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Neurogenic Bowel Management after Spinal Cord Injury (Video)
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Great videos but neuro anatomy and physiology for a person with SCI is not the most exciting or sometimes not useful. The provider needs to know. Consistency of the stool-keeping it semi soft with diet, liquids which helps with the slow transit time ( stool softeners, Miralax are first and second line , (laxatives and enemas only as a rescue when no bm or distinction/decreased appetite) most all SCI persons have slow transit time. Next, emptying the rectal vault and preventing accidents. Enemeez/ Plus (one teaspoon only) is a more natural recipe as Bisacodyl(Magic Bullet) work by chemically stimulating the bowels and a mucous results. Dig stim if needed. This is how a bp should be started. Must assess consistency of stool each movement-bristol stool scale recommended and there are apps to document so information can be shared with provider. CWOThe 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.
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