estimated that 15-25% of hospitalized patients receive a urinary catheter throughout their stay, whether or not they need it. A large 80% of all patients diagnosed with a urinary tract infection (UTI) can be attributed to a catheter (Bernard, Hunter, and Moore, 2012). The bacteria may gain entry into the bladder during insertion of the catheter, during manipulation of the catheter or drainage system, around the catheter, and after removal.

Complications that can result from urethral injuries include infection, bleeding, permanent narrowing (stricture), erectile dysfunction, and uncontrollable loss of urine (urinary incontinence).The most common symptoms include blood at the tip of the penis in men or the urethral opening in women, blood in the urine, an inability to urinate, and pain during urination. Bruising may be visible between the legs or in the penis. Other symptoms may arise when complications develop. For example, if urine leaks into surrounding tissues, infection may result. In addition, the injury may cause the urethra to narrow (stricture) near or at the site of injury. Men may also experience impairment in the ability to have an erection (erectile dysfunction),

The patient is an elderly female 84 years of age was transferred to the ED from the primary care doctor's office because of increased confusion as well as increasing frequency of falls. There is a feeling the patient has a urinary tract infection. In the past the patient is known to have ESBL with proteus in the urine. She is growing Proteus again. On this admission the sensitivities are not yet available. she is also having frequent increased falls at home. There is also some suggestion that she might have had a syncopal episode. Her medical history is significant for hypertension, hypothyroidism, dementia, chronic osteomyelitis, she does have a pacemaker in place and as previously stated, and the urine is ready growing proteus within