Summer 2011 - Multiple Sclerosis Society of Canada
Summer 2011 - Multiple Sclerosis Society of Canada
Summer 2011 - Multiple Sclerosis Society of Canada
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Ask<br />
Jeannine<br />
When do I need an<br />
indwelling catheter?<br />
Answer: If you are having a lot <strong>of</strong> bladder<br />
infections you need to find out if you<br />
are actually emptying your bladder<br />
when voiding. This can be determined<br />
by having a bladder scan at the MS<br />
Clinic or by ultrasound at a radiology<br />
department. At the clinic you will be<br />
scanned before voiding and after voiding.<br />
For someone with MS the usual residual<br />
<strong>of</strong> 100cc’s means you need to learn to<br />
intermittent catheterize. That means you<br />
insert a small tube (catheter) into your<br />
bladder 3-4 times daily. This is the best<br />
treatment for residual urine resulting in<br />
bladder infections. If you are unable to<br />
Jeannine Christopherson, a MS nurse and retired<br />
Outreach Coordinator with the MS <strong>Society</strong>, Edmonton<br />
Chapter, will answer your questions about MS.<br />
If you would like to ask Jeannine a question, email it to<br />
info.alberta@mssociety.ca or call the editor,<br />
Angie Mah, at 780-463-1190 or 1-800-268-7582.<br />
self catheterize someone else can be<br />
taught to do this. If your residual urine is<br />
200cc’s or more and you are unable to<br />
self catheterize you may need to have an<br />
indwelling catheter.<br />
Are there problems<br />
due to an indwelling<br />
catheter?<br />
Answer: Possible side effects include<br />
infections and bladder stones; if you drink<br />
approximately 3000cc’s (6 – 500 cc<br />
bottles) <strong>of</strong> fluids per day, infections will<br />
be held to a minimum. Without infections<br />
the likelihood <strong>of</strong> bladder stones is quite<br />
small. If an infection does occur you need<br />
Peer Link<br />
The MS <strong>Society</strong> – Alberta & NWT Division is expanding its Peer Link<br />
service to include all <strong>of</strong> Alberta. Volunteers Alvina and Jeannine are<br />
ready to respond to any questions you have about your MS diagnosis, where<br />
you can find services, and how to help your family adjust to the challenges<br />
you face. Persons living with MS, families, health pr<strong>of</strong>essionals and staff<br />
are welcome to call or e-mail. You will receive a call or e-mail back within a<br />
reasonable timeframe <strong>of</strong> about two days to a week.<br />
Alvina lives with MS and has provided support at the Division <strong>of</strong>fice for<br />
many years. Jeannine has worked with the MS Clinic as the Nurse Coordinator<br />
and at the Edmonton Chapter on their Client Services team.<br />
medication quickly as someone with<br />
MS becomes very weak with a bladder<br />
infection. When one has an indwelling<br />
catheter it can become blocked by<br />
sediment, particularly if fluid intake is<br />
restricted. If this occurs someone with<br />
MS gets infected quickly and this can<br />
lead to sepsis. Sepsis means a blood<br />
infection that is systemic and the person<br />
needs hospitalization for IV antibiotics.<br />
The conclusion is that enough fluids need<br />
to be ingested to keep the urine clear.<br />
Many people do very well with indwelling<br />
catheters. Your doctor will advise you<br />
what method you need to use to manage<br />
infections. Sometimes increasing fluid<br />
intake is all that is required.<br />
Just a call or email away<br />
Alvina Hughes<br />
780-475-8255<br />
alvina.hughes@mssociety.ca<br />
Jeannine Christopherson<br />
jeannine.christopherson@mssociety.ca<br />
MS Connections <strong>Summer</strong> <strong>2011</strong> 15