Bowel Care Management Workshop


  • Spinal cord injuries can interrupt the nerve pathway between our brains and the muscles in our rectum and anus. That can result in the loss of sensation and control over when our bowels empty, a condition known as neurogenic bowel dysfunction. .Bowel care is a fundamental area of patient care that is frequently overlooked, yet it is of paramount importance for the quality of life of our patients and residents, many of whom are hesitant to admit to bowel problems or to discuss such issues.
  • The aim of this workshop is designed to provide information lower bowel dysfunction in adults, digital rectal examination and information on the digital removal of faeces and other care and management.  The training will enhance skills and knowledge of  nurses and other health care practioners in a wide range of activities related to the assessment, treatment , care and management of lower bowel dysfunction.
  • Majority of patients that requires bowel care and management  are spinal cord injury patients who have a neurogenic bowel which have lesions above T10 vertebral or T12 spinal will have a hyperreflexic bowel, while those with lesions below T10 vertebral or T12 spinal will have an areflexic bowel.   Neurogenic bowel will be a common reason patients with spinal cord injury have an emergency admission due to Autonomic Dysreflexia (AD)

Course Contents:

  • Legislations and Related National Guidelines
  • Professional Code of Conduct (NMC, GMC, HSPC)
  • Consent for Care
  • Privacy and Dignity
  • Roles and Responsibilities (Duty if Care- Healthcare Professionals)
  • Acceptable Task for HCAs and Nursing Associates
  • Risk Assessment
  • Lower Bowel Care Procedure
  • Anatomy and Physiology of Male and Female Gastrointestinal Tract
  • Causes of Bowel dysfunction
  • The Nervous System
  • Colon Functions
  • Conservative Management and Interventions
  • Pelvic Floor Exercises
  • Administration of Suppository and Enema
  • Surgical interventions
  • Bowel Movement
  • Neurogenic Bowel Types
  • Autonomic Dysreflexia
  • Spinal Cord Injury
  • Obstructive Defecation Syndrome
  • Inflammatory Bowel Disease (IBD)
  • Irritable Bowel Syndrome (IBS)
  • Faecal Incontinence and Diarrhoea
  • Constipation and Poor Bowel Emptying
  • Causes and Risk Factors
  • Signs of Underlying Pathology
  • Assessment and Investigation
  • Infection and Prevention and Control
  • Bowel Management
  • Digital Rectal Examination (DRE)
  • Digital Rectal Stimulation (DRS)
  • Digital Removal of Faeces (DRF)
  • When to Undertake DRE/DRF
  • DRE Can Be use in Following Circumstances
  • Complications Associated with Bowel Movement
  • Bristol Stool Chart- Practical
  • Record Keeping and Documentation
  • Communication-SBAR Tool
  • Responding to Safeguarding
  • Incident Reporting- DATIX
  • Examination and Removal Procedure- Practical

Fee: £90
Lunch will not be provided only Tea and coffee will be provided in the morning and during breaks.

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