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Key points A nephrostomy offers access to the kidney for draining urine when a retrograde approach is not possible There is a lack of information for nurses on the care and management of a nephrostomy Nurses need to understand issues around fluid management, infection control and wound care, and management of the tube and bags It is important to offer patients with a long-term nephrostomy, or their carers, sufficient instruction to self-manage if they are able If self-care and independence are not possible, patients should be referred to the community nursing team References Dagli M, Ramchandani P (2011) Percutaneous nephrostomy: technical aspects and indications
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