At the end of the study, 60% had new onset functional constipation. The men were studied for 35 days in a controlled environment on strict bedrest with bedpan use for defecation in a lying, head down position. Ī study sponsored by the Italian Space Agency analyzed ten healthy men for the effects extended bedrest had on the body as it related to new onset constipation. The study recommended a suitable environment for defecation for stroke patients to curb new-onset constipation and improve patient outcomes. The study went on to conclude that patients with moderate severity of stroke (NIHSS 4 -11) on arrival had a higher incidence of bedpan use, thus poor outcomes at 3 months post-stroke as a result of the added complication of constipation. Ī study conducted between 20 on stroke patients found that (55.2%) developed new-onset constipation within a month after the first stroke. This urge dissipates, and the rectum accommodates to hold more stool (as cited in Sun, Read & Miner, 1990). If defecation is discommoding, the desire to defecate prompts voluntary contraction of the external sphincter and puborectalis muscle. An environment that lacks appropriate privacy may force a patient to feel that it is inconvenient to use the toilet, thus resisting the urge to defecate. Īnother complication of bedpan use can be constipation. Suggestions were made to improve patient privacy while defecating or urinating such as better signage. Comments from patients and staff highlighted certain critical areas of concern in regards to toileting, privacy, and confidentiality.Īreas of interest amongst patients while toileting consisted of specific vital points, for example, call light out of reach or cord too short, slow response to call light, lack of hand hygiene after toilet use for the patient, curtains that would not close properly and lack of privacy while toileting. Ĭomplications surrounding bedpan use may include constipation, embarrassment, discomfort, and loss of dignity due to inadequate patient privacy.Īn audit conducted in 2010 addressed "Toilet Privacy in the Hospital".
According to a 2003 study, body positioning has a significant influence on intestinal gas propulsion and transit times with gastric flow being faster in the upright position than when supine. Positioning in this Semi-Fowler's position allows for anatomical support and facilitates ease of defecation or urination by assuming a natural position for these bodily functions. If they can assist with raising their hips, then raise the head of the bed at least thirty degrees. In both cases, ensure the patient is pulled up as high as they can be on the stretcher or bed. Follow any preset institutional policies on the use of a bedpan in a clinical setting.Ī patient that can assist with care by raising their hips is approached differently than a patient that cannot lift their hips due to surgical considerations, fractures, or other contraindications. Placing a patient on a bedpan requires a special technique and is reserved for those that are on bed rest per a health care provider order or discretion.
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