Digital removal of faeces to enhance bowel care for neurogenic conditions

Abstract

This article addresses crucial aspects of neurogenic bowel dysfunction and offers insights for various health professionals. Expanding beyond spinal cord injury, it delves into practical interventions, debunking myths around digital rectal procedures. The necessity of nurse-driven change is emphasised, misconceptions are challenged and comprehensive education advocated for. Individuals with neurogenic bowel dysfunction and no bowel-management programme will likely experience constipation and faecal incontinence - which, evidence suggests, lead to a reduced quality of life. Anecdotally, routine rectal interventions to support these patients are mired in myths and misconceptions, so this article aims to address these. The legality of digital rectal interventions are discussed and safety concerns addressed.

This article has been double-blind peer reviewed

In this article…

• Myths surrounding the legality of digital rectal interventions

• Addressing safety concerns when performing digital removal of faeces

• Empowering nurses to improve bowel care delivery for neurogenic patients

Key points

The legality of undertaking digital rectal interventions is often misunderstood, leading to confusion and hesitation among nurses

The substantial lack of specific policies in NHS trusts for neurogenic bowel care highlights the need for national guidance to enhance patient outcomes

Adequate training and education are essential to ensure competence in performing digital rectal procedures

Allowing community carers to continue bowel care interventions in hospital may improve patient-centred care and care continuity

The Spinal Injuries Association's #SeriousSH1t campaign aims to help nurses improve bowel care delivery for neurogenic patients