Guidelines

Male external catheters in adults – Urinary catheter management (2016)

9. PATIENT EDUCATION

A study by Macaulay (2015) showed that only one patient out of 34 had been instructed in how to use a MEC. [18]

This checklist is intended to assist healthcare professionals to check whether all the information that patients/relatives need to know about MEC has been provided.

Table 5. Checklist for patient education

Patients need to know

  • Why MEC is necessary and is the best choice
  • Basic anatomical knowledge about the urogenital tract
  • How to check the expiry date of the material before use
  • How to prepare the MEC for use
  • How to perform the MEC procedure
    • name, size and material of the MEC
  • Which difficulties may occur during or after the MEC is applied
  • Observational aspects during application of a MEC
    • how to observe the penile skin
    • urine drainage tube is not kinked
  • Changing intervals for the MEC
  • How to avoid UTI
  • How to recognise symptoms or the common signs of UTI
    • burning on urination
    • frequency and/or urgency
    • pain
    • offensive smelling urine
    • cloudy/dark urine
    • feeling tired or shaky
    • fever or chills
    • haematuria [56-58]
  • How and when to remove the MEC
  • Availability of appropriate urinary drainage
  • When to contact the healthcare professional, in case of:
    • pain
    • skin problems
    • problems applying the MEC
    • MEC falls off
    • incontinence episodes or leakage
    • symptoms of UTI