Flashcards in Exam 3: SCI Bowel and Bladder Deck (17):
What does GCR stand for?
What does PPT stand for?
Preferred pooping time (probably can't document it like this)
What kind of test can you do to see how long it takes a SCI to ingest and subsequently defecate a meal?
How long does a bowel program take from start to finish?
Up to 4 hours, 15-20 mins of actual stimulation
What do you call the instrument used for stimulation during a bowel program?
Why is doing a bowel program upright easier?
Gravity can assist
What kind of chair should be used during a bowel program?
One with a cut out, particularly to one side so that the patient can reach underneath to stimulate themselves. Better if the seat is reversible.
Once things get moving in the intestines, when does stimulation end?
5 minutes after the last stool is produced
What is one concern of the use of a dil stick?
Correct placement- hopefully the patient hits the right area despite lack of feeling which then prevents them from rubbing the wrong area and causing skin breakdown
Why is doing a bowel program in bed discouraged?
Dampens intimacy and a lack of gravity to assist if lying down
What are 4 different types of catheterizations?
IC- intermittent catheterization
How often is a patient supposed to cath themselves with an IC?
Every 4 hours
What is the most common issue with IC's?
Why is fluid intake an issue with SCIs?
They don't like to cath every 4 hours, so they reduce fluid intake, which leads to constipation
If traditional bowel programs do not work, what are some other options?
Suppositories and colostomy
What is the difference between a reflexic and an areflexic bladder?
The reflexic bladder empties with a stretch reflex, the areflexic bladder will not empty on its own, to the point of bursting if not taken care of.