Discuss safe urinary catheterisation of a male patient defining the Essay

Discuss safe urinary catheterisation of a male patient defining the indications and contra indications and the potential complications that may arise - Essay Example es are verified, they should be positioned as comfortable as possible in order to reduce anxiety and also facilitate access to their anatomy (Michael 2012, p. 31). The proper type and size of catheter is selected and then the genital area cleansed thoroughly. In case of an uncircumcised patient, the foreskin should be retracted and the area cleansed with saline (Saint 2000, p. 804). This reduces chances of contamination and trauma to the urethra. The penile urethra is straightened by extending the penis at a 90 degree angle to the body to facilitate the administration of local anaesthetic gel. The gel, which requires approximately five minutes to take effect, will dilate, lubricate and anaesthetise the urethral passage (Bradsley, A 2005, p. 45). The catheter is then inserted approximately 20 centimetres into the urethra, at which point urine should flow. In case of resistance at the sphincter, gentle pressure should be applied on the catheter. It is then inflated to make sure it rema ins in situ and a suitable closed drainage unit attached. Before the foreskin is returned to its position, it must be dry and clean (Francis 2008, p. 69). Indications include acute urinary retention, hygienic care of patients who are bedridden and monitoring the output of urine. Traumatic injury of the urinary tract, such as a urethral tear, will contraindicate urinal catheterisation. Possible complications include infection, bladder spasm and trauma to the bladder neck or urethra (Stewart 1998, p. 124). Michael, S 2012, ‘A review of strategies to decrease the duration of indwelling urethral catheters and potentially reduce the incidence of catheter-associated urinary tract infections’, Urology Nursing, vol. 32, no. 1, pp.

Us history Essay Example | Topics and Well Written Essays - 500 words

Us history - Essay Example Harry Truman’s strategy ensured these ally countries were going to be unbeatable since they were better economies than that of USSR, eliminating its threat of being a superpower. This was the same idea that was used to win the cold war. The fight against rampant poverty that was in America then was the war Lyndon Johnson fought. The poverty that was in America was invisible; Lyndon Johnson used political rallies to express the fact that things had gone out of control, and, therefore, Americans should put its vision on helping people who are suffering, to help them, to give them education, opportunity, to give them the chance of coming into the mainstream of America’s middle class economic life. Everybody was meant to be a winner, from the poor to the rich. America grew less optimistic about the future of the society in the 1970s due to the increased inequality that was witnessed in the society decades after the end of the Second World War. This was seen in the absence of an increase in income since 1967, and people expected nothing since they had no increase in their income for the past ten years. Therefore, it created negative long-term expectations in relation to both family and individual lives and about the future of the United States and its economic perspective. The goals and tactics of the female were to ensure the women had equal rights with men. The main goal of the feminist movement was to eliminate discrimination against women and increase a woman’s part in the building of the nation. With the establishment of feminist movements, there was and has been a noticeable success; for instance, women were able to do jobs men did. They received equal salaries with men; women were involved in politics among other successful things involving women. Vietnam War made the American people lose trust in the president and the government because the