Management of faecal incontinence of a patient with spinal cord injury.

This case study, of an outpatient with a C6 spinal cord injury who was experiencing episodes of faecal incontinence, and the successful application of evidence-based care, highlights the need for comprehensive assessment of chronic bowel problems and a 'return to basics'. Using Gibbs' (1988) reflective cycle, the author discusses emerging issues and analyses them with reference to the supporting literature. As a result of this reflective study a comprehensive bowel assessment form was devised to ensure that staff do not automatically prescribe aperients, but reassess every aspect of a patient's bowel regimen when problems arise. In addition, a fact sheet describing the correct methods for digital stimulation, and a quality of life scoring tool, have been written.