The nurse is implementing a bowel training program for a patient. What should be included in this patient's plan of care?
1. Assess the patient to determine the best time of day to use the commode for defecation.
2. Keep the bedpan near the patient at all times.
3. Instruct the patient not to attempt to use the bathroom unattended.
4. Stay with the patient while defecating.
Correct Answer: 1
Placing the patient in a normal position to defecate at a consistent time of day stimulates the defecation reflex and helps reestablish a pattern of stool evacuation. Ideally, the bowel training program should focus on use of the commode or toilet. Providing the patient with assistance to the bathroom is a safety measure and does not influence the success of the bowel training program. Remaining with the patient may reduce comfort level and interfere with defecation.
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