14 | Bowel and Bladder Management

Bowel and Bladder Management - Medical and Social Challenges

For persons living with a spinal cord injury (SCI) or spinal cord disease (SCD), problems associated with bowel and/or bladder functioning are common and have serious consequences for both health maintenance and participation, and ultimately for quality of life.

Read more: General Introduction

The comprehensive assessment of Marco’s functioning took into account the perspective of Marco (patient perspective) as well as his rehabilitation team (health professional perspective). Marco's and the rehabilitation team's perspectives were quite similar. The assessment results were documented in the ICF Assessment Sheet.

Read more: Assessment

Over the course of the Rehab-Cycle® Marco showed continuous improvements, reaching the majority of the goals he and his rehabilitation team had set out to achieve.

Read more: Evaluation

Discussion

Having to deal with bowel and bladder problems is difficult for anybody. It is even worse if it becomes chronic. For persons living with a spinal cord injury (SCI) or spinal cord disease (SCD) bowel and bladder dysfunction often becomes the centre of their lives.

Read more: Discussion

  1. Benevento B, Sipski M. Neurogenic bladder, neurogenic bowel, and sexual dysfunction in people with spinal cord injury. Phys Ther. 2002; 82(6): 601-612.
  2. Chen D, Anschel AS. Gastrointestinal disorders. In: Kirshblum S, Campagnolo DI. (eds.) Spinal cord medicine. Philadelphia, Pennsylvania (USA): Lippincott Williams & Wilkins; 2011. p. 174-184.
  3. Linsenmeyer TA. Neurogenic bladder following spinal cord injury. In: Kirshblum S, Campagnolo DI. (eds.) Spinal cord medicine. Philadelphia, Pennsylvania (USA): Lippincott Williams & Wilkins; 2011. p. 211-241.
  4. Paraforum. Library: The body. [Internet] Available from: https://www.paraforum.ch/article/the-body. Accessed March 2016.
  5. Kirshblum SC, Priebe MM, Ho CH, Scelza WM, Chiodo AE, Wuermser L-A. Spinal cord injury medicine. 3. rehabilitation phase after acute spinal cord Injury. Arch Phys Med Rehabil. 2007; 88 (Suppl 1): S62-70.
  6. Ozisler Z, Koklu K, Ozel S, Unsal-Delialioglu S. Outcomes of bowel program in spinal cord injury patients with neurogenic bowel dysfunction. Neural Regen Res. 2015; 10(7): 1153-1158.
  7. Horton JA, Chancellor MB, Labatia I. Bladder management for the evolving spinal cord injury: Options and considerations. Top Spinal Cord Inj Rehabil. 2003; 9(1): 36-52.
  8. Lynch A. et al. Bowel dysfunction following spinal cord injury: A description of bowel function in a spinal cord-injured population and comparison with age and gender matched controls. Spinal Cord. 2000; 38(12): 717-723.
  9. Miller J, Hoffman E. The causes and consequences of overactive bladder. J Womens Health (Larchmt). 2006; 15(3): 251-260.
  10. Bickenbach J, Officer A, Shakespeare T, von Groote P. (eds.) International perspectives on spinal cord injury (IPSCI). Geneva, Switzerland: World Health Organization; 2013.
  11. Behçets International. What is Behçets syndrome? [Internet] Available from: http://www.behcetsinternational.com/. Accessed March 2016.
  12. Kobayashi T, Kishimoto M, Swearingen CJ, Filopoulos MT, Ohara Y, Tokuda Y, Oshikawa H, Yoshida K, Utsunomiya M, Kimura M, Okada M, Matsui K, Yazici Y. Differences in clinical manifestations, treatment, and concordance rates with two major sets of criteria for Behçet’s syndrome for patients in the US and Japan: Data from a large, three-center cohort study. Mod Rheumatol. 2013; 23: 547-553.
  13. Davatchi F, Sadeghi Abdollahi B, Chams-Davatchi C, Shahram F, Shams H, Nadji A, Faezi T, Akhlaghi M, Ghodsi Z, Mohtasham N, Ashofteh F. The saga of diagnostic/classification criteria in Behcet's disease. Int J Rheum Dis. 2015; 18(6): 594-605.
  14. World Health Organization. International Classification of Functioning, Disability and Health (ICF). Geneva, Switzerland: World Health Organization; 2001.
  15. Miller W, Chan C. Spinal Cord Independence Measure (SCIM). [Internet] 1 February 2013. Available from: http://www.scireproject.com/outcome-measures-new/spinal-cord-independence-measure-scim. Accessed April 2016.
  16. Roach MJ, Frost FS, Creasey G. Social and personal consequences of acquired bowel dysfunction for persons with spinal cord injury. J Spinal Cord Med. 2000; 23(4): 263-269.

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