study question advice

[kat29]

What would be a good way to tell a four year old that your going to be straight cathing her? Its a case study question for peds class.

[JentheRN05, RN]

I think that I would allow her to touch some 'education equiptment' and explain that she may feel like she has to go potty, but can't go. That this is to help her go potty. I think at 4 y/o they usually want you to allow them to investigate the equiptment. Correct me if I'm wrong.

[nursepotter05, RN]

You could get a doll and show the pt the procedure on the doll. You could tell her you need to use a tube like a straw to get her pee-pee. When you start to do the procedure tell her that you are going to clean where she pees with brown soap that will be cold. Tell her she will feel uncomfortable as you put the tube in. Where I work, two people go in for caths. One does the cath the other holds the patients legs and helps hold the patient still. We allow the parents to go to the edge of the bed and talk to the child to try to make them more comfortable. We don't have the parent help hold because we don't want the pareent to be made into the "bad" guy.