BOWEL MANAGEMENT - Frequency of Accidents: Bowel Management - Frequency of Accidents includes complete intentional control of bowel movements and (if necessary) use of equipment/agents for bowel control.
Definition of Bowel Accidents - Bowel accidents refer to the act of soiling linen or clothing with stool, and includes bedpan spills.
NO HELPER
7 No Accidents—The patient controls bowels completely and intentionally
without equipment or devices, and is never incontinent (no accidents).
6 No Accidents; uses device such as ostomy—The patient requires a bedpan, bedside commode, digital stimulation or stool softeners, suppositories, laxatives (other than natural laxatives like prunes), or enemas on a regular basis; alternately, the patient uses other medications for control. The patient has no accidents.
HELPER
5 One (1) accident in the past 7 days.
4 Two (2) accidents in the past 7 days.
3 Three (3) accidents in the past 7 days.
2 Four (4) accidents in the past 7 days.
1 Five (5) or more accidents in the past 7 days.
1 Five (5) or more accidents in the past 7 days.
COMMENT: The functional goal of bowel management is to open the anal sphincter only when needed and to keep it closed the rest of the time. This item deals with the frequency of accidents required to complete bowel management tasks.
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