You can accidentally pull out a catheter

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Is there a solution? Mother has an indwelling catheter that she pulls on all the time ...

Member since February 24, 2017

Until October 2015 we, 3 sisters, took turns looking after our mother at home. She was demented, but mobile. Then she came to the hospital as an emergency, acute sepsis due to urinary obstruction because the bladder was no longer working properly. Result after 5 weeks in hospital: indwelling catheter, no longer able to get up, dementia worsened, partly delirium, drug Risperdal 0.25 (because she had lashed out and partly bit). Clearly, they weren't prepared for dementia! The whole time we were there for many hours every day, otherwise there would have been a disaster ... A nurse told us reproachfully that our mother had pulled the catheter ...
Then she was sent to a home for short-term care. We realized we couldn't do this at home, bedridden and catheterized. The home is not bad in and of itself. So we decided that we would give her full inpatient care and, with a heavy heart, dissolve her apartment. At first, mother was very aggressive towards the caregivers. But over time that subsided and she is now playing out her charm so that everyone loves her. She is getting more agile, eating better, but this is where the problem begins.
She gets out of bed more and more often, mainly at night, and of course forgets the catheter, which then pulls out. Now she even goes out into the corridor (with a wheelchair) and was even found on another floor - of course always without the catheter and without pajamas, so she must have taken the elevator. A leg bag has also been tried out, which is attached to the bottom of the leg. She fumbles that too. During the day until dinner one of us is always there. Then we can prevent her from pulling the catheter when she stands up. She is also not (yet) so fit that she could be up all day, not even in a wheelchair. The care in the home is good, but far too few staff. So far you don't have any advice either. I cannot imagine that my mother is an isolated incident. Certainly there are more demented people who need a catheter. Oh yes, an abdominal wall catheter is not a solution either, we were told, because she can pull it and the base has already shrunk. Perhaps someone here knows the problem and possibly a solution for it?

Member since 03/17/2011

Hello Lili,
The catheter can be used to measure whether the liquid that comes in is completely excreted. If so, does she necessarily need a catheter or could she wear diapers?
It may of course be that she takes them off too, for the nurses in the home changing diapers is more effort (and more expensive) than emptying catheters. But it might be worth a try.
Greetings, Christel

Member since February 24, 2017

Hello Christel,
Thank you for your answer. Unfortunately, the diaper is not an option. The bladder stops working to empty completely. This is how the whole disaster came about: urosepsis, kidney failure, etc. That could happen again at any time without a catheter ...
Greetings Lili

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