Condom Drainage/ Condom Catherization

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Condom Drainage/ Condom Catherization
It involves the use of an external catheter or condom connected to a urinary drainage system for incontinent males.
The condom is a soft, pliable rubber sheath that slips over the penis. A strap of elastic adhesive is placed around the top of the condom to secure it.

Purposes

·         To collect urine and control urinary incontinence

·        To permit the client physical activity while controlling urinary incontinence

·        To prevent skin irritation as a result of urine incontinence

Preliminary assessment

·         Identify male clients who require control of incontinence

·         Assess client's mental status to determine ability to cooperate with procedure

·         Inspect penis for irritation or areas of skin breakdown from previous incontinence

·         Measure diameter of the penile shaft to determine appropriate catheter size

·        Determine clients activity level and need for continuous drainage system for urine collection

Equipment's
·         Urinary drainage bag with tubing.
·         Condom sheathe.
·         Drape (e.g. Sheet or bath blanket)
·         Clean gloves.
·         Basin with warm water soap. (to clean the perineum)
·         Wash cloth, towel, ( to clean the perineum)
·         Elastic tape/Velcro strip.(to secure condom catheter)

Preparation

         Assemble the urinary drainage bag for attachment to the condom sheath
         Roll the condom outward onto itself to facilitate easier application
         This flap is applied around the urinary meatus to prevent the reflux of urine
         Position the client in either a supine or a sitting position
Procedure:
Step
Rationale
Introduce yourself and explain the procedure to the patient and provide privacy.
Reduces anxiety and promotes cooperation.
Wash Hands
Prevents transfer of microorganism
Raise the head of the bed to a comfortable working height.
Assist client to supine position with thighs slightly apart.
Place the mackintosh with towel under the perineal area
Drape client with sheet so that only the area around the genitalia is exposed



Provides client with comfort and privacy.
Put on disposable gloves.
Provide perineal care and dry thoroughly. Clean the tip of the penis first using a circular motion from the meatus outward.
Wash the shaft of the penis longitudinal manner from down to top (straight strokes).
For an uncircumcised male, retract the foreskin and clean the glans of the penis.
Removes secretions to prevent skin breakdown.
Replacing foreskin prevents ischemia or to penis from application or catheter sheath to a retracted foreskin
Be sure to replace the foreskin after cleaning. Dry the skin
Catheter adheres best if skin is thoroughly dry.
Trim excess pubic hair from base of penis, if necessary
Excess hair adheres to the condom adhesive, interfering with a good seal and would cause condom removal to be uncomfortable
Apply & secure the condom
Grasp penis firmly with non - dominant hand. Apply condom sheath by unrolling the sheath the length of the penis using dominant hand. Leave 1 to 2 inches of space.

between the tip of the penis and the end of the condom sheath. Secure the condom catheter with the Velcro strip.
Proper placement of condom sheath allows for urine collection.
Swelling or discoloration of penis indicates condom is too tight and should be removed and reapplied in a larger size.
Tape reinforcement prevents disconnection of tubing of tubing as client turns and moves.

Reduces spread of micro organism
Provides warmth and promotes com fort
Observe penis, 15 to 30 minutes after application of condom, for swelling or changes in skin color
Swelling or discoloration of penis indicates condom is too tight and should be removed and reapplied in a larger size.
Document in the client record about application of condom, the time & the observations


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notes.nursium.com: Condom Drainage/ Condom Catherization
Condom Drainage/ Condom Catherization
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