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E - Bowel Continence

REPORT CARD: Bowel Continence KNOWLEDGE GENERATION CLINICAL APPLICATION POLICY CHANGE Innovaon/Discovery Integrave Care Environmental Shi Emerging Evidence Outcome Measures Resource Capacity Take Home Mesage: Two urgent priorities exist to ensure optimal bowel care is available to individuals with SCI: • Access to funding for NBD procedures and physical supplies, for the majority of those on social assistance (disability support programs) • Resolution of health policy barriers with regard to supplies, provision of adequate volume and frequency of attendant care, equipment (commodes, TAI, nerve stimulation devices) or primary and specialist care because of funding, system or attitudinal barriers. Resources Effecve Pracce (Evidence and Outcomes) Equity Pracce Capacity Change Agents Societal Awareness Community Capacity 2020 PRIORITY 1 2020 PRIORITY 2 2020 PRIORITY 3 1. Steins S, Goetz L. Neurogenic bowel dysfunction, evaluation and adaptive management. In: O’Young B, Young M, Steins S, eds. Physical Medicine and Rehabilitation Secrets. 2nd ed. Philadelphia: Hanley & Belfus; 2002:465-71. 2. Liu LW. Chronic constipation: current treatment options. Can J Gastroenterol. 2011;25(Suppl.B):22-8. 3. Lazarescu A, Turnbull GK, Vanner S. Investigating and treating fecal incontinence: When and how. Can J Gastroenterol. 2008;23(4):301-8. 4. Bergman S. Bowel management. In: Nesathurai S, ed. The Rehabilitation of People with Spinal Cord Injury. 2nd ed. Malden, MA: Blackwell Science Inc; 2000:53-8. 5. Glick ME, Meshkinpour H, Haldeman S, Hoehler F, Downey N, Bradley WE. Colonic dysfunction in patients with thoracic spinal cord injury. Gastroenterology. 1984;86(2):287-94. 6. Frenkner B. Function of the anal sphincters in spinal man. Gut. 1975;16(8):638-44. 7. Menardo G, Bausano G, Corazziari E, et al. Large-bowel transit in paraplegic patients. Dis Colon Rectum. 1987;30(12):924-8. 8. Beuret-Blanquart F, Weber J, Gouverneur JP, Demangeon S, Denis P. Colonic transit time and anorectal manometric anomalies in 19 patients with complete transaction of the spinal cord. J Auton Nerv Syst. 1990;35(2):225-30. 9. Nino-Murcia M, Stone JM, Chang PJ, Perkash I. Colonic transit in spinal cord-injured patients. Invest Radiol. 1990;25(2):109-12. 10. Varma KK, Stephens D. Neuromuscular reflexes of rectal continence. Aust N Z J Surg. 1972:41(3):263-72. 11. Devroede G, Arhan P, Duquay C, Tetreault L, Akoury H, Perey B. Traumatic constipation. Gastroenterology. 1979;77(6):1258-67. 12. Faaborg PM, Christensen P, Rosenkilde M, Laurberg S, Krogh K. Do gastrointestinal transit times and colonic dimensions change with time since spinal cord injury? Spinal Cord. 2011;49(4):549-53. 13. Stone JM, Wolfe VA, Nino-Murcia M, Perkash I. Colostomy as treatment for complications of spinal cord injury. Arch Phys Med Rehabil. 1990;71(7):514-8. 14. Gore RM, Mintzer RA, Calenoff L. Gastrointestinal complications of spinal cord injury. Spine (Phila PA 1976). 1981;6(6):538-44. 15. Coggrave M, Norton C, Wilson-Barnett J. Management of neurogenic bowel dysfunction in the community after spinal cord injury: a postal survey in the United Kingdom. Spinal Cord. 2009;47:323-33. 16. Saltztein RJ, Romano J. The efficacy of colostomy as a bowel management alternative in selected spinal cord injury patients. J Am Paraplegia Soc. 1990;13(2):9-13. 17. Coggrave M, Norton C. Teaching transanal irrigation for functional bowel disorders. Br J Nurs. 2009;18(4):219-20, 222-4. 18. Christensen P, Bazzocchi G, Coggrave M, et al. Treatment of fecal incontinence and constipation in patients with spinal cord injury. Paper presented at: ISCoS Scientific Meeting Bowel Dysfunction Seminar, 2006; Boston, MA. 19. Furlan JC, Urbach DR, Fehlings MG. Optimal treatment for severe neurogenic bowel dysfunction after chronic spinal cord injury: a decision analysis. Br J Surg. 2007;94(9):1139–50. 20. Chang KJ, Erickson RA, Schandler S, Coye T, Moody C. Per-rectal pulsed irrigation versus per-oral colonic lavage for colonoscopy preparation: a randomized, controlled trial. Gastrointest Endosc. 1991;37:444-8. 21. McColl MA, Jarzynowska A, Shortt SED. Unmet healthcare needs of people with disabilities: population-level evidence. Disabil Soc. 2010;25(2):205-18. 22. Juul T, Bazzocchi G, Coggrave M, et al. Reliability of the international spinal cord injury bowel function basic and extended data sets. Spinal Cord. 2011;49(8):886-91. 23. Krassioukov A, Biering-Sorensen F, Donovan W, et al. International standards to document remaining autonomic function after spinal cord injury (ISAFSCI), first edition 2012. Top Spinal Cord Inj Rehabil. 2012;18(3):282-96. 68 CAPTURING CAPACITY IN CANADIAN SCI REHABILITATION


E - Bowel Continence
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