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avoiding blood clots

Avoiding Blood Clots After Spinal Cord Injury

People with spinal cord injury (SCI) are at particular risk for blood clots and deep vein thrombosis (DVT). Risk is often higher in the days and weeks following injury, usually during a stay at an acute care hospital or other facility. One study showed that 43% of people with a spinal cord injury had a…
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bowel program and pressure ulcers

Correlation Between an Ineffective Bowel Program and Pressure Ulcers

According to John Hopkins Medicine, ulcers can develop if blood supply is cut off for more than 2 to 3 hours, and can progress rapidly. Sustained pressure can cut off circulation to vulnerable parts of the body, and without an adequate supply of blood, body tissues can die.   Populations at Increased Risk for Pressure…
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bowel program for pediatrics

Developing an Effective Bowel Care Program for Pediatric Patients with a Disability

Children with disabilities have a much higher incidence rate of constipation than the non-disabled pediatric population. Unfortunately, bowel conditions can go unrecognized either because children are unable to express their discomfort or because other medical issues take precedence. Implementing an effective bowel care program for children with disabilities both provides welcome relief for the child…
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setting up a trial of enemeez

A Guide for Setting up an Enemeez® Trial at Your Healthcare Facility

Constipation is the most common GI complaint in the primary, acute, and long-term care setting in the US. Spinal cord disorders and the associated neurological damage results in impaired voluntary and reflex activity with altered bowel transit and impaired storage/evacuation mechanisms. Ninety-five percent of SCI patients require at least one therapeutic intervention to initiate defecations.2…
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multiple sclerosis bowel care

Bowel Care Issues Related to Multiple Sclerosis

Constipation is the most common gastrointestinal condition for patients with Multiple Sclerosis (“MS”), with approximately 35% of patients experiencing constipation. One quarter of people with MS report at least one instance of incontinence per week. Some common causes of constipation caused by MS include reduced and/or limited patient physical activity, decreased movement of food through…
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covid and gastrointestinal

COVID-19 and the Gastrointestinal (Digestive) System

Written by: Cissi Wimberly Oloomi MSN, APN-CNS, FNP, CNRN, CRRN    In early 2020, the existence and severity of the novel coronavirus, now called COVID-19, was communicated to the world, and began its spread from China to over 180 countries. COVID-19 was described as a respiratory virus that infects the body, is spread easily from particles…
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Bowel Care and COVID-19

As we continue to learn more about COVID-19 transmission rates and causes, we are able to develop safe protocols and procedures to minimize risk to patients and healthcare workers when treating its devastating effects. It’s important to include the fecal-oral risk of contracting and/or spreading COVID-19 in our collective discussions, as studies show that this…
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bowel care multiple sclerosis

Bowel Care Issues Related to Multiple Sclerosis

Constipation is the most commonly reported gastrointestinal complaint from Multiple Sclerosis (“MS”) patients, occurring in about 35% of people affected with the disease. Incontinence is the second most reported bowel complaint, with approximately 25% of patients reporting at least one episode of incontinence per week.   Common causes of constipation in MS patients include reduced and/or…
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Managing Constipation in Pediatric Patients

Constipation in children is unique from adult constipation in several important ways. It is the source of 3% of visits to a pediatrician, and 25% of visits to a pediatric gastroenterologist. Yet it is a condition that often goes unrecognized by parents and as such they don’t seek medical advice. While mild constipation is fairly…
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Prevention and Management of Opioid Induced Constipation

Opioids are widely used for treatment of both chronic and acute pain, and while they can be effective for pain management, it is important to be aware of the health ramifications of one of their most common side effects: constipation. The severity of constipation and need to monitor dosage depends on several variables, including age,…
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Bowel Management: Hospital to Home

It’s the moment many spinal cord injury (SCI) patients are excited about – the transition back to home. As exciting as this is, it can also be a time full of questions and trepidation when it comes to managing their bowel care. There are many considerations to prepare for, including who will be assisting with…
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autonomic dysreflexia webinar

Webinar – Autonomic Dysreflexia: Putting the Pieces of the Puzzle Together

DATE: January 16, 2020 TIME: 3 pm MST LINK to REGISTER: Autonomic Dysreflexia: Putting the Pieces of the Puzzle Together   Bowel dysfunction in patients with SCI is a significant problem that often limits activities of daily living and social activity. The loss of independence felt by those suffering from bowel dysfunction, along with the…
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Skin Integrity and Bowel Care: Are Your Patients at Risk?

What does skin integrity have to do with bowel care? If you are asking this question, your patients might be at risk. Improper bowel care for people with fecal incontinence can create a myriad of skin-related problems, including dermatitis, pressure ulcers, perianal skin breakdown, and wound contamination. Skin areas most affected are near the buttocks,…
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A Comparison Between Enemeez® vs Bisacodyl Products used by Spinal Cord Injury Patients

Consider the Facts “Who among us would feel confident at work if we could not trust our continence? Instead of five to ten minutes per day to attend to bowel needs, how would we tolerate planning every day around a process that takes several hours?” ~ Kenneth C. Parsons, MD Chair, Spinal Cord Medicine Consortium…
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Improving Neurogenic Bowel Dysfunction in Pediatric Patients with Spina Bifida

Impact of Spina Bifida on Bowel and Bladder Function Research shows that 90-95% of severely affected children born with Spina Bifida will not have normal bladder and bowel function, 60-70% will require intermittent catheterization and medication to control bladder function, and 20-30% will require major reconstructive bladder and bowel surgery. A hallmark clinical presentation of…
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