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Alert over delayed bowel care for patients with spinal injuries


I am an RN and I taught bowel care to support workers who delivered packages of care to enable spinal patients to fulfil their aspirations out in the community - I can't tell you how straight forward it was - there is up to date guidance on the care of the neurogenic bowel that details the A&P, the procedures, the legalities and meaning of 'consent'. What happened was if our patients/clients were hospitalised (for anything) they would end up being put into Autonomic Dysreflexia and being made unwell and miserable because 'proper' hospital nurses were incapable of giving what for them was 'basic care' of their bladder and bowels. I trained the support workers on a prosthetic 'bottom' and they had a competency to work through. This is not complicated and knowing how ward nurses look down on 'support' staff and those of us not in the NHS - it's a little bit pathetic - also the support workers offered to go into hospital with their client (because surprise they really cared about them) and carry out bowel care but they weren't allowed - what was allowed for the client to end up miserable and frustrated and the potential stigma of neurogenic bowel management amplified beyond reason ! Sort yourselves out - my moan is not for Nurses in specialist spinal units they are fab.

Posted date

27 July, 2018

Posted time

1:10 pm