Publication Date

Spring 2014

Degree Type

Doctoral Project

Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Sylvia Miller

Second Advisor

Doug Ota

Third Advisor

Lynne Whitney-Caglia


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.

Included in

Other Nursing Commons


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