32855-An overview on Patients with Indwelling Urinary Catheters with PICOT statement (1).pdf

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Running head: POPULATION HEALTH RESEARCH AND PICOT STATEMENT1PICOT: An Overview on Adult Patient Population with Indwelling Urinary Catheters
POPULATION HEALTH RESEARCH AND PICOT STATEMENT2PICOT: An Overview on Adult Patient Population with Indwelling Urinary CathetersNurses as providers have a responsibility of ensuring safety and quality of health servicesfor patients. Curbing and decreasing the incidence of hospital-acquired conditions is useful inenhancing improved patient outcomes and satisfaction. The paper discusses the populationmanagement on adults with urinary catheters and the PICOT statement of whether the nursingcatheter care bundle are more efficient in reducing catheter associated urinary tract infections(CAUTIs) rates compared to not using the nursing catheter care bundle among adult patientswith indwelling urinary catheters within six months in acute settings.Population Demographics and Health ConcernsBased onUnited States market analysis report” (2017)on the use of urinary catheters,there is a rise in use of urinary catheters because of the rising occurrence of diseases likeincontinence, bladder obstruction, retentiveness, benign prostate hyperplasia (BPH), and bladdercancers. Not only that neurological disorders, cause bladder dysfunction also requires theseurinary catheters for urine drainage and therefore the growing elderly population being moresusceptible to such conditions and due to the inability to perform self-care activities isadditionally contributing to the increased use of urinary catheters. Selected population includesadults greater than 18 years of age with any neuro or medical surgical pathology requiring aminimum of one full day admission to the unit, and an indwelling urinary catheter for aminimum of two days. The catheters are usually inserted in critically ill clients aged betweeneighteen and seventy years and most of the catheters are inserted in the critical care units(CCUs). Besides, catheters are mostly inserted in men compared to females (Shackley et al.,2017). The reason is that men have a long urethra and are at risk of prostate infection and withhigh chances of urine retention after the operation. Such patients are at a higher threat of urinary
POPULATION HEALTH RESEARCH AND PICOT STATEMENT3tract infections (UTIs). Besides, the clients with urinary catheters are predisposed to kidneystones, hypersensitivity reactions to materials of the catheter such as latex and urethra injury,which may lead to blood in the urine. Complications can occur when catheters are left unchangedfor long periods. Therefore, there is a need for providers to regularly monitor and change thecatheters and maintain aseptic techniques during procedures.

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Term
Spring
Professor
NoProfessor
Tags
Health care provider, urinary tract infection, Urinary catheterization

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