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    shower chair transfer and bowel routine

    so i have a mariner shower chair i use a transfer board with a chuck wrapped around it to transferring on and off as i have nothing on but he stupid board slides under me and have a heck of a time getting it out from under me

    when doing my bowel im on the shower chair it has a u shaped seat i reach under from the front and try to do the dig stem question is how far up should i go when doing this i have short arms and can barely reach my anus so im not inserting my finger very far in does that really matter as long as im in there a good inch or so i guess im ok hell i dont know

    i use a suppository and amt-10 complete
    Last edited by SCI-Nurse; 31 Aug 2019, 9:54 PM. Reason: Fix typo in title
    to alcohol the cause of-and solution to-all of lifes problems [homer simpson]

    #2
    I have a similar injury to yours, and I get all up in there. Suppository alone has never done it for me. I don't know the latest recommendations, but my goal when I get up in there is to GENTLY stretch the rectum out with one finger in a circular sweeping motion, which in theory should help move stool down the chute, but in reality who knows what kind of jacked-uppedness is going on with our neurogenic bowels. I'm using my entire middle finger, like all the way.

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      #3
      Originally posted by funklab View Post
      I have a similar injury to yours, and I get all up in there. Suppository alone has never done it for me. I don't know the latest recommendations, but my goal when I get up in there is to GENTLY stretch the rectum out with one finger in a circular sweeping motion, which in theory should help move stool down the chute, but in reality who knows what kind of jacked-uppedness is going on with our neurogenic bowels. I'm using my entire middle finger, like all the way.
      thanks do you go from the front or side or back when doing it im reaching under from the front
      to alcohol the cause of-and solution to-all of lifes problems [homer simpson]

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        #4
        Options include using a "dig stimmer" device and getting your opening on your commode seat changed to either side or the back. Both would make reaching easier.

        Suppositories do not relax the sphincter to allow defecation to occur. That is the purpose of digital stimulation (dig stim, dillie). This is also why is should not be used/is ineffective in bowel evacuation in those with a flaccid anal sphincter (lower motor neuron, LMN).

        Suppositories just moves stool from the descending and sigmoid colon into the rectal vault so that they can be evacuated.

        (KLD)
        The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

        Comment


          #5
          Originally posted by SCI-Nurse View Post
          Options include using a "dig stimmer" device and getting your opening on your commode seat changed to either side or the back. Both would make reaching easier.

          Suppositories do not relax the sphincter to allow defecation to occur. That is the purpose of digital stimulation (dig stim, dillie). This is also why is should not be used/is ineffective in bowel evacuation in those with a flaccid anal sphincter (lower motor neuron, LMN).

          Suppositories just moves stool from the descending and sigmoid colon into the rectal vault so that they can be evacuated.

          (KLD)
          mine has different positions i can put it to side or back ill try it and see i guess the further in the better
          i cant keep the board from following me onto the chair though
          to alcohol the cause of-and solution to-all of lifes problems [homer simpson]

          Comment


            #6
            Originally posted by wheelin 48 View Post
            mine has different positions i can put it to side or back ill try it and see i guess the further in the better
            i cant keep the board from following me onto the chair though
            Don't wrap the Chuk all the way around the board. Just lay it on top, plastic side to you, and paper side down, between your butt and the board, and you will slide on the board without bringing it with you. "Pledge" the top side your board too. Give it a try.

            (KLD)
            The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

            Comment


              #7
              Originally posted by SCI-Nurse View Post
              Don't wrap the Chuk all the way around the board. Just lay it on top, plastic side to you, and paper side down, between your butt and the board, and you will slide on the board without bringing it with you. "Pledge" the top side your board too. Give it a try.

              (KLD)
              thanks ill try that
              to alcohol the cause of-and solution to-all of lifes problems [homer simpson]

              Comment


                #8
                I transfer from everyday chair to shower bench and back. I use Johnson's Baby Powder (not the cornstarch type) to cover my board and bottom of thigh to get slide on board. Coming back from shower I dry bottom of my closest thigh (to Board) as much as possible, dry shower bench edge, coat with powder, then transfer. I use an ADI board which has course sandpaper on the down side on one end. I always place the sandpaper end on the side I am transferring from.

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                  #9
                  Take a piece of rip-stop nylon, roughly 18" x 56", and sew the short edges together to make a tube. Lay this in line with and on top of the transfer board, overlapping the near end by about 4 inches. Note, the nylon is on top of the board; it does not encircle the board. Shove in the transfer board under you as far as you can get it to go, taking the fabric with it. Then slide. If it goes as planned, the sliding will be nylon against nylon, very low friction, wet or dry. If you happen to be near a sailmaker, you might be able to get some scraps of the ultimate fabric for this, teflon coated nylon used for spinnakers.
                  These fabric transfer aids are available commercially, but just now I couldn't find a source.

                  Comment


                    #10
                    Originally posted by endo_aftermath View Post
                    Take a piece of rip-stop nylon, roughly 18" x 56", and sew the short edges together to make a tube. Lay this in line with and on top of the transfer board, overlapping the near end by about 4 inches. Note, the nylon is on top of the board; it does not encircle the board. Shove in the transfer board under you as far as you can get it to go, taking the fabric with it. Then slide. If it goes as planned, the sliding will be nylon against nylon, very low friction, wet or dry. If you happen to be near a sailmaker, you might be able to get some scraps of the ultimate fabric for this, teflon coated nylon used for spinnakers.
                    These fabric transfer aids are available commercially, but just now I couldn't find a source.
                    Several versions of these are available. Here is one:

                    https://www.mobility-aids.com/small-...fer-slide.html

                    (KLD)
                    The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

                    Comment


                      #11
                      thanks for the ideas yall im workin on it my transfers have always sucked thats part of my problemill probably talk to a therapist on this to
                      to alcohol the cause of-and solution to-all of lifes problems [homer simpson]

                      Comment


                        #12
                        Can you post some examples of a "dig Stimmer" device?


                        Originally posted by SCI-Nurse View Post
                        Options include using a "dig stimmer" device and getting your opening on your commode seat changed to either side or the back. Both would make reaching easier.

                        Suppositories do not relax the sphincter to allow defecation to occur. That is the purpose of digital stimulation (dig stim, dillie). This is also why is should not be used/is ineffective in bowel evacuation in those with a flaccid anal sphincter (lower motor neuron, LMN).

                        Suppositories just moves stool from the descending and sigmoid colon into the rectal vault so that they can be evacuated.

                        (KLD)

                        Comment


                          #13
                          The two most popular ones. Separate suppository inserter if that is a problem too:



                          (KLD)
                          Attached Files
                          The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

                          Comment


                            #14
                            If you search Amazon for Colonic Cleanse Kit , you will find many metal and silicone devices that you can use on a shower shaft that provide a similar function. At a significant lower cost. These medical ones are pricey and look rather fragile. And of course there are other opening devices if you want to explore the adult pages. Sorry if this offends some but the medical providers charge way too much for their stuff.
                            https://www.amazon.com/dp/B07SLKRZ3K...dDbGljaz10cnVl

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                              #15
                              it seems my arms just arent long enough tio do it sitting up i cant dig the poop out of there so ill have to continue doing it in bed its just messier that way but it is what it is i guess

                              its lie when leaning im cutting offaccess to the anus and pinching the stuff in there i guess is what im trying to say
                              to alcohol the cause of-and solution to-all of lifes problems [homer simpson]

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