Care and Learning Plan: Intermittent Catheterisation

Care and learning plan Intermittent catheterisation This plan has been designed for staff to write down an agreed approach to learning and care. It is a suggestion only. Sections can be added/removed according to individual needs.

Name of child/student/client: Date: Date for next review:

Learning Dependen Learning target at t Tasks for care and learning Independent target at Comments service/scho (at this home ol time) Hand washing ▪ Remembers ▪ Uses soap ▪ Uses taps ▪ Washes hands adequately ▪ Dries hands on towel/hand-drier Self-catheterisation ▪ Prepares equipment ▪ Pulls down pants ▪ Gets on/transfers to toilet ▪ Disposes of old pad ▪ Wipes/cleans skin ▪ Puts catheter in urethra ▪ Assists drainage (ie lean forward/cough) ▪ Removes catheter ▪ Places catheter in container ▪ Adheres new pad to underwear ▪ Gets off toilet ▪ Gets dressed again ▪ Washes catheter ▪ Stores equipment

DECD 2015 1 of 2 Intermittent catheterisation (cont)

Terminology Parent/guardian and/or adult student/client preference ▪ Penis ▪ Urethra ▪ Insert ▪ Urine ▪ Vagina Personal kit contents (if required) Comments ▪ Flannels/wipes ▪ Gloves ▪ Pads ▪ Underwear ▪ Spare clothes ▪ Lubricant Other issues Action required ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪

Contact staff member Signature Date

Parent/guardian and/or adult student/client Signature Date

Child/student (where relevant) Signature Date

DECD 2015 2 of 2