Hi Everyone,
I am looking for some advice on behalf of a client on mine; he has cerebral palsy and I provide home care for him several days a week. He has a mitrofanoff catheter and the past few months it has been more and more difficult to insert the catheter, particularity first thing in the morning when his bladder is very full. Here is what we have been doing so far:
I have him pee into his diaper, several times and so far this has always worked, eventually. However, my client has some behavioral issues and some very understandable anxiety issues and he has built a phobia around anything to do with this catheter, so this process is becoming very stressful and difficult for everyone involved. By the 2nd or 3rd attempt to insert the catheter he is usually very distressed and upset, which of course only causes muscle tension and makes things more difficult. I would love to find some tricks to make this a bit easier on him.
I have tried applying slight pressure on his abdomen with my hand
I have tried "twisting" the catheter a bit and have tried using different angles.
I have also tried re-positioning a bit and having him lie back to relax his abdomen.
as I said, we always figure things out but what was once a 5 minute process is now bordering on close to an hour and I feel absolutely horrible fro him having to start his day like this. I am wondering if anyone has any tips or words of wisdom? It could make a huge difference for my client!
Thank you so much to everyone in advance!
I am looking for some advice on behalf of a client on mine; he has cerebral palsy and I provide home care for him several days a week. He has a mitrofanoff catheter and the past few months it has been more and more difficult to insert the catheter, particularity first thing in the morning when his bladder is very full. Here is what we have been doing so far:
I have him pee into his diaper, several times and so far this has always worked, eventually. However, my client has some behavioral issues and some very understandable anxiety issues and he has built a phobia around anything to do with this catheter, so this process is becoming very stressful and difficult for everyone involved. By the 2nd or 3rd attempt to insert the catheter he is usually very distressed and upset, which of course only causes muscle tension and makes things more difficult. I would love to find some tricks to make this a bit easier on him.
I have tried applying slight pressure on his abdomen with my hand
I have tried "twisting" the catheter a bit and have tried using different angles.
I have also tried re-positioning a bit and having him lie back to relax his abdomen.
as I said, we always figure things out but what was once a 5 minute process is now bordering on close to an hour and I feel absolutely horrible fro him having to start his day like this. I am wondering if anyone has any tips or words of wisdom? It could make a huge difference for my client!
Thank you so much to everyone in advance!
Issues with Mitrofanoff catheter causing terrible stress
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