<p> Bowel Care Worksheet – For Spinal Injured People</p><p>Name: ______Date: ______Name of Trainer: ______Name of Company: Clinical Update (NZ) Ltd</p><p>Segment 1 Normal bowel function is when the ______gets ______the ______sphincter will ______and ______the stools in the ______</p><p>What are the 2 types of bowel dysfunction and where does the spinal cord lesion occur? 1______2______What is the other name for reflex bowel dysfunction? ______What happens for a person who has reflex bowel dysfunction? ______What happens to the anal sphincter? ______What do they have to rely on to empty the bowel? ______What does this type of dysfunction respond to to empty the bowel 1______2______What is the other name for flaccid bowel dysfunction? ______In this type of bowel dysfunction the bowel had ______or ______to ______or ______In flaccid bowel dysfunction the anal sphincter remains ______Faeces are likely to remain ______and will require ______to ______the ______motion What is dysreflexia? ______Why does dysreflexia occur? ______What happens to the body when dysreflexia occurs? ______What will happen to the skin that may alert you to dydreflexia? ______What else may happen to the person? © Clinical Update (NZ) Ltd 2009 1 1. ______2. ______3. ______4. ______5. ______Dysreflexia is a ______and you need to dial ______because a person may have a ______or even ______in an attack.</p><p>Segment 2 List the 3 reasons why bowel management plan is important 1______2______3______Spinal inured people can become very ______if a bowel management plan is not in place</p><p>What are the 2 conditions lack of a bowel management plan can predispose a person to? 1______2______A high fibre diet helps to ______the ______in the ______and trigger ______movement which will reduce the chance of ______, ______or ______Spinal injured people need to ______a lot of ______and need to avoid ______that ______the bowel. Aperients must not be ______</p><p>List the 4 methods used to assist bowel evacuation and describe what happens: 1. ______2. ______3. ______4. ______There are two common types of suppositories used. ______stimulates nerve endings in the bowel so it is important when inserting it that it ______the ______and ______that draws water into the stool to soften it so it needs to be inserted ______the ______. Mini enemas ______, ______, and draws ______into the stool to ______evacuation When administering aperients it is important that you 1______</p><p>© Clinical Update (NZ) Ltd 2009 2 2______3______4______What side should the person lie on when inserting an enema or suppository and why? ______How long do you leave a suppository or enema in for the bowel to work? ______When performing digital stimulation, what must you make sure your gloved finger does? ______How long do you stimulate the bowel for? ______How often do you repeat it? ______What do you do after you have done the digital removal of faeces? ______and ______remove what is left List 5 things that can influence bowel evacuation 1______2______3______4. ______5. ______List 4 things to avoid? 1______2______3______4______List 4 things that could help? 1______2______3______4______</p><p>List 5 important things to report about a client’s bowels 1______2______3______4______5______Bowel evacuation is the ______of ______for spinal injured people When is it used for older frail people? ______</p><p>© Clinical Update (NZ) Ltd 2009 3 What are the two important factors in maintaining good bowel function? 1______2______Who must train you? ______What must you record and report? ______What must you do if you are in doubt? ______</p><p>© Clinical Update (NZ) Ltd 2009 4</p>