Adult Bowel Care Policy.pdf - NHS North Somerset

eak it up, stop and refer to the
medical team as a general anaesthetic
may be required
For patients receiving this care on a
regular basis encourage them to rest
for a period to allow further faecal
matter to descend into the rectum, the
patient and nurse if trained in the
Valsalva manoeuvre should use this.
paramount
To maximise quantity of faecal material
removed, the Valsalva manoeuvre
assists with the faecal descent
technique
Use extra lubrication as required To minimise friction and discomfort
Check the patient’s pulse and stop if
the heart rate slows or the rhythm
changes
Check the blood pressure of all spinal
injury patients and stop at the first sign
of autonomic dysreflexia
When the procedure is completed
wash and area dry the patient’s
buttocks and anal
Ensure the patient is left feeling as
comfortable as possible and inform
them of the outcome
Dispose of all equipment according to
Trust Policy
To monitor the patient’s condition
To monitor the patients condition
To remove any lubricating gel/faecal
material that may cause excoriation
and to leave the patient clean and fresh
To inform patient of level of success of
an unpleasant procedure
To minimise the risk of cross infection
Perform hand hygiene To minimise the risk of cross infection
Document the procedure and outcome,
monitor the after-effects and report any
abnormal findings immediately
Adapted from
To monitor the patient’s bowel function
and to provide a record of the
procedure and condition of the patient
Kyle G, Prynn P, Dunbar T (2008) The procedure for the digital removal of faeces.
Norgine Ltd
Doc File Reference Issuer: Policy No: Issue Date: Issue No: Review Date: Page:
Adult Bowel Care Policy PS 337 06/2009 1 06/2010 25 of 42
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