Cauti Case Study In Nursing
As a future adult/gerontology nurse practitioner (AGNP), my role will be focusing on helping patients to manage chronic illnesses, illness prevention, and health promotion. In addition, The AGNP collaborate with other health care providers such as physicians and specialist to better manage and treat patient illness. The problem am really interested in researching is catheter-associated urinary tract infections (CAUTIs) in older adults. Working as a registered nurse in a medical/surgical unit I have been exposed to different patients with indwelling foley catheters and other requiring placement of the foley catheter for various reasons. However, research have found that older patients tend to be at the highest risk of unnecessary catheterization
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Most of the articles I reviewed addressed the causes of CAUTIs, the risks of indwelling urinary catheters, as well as the successful evidence-based interventions implemented for the reduction of CAUTIs. Strouse (2015), reports that UTIs account for approximately 35% to 40% of hospital-acquired infection (HAIs) and about 80% of the UTIs are associated with presence of indwelling foley catheter. The CAUTIs not only affect the increased hospital cost, but also increases the risk of morbidity and mortality. Both the Centers for Medicare and Medicaid Services consider CAUTIs as preventable complications hence no reimbursement is provided to the health care institutions for CAUTI treatment-related costs (Strouse, 2015).
To prevent CAUTIs, other alternatives should be considered such as the use of urinal, bedside commode, and continence wears and condom catheters to manage incontinence. If the indwelling foley has to be used, the Centers for Disease Control and Prevention (CDC) in collaboration with other organizations, developed guidelines for the prevention of CAUTIs. The guidelines focused mainly on the prevention they address; appropriate use of indwelling urinary catheter, utilization of proper techniques for indwelling catheter, and utilization of proper techniques for indwelling catheter maintenance (CDC,
Most of the articles I reviewed addressed the causes of CAUTIs, the risks of indwelling urinary catheters, as well as the successful evidence-based interventions implemented for the reduction of CAUTIs. Strouse (2015), reports that UTIs account for approximately 35% to 40% of hospital-acquired infection (HAIs) and about 80% of the UTIs are associated with presence of indwelling foley catheter. The CAUTIs not only affect the increased hospital cost, but also increases the risk of morbidity and mortality. Both the Centers for Medicare and Medicaid Services consider CAUTIs as preventable complications hence no reimbursement is provided to the health care institutions for CAUTI treatment-related costs (Strouse, 2015).
To prevent CAUTIs, other alternatives should be considered such as the use of urinal, bedside commode, and continence wears and condom catheters to manage incontinence. If the indwelling foley has to be used, the Centers for Disease Control and Prevention (CDC) in collaboration with other organizations, developed guidelines for the prevention of CAUTIs. The guidelines focused mainly on the prevention they address; appropriate use of indwelling urinary catheter, utilization of proper techniques for indwelling catheter, and utilization of proper techniques for indwelling catheter maintenance (CDC,