A physiologic approach to bowel training.
Bowel training is an effective management option for many patients with dysfunctional bowel elimination patterns and neurogenic fecal incontinence. To be effective, a bowel training program must be based on sound physiologic principles and must be individualized for each patient. This article includes a review of the structures and physiologic processes controlling normal defecation and the physiologic principles governing bowel training. The steps involved in successful implementation of a bowel training program are discussed, and case studies are used to illustrate the principles.
Doughty
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D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005242:Fecal Incontinence / Q000503:physiopathology* / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D008297:Male; D009730:Nursing Assessment; D009737:Nursing Records; D014039:Toilet Training