Thursday, September 16, 2010

Important Procedural Documentation

Lecturer Gaye Kyle provides detailed instructions on How to Perform a Digital Removal of Faeces.

The highlights:
  • Inform patient of imminent examination
  • Insert non-latex gloved, lubricated index finger slowly and gently, encouraging the patient to relax. Use one finger only.
  • In scybala type stool is present (Bristol stool scale type-1) remove one lump at a time until no more faecal matter can be felt.
  • In the case of a solid faecal mass, push the finger into the middle of the mass, split it and remove small pieces with hooked finger until no more faecal matter can be felt.
  • If the faecal mass is too hard, larger than 4cm across and is impossible to break up, STOP and refer to the medical team for a possible digital removal of faeces under general anaesthetic.

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