Manual for bowel management in persons with spinal cord injury


Chapter 5. Defecation in Bed



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Chapter 5.
Defecation in Bed
1. Necessary Materials for Defecation
Plastic bags (approximately 20 L, suppositories (for constipation, lubricants, rubber gloves, disposable diapers, and toilet paper.
2. Procedures
i. Takeoff underwear and place a disposable diaper under the hips.
ii. Lie on the bed with face to the left.
iii. Slide one side of the top of the plastic bag deep between the disposable diaper and the hips.
iv. Get a suppository and apply a lubricant on its tapered tip.
v. Wear rubber gloves. Insert the suppository deep into the anus. Spread toilet paper on the plastic bag.
vi. Lift the other side of the plastic bag, and tape the corners together over the right hip bone..
vii. After 10–30 min from the insertion of the suppository, massage and press the abdomen.Do self-massage, when possible. viii. Wear rubber gloves and insert a lubricated finger into the anus to stimulate the rectum and do disimpaction.
xi. If the stool remains deep in the rectum or if the anus becomes loose, insert another suppository and repeat step x. Defecation is complete if no stool and a tight anus is felt by the finger.

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