Author Wendy Ness is colorectal nurse specialist at Croydon University Hospital. Abstract



Download 58.89 Kb.
View original pdf
Page2/6
Date07.11.2018
Size58.89 Kb.
1   2   3   4   5   6
Who can carryout DRF?
DRF can be both uncomfortable and embarrassing for patients (Association
5 key points
1

Digital removal
of faeces (DRF)
can be used as an
acute intervention
for patients who
have impaction of
stool that cannot
be resolved with
medication
2

Symptoms of
impaction may
include: absent orb breduced stool
evacuation;
abdominal
bloating/distension;
nausea; and pain
3

DRF is rarely
undertaken in
NHS acute settings
and many nurses
are unfamiliar with
the procedure
4
If DRF is part
of the
individual’s bowel
care, it is essential
that the routine is
not interrupted
5

Failing to
support those
people with ab bspinal cord injury
who need DRF
results in
ineffective bowel
management
for Continence Advice, 2011), so receiving well informed and compassionate care for this is essential (Coggrave, 2010). It is recommended that only health professionals who can demonstrate competence to the level determined by the Nursing and Midwifery Council (2008) should carryout this procedure however, a qualified nurse who can demonstrate competence to this professional level maybe expected to delegate care delivery to others who are not registered, such as healthcare assistants or carers. Such delegation must not compromise existing care, but must be directed to meeting the needs and serving the interests of patients (Royal College of Nursing, All nurses should have successfully completed bowel-dysfunction training that includes theoretical and practical aspects of digital rectal examination (DRE) and DRF. Ideally this training should be based on the
RCN (2012) guidelines and Skills for Health’s National Occupational Standards on bowel dysfunction (Box 2).


Assessment and legal
When drf is essential



Share with your friends:
1   2   3   4   5   6


The database is protected by copyright ©userg.info 2017
send message

    Main page

bosch
camera
chevrolet
epson
fiat
Honda
iphone
mitsubishi
nissan
Panasonic
Sony
volvo
yamaha