Doctor of Nursing Practice (DNP)
bowel, neurogenic bladder, neurogenic bowel, incontinence, spinal cord injury, autonomic dysreflexia
Patients with spinal cord injuries and disorders (SCI/D) are at risk for mismanaged bowel care during acute hospitalization, which can lead to numerous medical complications ranging from loss of personal dignity and privacy to many serious medical conditions, some of which are life threatening. Additionally, mismanagement of bowel care during acute hospitalization may lead to costly extended hospital stays. The project was to describe bowel and bladder care for SCI/D patients during acute hospitalization using a self-reported questionnaire submitted by approximately 46.6% of SCI/D patients from the Veterans' Affairs Central California Health Care System. The self-report questionnaire was designed by the author to enable patients to communicate their experiences of care. Using Orem's Self-Care Deficit theory, analysis of these results may assist in the development of a bowel-and-bladder care template for use during hospitalization. This template may contribute to improved outcomes and to higher quality of care during hospitalized. Furthermore, it may result in increased life expectancy and improved quality of life for SCI/D patients.
Jimenez, Mary Lupe, "Self-Reported Neurogenic Bowel and Bladder Management In Acute Hospitalized Chronic Spinal Cord Injured Patients: Its Role in Clinical Practice" (2014). Doctoral Projects. 50.