Lothian primary care nhs trust



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Bladder and Bowel Nursing Team Page 1 of 5 June 2016

Digital removal of faeces (DRF)

For further information refer to (MASCIP 2012) Guidelines for Management of
Neurogenic Bowel Dysfunction in Individuals with Central Neurological Conditions see appendix 4, page 54).
(RCN 2012) states that this procedure must only be performed by a competent registered nurse who has undertaken relevant education.
Definition of digital removal of faeces
The digital removal of faeces from the rectum for treatment of acute faecal impaction or as a bowel management technique inpatients with chronic neurological conditions for example spinal injuries.

Indications

Faecal impaction/loading.

Incomplete defaecation.

Inability to defaecate.

Other bowel emptying techniques have failed.

Inpatients with spinal injury as part of a bowel management programme.


Exclusions and contra-indications
Requirements
Routine intervention



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