Bowel Training Program for a Client with Spinal Cord Injury

The purpose of a bowel training program is to establish a regular bowel routine and promote bowel continence.

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The nurse should assess the clients bowel habits, current bowel management techniques, and any signs of bowel dysfunction.

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The recommended position for the client during bowel training is a sitting position on a commode or toilet.

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The nurse should encourage the client to attempt a bowel movement at the same time each day, preferably after a meal.

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If the client is unable to have a bowel movement during the scheduled time, the nurse should document the occurrence and encourage the client to try again later.

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If the client experiences discomfort or pain during bowel training, the nurse should assess for any possible causes, such as constipation or impaction, and provide appropriate interventions.

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The nurse should encourage the client to consume a diet high in fiber, including fruits, vegetables, whole grains, and legumes.

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The nurse can promote hydration in the client by encouraging the consumption of adequate fluids, such as water or clear liquids.

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