Patient has prostate cancer which has spread. Everytime he stands or moves he leaks around the Foley. Has been using depends as well as 2-3 guards. He has to change every few hours because everything is soaked.
How large is the balloon? If you look on the stem it should say a number and Fr (i.e. 16Fr) this is the size of the cath itself. There should be another number for the balloon size 5cc, 10cc or 30cc. If it is not a 30cc balloon, then putting a 30cc balloon in might help. This is the balloon of water that sits in the neck of the bladder that keeps the catheter from sliding out. You can gently pull down on the cath to be sure the balloon is seated in the neck of the bladder-sometimes the balloon can migrate up into the bladder and cause leaking. Also be sure that the cath is patent. If a cath is clogged, the urine will leak around the cath. especially if you are seeing large amounts like this, it can indicate a cath that might be blocked or partially blocked. If it is only partially blocked you may still see urine in the collection bag but since it isnt fully patent some is leaking around the cath. You might speak to the Dr about orders to flush the catheter to clear any matter that could be blocking the cath. If all else fails sometimes just going with a larger cath can help. Go up to the next size in diameter than the one he has in (have to get Drs orders for this, of course) Urine is very excoriating so be sure to be using a good barrier product to keep his skin from breaking down in the meantime.
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