According to the CDC, an indication for long-term use of an indwelling catheter includes the management of the:

According to the CDC, an indication for long-term use of an indwelling catheter includes the management of the:

• A. patient with chronic urinary incontinence in the skilled care setting.
• B. patient with a stage 2 pressure ulcer.
• C. terminally ill patient.
• D. homebound patient whose caregiver can catheterize the patient intermittently.

Answer: (C)

Managing symptoms and comfort is the key reason for using a long-term indwelling catheter. In terminally ill patients, placing a catheter can relieve urinary symptoms and reduce caregiver burden, prioritizing comfort and quality of life when prognosis is limited and removal isn’t expected to improve outcomes. This fits the CDC view that indwelling catheters should be limited to situations where they meaningfully relieve symptoms or meet essential needs at the end of life. Chronic urinary incontinence in a skilled care setting isn’t an indication for a long-term catheter because non-catheter approaches (continence products, skin care, and hygiene) are preferred to avoid infection risks. A stage II pressure ulcer isn’t addressed by catheter use and catheterization could worsen moisture-related irritation and infection risk around the wound. If intermittent catheterization is feasible and safe, it’s generally chosen over an indwelling catheter to minimize infection risk.

Managing symptoms and comfort is the key reason for using a long-term indwelling catheter. In terminally ill patients, placing a catheter can relieve urinary symptoms and reduce caregiver burden, prioritizing comfort and quality of life when prognosis is limited and removal isn’t expected to improve outcomes. This fits the CDC view that indwelling catheters should be limited to situations where they meaningfully relieve symptoms or meet essential needs at the end of life.

Chronic urinary incontinence in a skilled care setting isn’t an indication for a long-term catheter because non-catheter approaches (continence products, skin care, and hygiene) are preferred to avoid infection risks. A stage II pressure ulcer isn’t addressed by catheter use and catheterization could worsen moisture-related irritation and infection risk around the wound. If intermittent catheterization is feasible and safe, it’s generally chosen over an indwelling catheter to minimize infection risk.