RCN Clinical Practice Discussion - Digital removal of faeces myths

This article addresses crucial aspects of neurogenic bowel dysfunction and
offers insights for various health professionals. Expanding beyond spinal cord injury, it
delves into practical interventions, debunking myths around digital rectal procedures.
The necessity of nurse-driven change is emphasised, misconceptions are challenged
and comprehensive education advocated for. Individuals with neurogenic bowel
dysfunction and no bowel-management programme will likely experience
constipation and faecal incontinence – which, evidence suggests, lead to a reduced
quality of life. Anecdotally, routine rectal interventions to support these patients are
mired in myths and misconceptions, so this article aims to address these. The legality
of digital rectal interventions are discussed and safety concerns addressed.