8.1 Assessment for bowel care
When assessing the individual for their bowel
management and rehabilitation needs the
following factors are addressed:
• Current bowel function – sensation of rectal
fullness/need for evacuation, voluntary control
of anal sphincter, frequency of bowel
evacuation, stool consistency
• Bowel habit prior to onset of central
neurological condition
• Previous medical history – including obstetric
history, chronic bowel disease, cancer,
abdominal or anorectal surgery
• Medication
• Diet and fluid intake, ability to eat a full diet,
allergies or intolerances
• Level of activity - general mobility, exercise,
standing, passive movements
• Level of physical independence – transfer ability,
balance
• Communication and cognitive ability
• Level of independence and need for carer input
• Lifestyle and personal goals – cultural, sexual,
work or educational roles
• Psychological and emotional factors
• Moving and handling risk assessment
• Home and care circumstances – availability of
carers, need for home adaptations, equipment
8.1 Assessment for bowel care
When assessing the individual for their bowel
management and rehabilitation needs the
following factors are addressed:
• Current bowel function – sensation of rectal
fullness/need for evacuation, voluntary control
of anal sphincter, frequency of bowel
evacuation, stool consistency
• Bowel habit prior to onset of central
neurological condition
• Previous medical history – including obstetric
history, chronic bowel disease, cancer,
abdominal or anorectal surgery
• Medication
• Diet and fluid intake, ability to eat a full diet,
allergies or intolerances
• Level of activity - general mobility, exercise,
standing, passive movements
• Level of physical independence – transfer ability,
balance
• Communication and cognitive ability
• Level of independence and need for carer input
• Lifestyle and personal goals – cultural, sexual,
work or educational roles
• Psychological and emotional factors
• Moving and handling risk assessment
• Home and care circumstances – availability of
carers, need for home adaptations, equipment
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