The aim of this assignment is to critical analyse and evaluate a primary piece of evidence within the author’s clinical practice.
Prior to analysing the literature the author will give a brief description of the term clean intermittent self-catheterisation, identify various conditions where this procedure may be undertaken and the assessment process which is necessary for patients before they can carry out this procedure.
Due to word limitations the term Clean intermittent self-catheterisation will be abbreviated as CISC.
Clean intermittent self-catheterisation provides a safe and effective alternative for patients who require bladder draining or in the management of urethral strictures. The insertion of a catheter into the bladder can be performed by the patient or a care and its considered the gold standard treatment for people who have a number of reasons while they are unable to avoid or empty the bladder completely (Pomfret and Winder 2007).Evidence suggests that this method of bladder emptying is viewed as the safest method of managing patients with these problems Winder (2008).
NICE (2012b) also supports the benefits of using intermittent catheterisation is considered the gold standard treatment for people who are unable to void or empty their bladder completely.
This procedure can also be undertaken by patients who have neurological conditions such as multiple sclerosis, Parkinson disease, cerebral vascular, Spinal injuries and also spina bifida patients. However patients with dexterity problems, visual or physical impairment may find it difficult to undertake so a thorough assessment should be carried out prior to the procedure.
In some cases emotional psychological aspects, such as embarrassment at exposing the genitals, fear of pain, discomfort and self-image could become barriers to CISC (McConville 2002).
Working as clinical nurse specialist in the outpatients department for a number of years the author has been deemed competent