Cure Medical supports medical research. For information on Cure Medicalcatheters, visit www.curemedical.com or contact your distributor ofquality healthcare products.Instruction Guide to CleanSelf-Intermittent Catheterization ForWomen Using the Cure Twist This educational material is provided by Cure Medical in an effort to answerquestions and address possible concerns about the intermittent catheterizationprocess. By following the simple steps for clean self-intermittent catheterization,it is possible to quickly master the technique and make the process part of yourdaily routine for bladder management and urinary tract health.Cure Medical wishes to thank Anne Boisclair-Fahey, DNP, RN, CPNPfor writing this educational material. Her experience as a Senior Directorof Advanced Practice Providers (APPS) at Children’s Minnesota hospital,combined with over 20 years of clinical expertise in pediatric urology as apediatric nurse practitioner, make her contribution to this instruction guideinvaluable.This instruction guide is not a substitute for medical advice from yourhealthcare provider.December 2021 900,039 - A3
www.curemedical.comThe Urinary SystemThe urinary system contains two kidneys, twoureters, the bladder and the urethra. The kidneysfilter the blood and produce urine. The urine travelsfrom the kidneys down the ureters and into thebladder, where it is stored until emptied duringurination or catheterization. The urethra is the tubethat empties the urine out of the body.When the bladder is full, the brain sends a signaldown the spinal cord to the bladder, causing it toempty. For people with spinal cord issues, the signalfrom the bladder to the brain gets interrupted,making them unable to empty their bladder.When people are unable to empty their bladder on their own, they are at risk for urinary tractinfections, as well as incontinence or involuntary loss of urine. When urine stays in the bladderand is not emptied, bacteria can grow, causing infections which can lead to illness. Research hasshown that self-intermittent catheterization helps reduce urinary tract infections, control urinaryleakage (incontinence) and prevent urinary tract damage.Introduction to Self- Intermittent CatheterizationIntermittent catheterization is the periodic emptying of the bladder by the insertion of a hollowplastic tube (catheter) into the urethra, past the sphincter muscle and into the bladder. Urinethen passes out of the bladder through the catheter.Intermittent catheterization is used when a person is unable to empty her bladder. Medicalconditions that often require intermittent catheterization include spinal cord injuries, spinabifida and multiple sclerosis, to name a few.Intermittent catheterization must be done at regular intervals each day to keep the bladderhealthy.Your healthcare provider has recommended clean self-intermittent catheterization to help emptyyour bladder and keep your urinary system healthy. The Cure Twist catheter may be an ideal option for you if you are a busy woman on the go.Its unique, attractive shape and size are similar to typical cosmetics, makingit ideal when discretion and convenience are important considerations.The Cure Twist (shown with multiple cosmetic items)
www.curemedical.comHow Often Should I Catheterize?Your healthcare provider will let you know how often you will need to perform cleanself-intermittent catheterization and the size of the catheter you will need. Normally, selfintermittent catheterization is performed every four hours starting when you wake up in themorning and continues every four hours until bedtime. Some people catheterize on a morefrequent schedule. Most people who catheterize do not need catheterization at night. Yourhealthcare provider will let you know if you need catheterization at night.Where Do I Get Catheters?You will be taught clean self-intermittent catheterization by your healthcare provider who willdecide the size and style of catheter that you will need. Your healthcare provider will provide aprescription for the catheter supplies. The prescription will be sent to a medical supply companythat will provide you with the supplies.Self-Intermittent Catheterization Instructions for WomenMost women who perform self-intermittent catheterization sit on the toilet. (The shorter lengthCure Twist is ideal for this technique because the shorter catheter is less likely to touch thetoilet.) Other self-intermittent catheterization positions include sitting in a chair or wheelchairor lying down with pillows behind the back. Do what is most comfortable for you to pass thecatheter into the urethra. Initially you may want to use a mirror to help visualize the urethralopening where the catheter is inserted. It may take time for you to locate the proper opening.Eventually most women learn to catheterize by touch and feel.1. Before you begin, gather the following materials:Cure Twist catheter in sealed packageSomething to cleanse the area:soap, water and a washcloth, or unscented disposable wipesA container to collect the urine if not cathing while sitting on a toiletHand towel····2.Inspect catheter before use. If catheter or package is damaged do not use.3. Wash hands thoroughly with soap and water, or if not available, use an antibacterial handcleaner.
www.curemedical.comSelf-Intermittent Catheterization Instructions for Women continued4. Lay out the equipment so it is within easy reach. Remove theeasy, twist-off cap on the Cure Twist catheter package.Cure Twist 5. Position yourself comfortably. Arrange clothingout of the way. If sitting on the toilet, spreadyour legs far apart. If lying down, bendknees and place your heels together in a“frog-like” position (shown).6. Using the non-dominant hand, separate thelabia with the thumb and forefinger to locatethe urethra.7. With the labia separated, wash the urethral areafrom front to back thoroughly with soap, waterand washcloth or unscented disposable wipe.Never go back and forth over the urethralopening. Repeat washing from front to backwith the different areas of the washcloth orthrow away wipe.8. With your dominant hand, insert the CureTwist gently into the urethral opening(shown). Continue to insert the catheter about2 inches until urine begins to flow. If sitting onthe toilet the urine can drain into the toilet. Iflying down, place the funnel end of the catheterinto a container to collect the urine. Hold it inplace until urine stops flowing.9. When urine stops flowing, slowly rotate theCure Twist catheter between your fingers whilewithdrawing it. If urine starts to flow again, stop withdrawing the catheter and let the urinedrain. When the bladder is empty, finish removing the catheter.
www.curemedical.comYour Clean Self-Intermittent Catheterization Specifications:·Cure Twist catheter size:n 8 FR n 10 FR n 12 FRn 14 FR n 16 FR·Catheterize times a day or every hours.·Catheterization required at night:·Insertion Kit supplies:n Yesorn Yesorn Non NoHealthcare provider contact information:Name Telephone NumberHealthcare product supplier contact information:Name Telephone Number
Cure Medical supports medical research. For information on Cure Medical catheters, visit . www.curemedical.com. or contact your distributor of quality healthcare products. Instruction Guide to Clean Self-Intermittent Catheterization For . Women Using the Cure Twist This educational material is provided by Cure Medical in an effort to answer
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