Table 3 Typology of RNs experience of bowel care management: solutions
From: Bowel problem management among nursing home residents: a mixed methods study
Category | Constipation | Diarrhoea | FI |
|---|---|---|---|
Problem solving tasks/prevention | -Assess causes of constipation | -Assess causes of diarrhoea | -Fixed toilet times to prevent accidents |
-Laxative use for prevention and emptying bowels when needed | -Give products with probiotic yogurt drinks | -Controlled emptying of bowels with laxatives to avoid accidents | |
-Recording of bowel movements and fluid intake | -Avoid milk products | -Pads as safety | |
-Available drinks | -Offer the residents probiotic yogurt drinks | ||
-Linseed and probiotic yogurt drinks | -Cessation of laxatives | ||
-Fibre (fruits, berries, prunes) | -Administering Loperamide | ||
-Mobilization | -Offer regular and nutritious meals | ||
-Enemas for emptying bowels | |||
-Fixed toilet schedules | |||
-Give residents plenty of time in the toilet | |||
-Give residents privacy in the toilet | |||
Compromises | -Use of bedside lift to get bedridden residents up in a sitting position on the bed or to the toilet although it is uncomfortable and humiliating | -Use of pads as safety although not always necessary | |
-Recording of bowel movements is important, not where or how it is recorded. |