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Tests and their indications in bowel management follow up care
Effects of a well managed bowel in Spina Bifida
Normal bladder function
How Spina bifida affects the bladder
Other factors that affect bladder continence in Spina Bifida
Effects of unmanaged bladder incontinence in Spina Bifida
Medical evaluation for bladder function in Spina Bifida
Basics of bladder continence management in Spina Bifida
Definition and Indications for CIC
Importance of CIC
Technique CIC: Training booklet for nurses Purpose and goals of CIC To prevent bladder infection by avoiding residual (urine staying in the bladder) To avoid unsafe bladder pressure by frequent catheterization To achieve social continence
Selecting the correct catheter size
Technique CIC: Training booklet for nurses Choosing the correct catheter Use the largest catheter that can enter the urethra Short catheters for girls’ and baby boys’ Boys’ from 5 years on use the long catheters
Equipment and preparation for CIC
Technique CIC: Training booklet for nurses 2. Materials required Catheters KY Jelly for boys, if necessary a mirror for girls Something to collect the urine into Pieces of cloth to wash genital area Water, soap, bowl to wash hands Latex free gloves for commu...
How to perform CIC for girls
Technique CIC: Training booklet for nurses 1. CIC technique Explain the importance of CIC and the technique in a simple way to the parents and the child 1.1 .Cleaning hands 1.2 Cleaning the genital area Daily 1x with water and soap At every soiling or bowel ...
How to perform CIC for boys
Technique CIC: Training booklet for nurses 1. CIC technique Explain the importance of CIC and the technique in a simple way to the parents and the child 1.1 .Cleaning hands 1.2 Cleaning the genital area Daily 1x with water and soap At every soiling or bowel ...
How to clean the catheter after CIC
Technique CIC: Training booklet for nurses Cleaning and storing of the catheter Wash the outside of the catheter with water and flush the inside with water using a syringe Rinse catheter 3 times with water and blow air to remove excess water Shake the cathete...
How to store the catheter
Technique CIC: Training booklet for nurses Storing of the catheter Shake the catheter dry, leave it to dry in the sun when possible and store in a clean bowl or inside a clean piece of cotton cloth
Instructions for re-using catheters
Technique CIC: Training booklet for nurses Cleaning and storing of the catheter Wash the outside of the catheter with water and flush the inside with water using a syringe Rinse catheter 3 times with water and blow air to remove excess water Shake the cathete...