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E - Bowel Continence

Spotlight Best Practice Organization Physical Medicine and Rehabilitation Program – St. Mary’s of the Lake Hospital, Providence Care, Kingston NBD has been a longstanding area of clinical and, more recently, a research interest of Dr. Karen Smith, who has been motivated by the huge social, physical and economic impact of NBD, on individuals with SCI. Dr. Smith and Margaret Power, RPN have led the early adoption of NBD procedures, such as pulsed anal irrigation and transanal irrigation. The volume of expertise acquired was born from a motivation to reduce the impact of NBD. Their early experience in implementing TAI has highlighted the need to address related issues, and to ensure successful implementation. Dr. Smith is currently looking at the policies and procedures required to facilitate broader use of these techniques. Example areas include policies that limit the scope of practice of techniques that go beyond the anal verge, infection control and occupational health and safety issues for staff, in community or institutional settings. This marriage of clinical interests with systematic investigation of the health service and health policy implications distinguished this program. 66 CAPTURING CAPACITY IN CANADIAN SCI REHABILITATION


E - Bowel Continence
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